Alpha FIM Instrument Guided Self Study updated July

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Alpha. FIM® Instrument Guided Self Study updated July 2013

Alpha. FIM® Instrument Guided Self Study updated July 2013

Note to Users • Alpha. FIM and FIM are trademarks of Uniform Data System

Note to Users • Alpha. FIM and FIM are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. (UDSMR). The UDSMR copyrighted materials contained herein have been reproduced with the permission of UDSMR • This resource is not intended to replace the required training established by UDSMR but to be a complimentary resource for clinicians. 2

Ontario Implementation of Alpha. FIM® Instrument • Ontario Stroke System negotiated special regional licenses

Ontario Implementation of Alpha. FIM® Instrument • Ontario Stroke System negotiated special regional licenses with UDSMR. • Under this license, use for STROKE PATIENTS ONLY. • Provincial data collection strategy recommends the Alpha. FIM® Instrument to be completed on people with stroke on Day 3 (Day 0 is defined as day of admission to the acute care hospital setting). 3

UDSMR Training Resources • Alpha. FIM® Instrument Guide • Helpful Hints for Rating the

UDSMR Training Resources • Alpha. FIM® Instrument Guide • Helpful Hints for Rating the Alpha. FIM® Instrument • The Alpha. FIM® Case Study Booklet Current versions are available on the Alpha. FIM® software portal. How can you access them? Sign in to the portal at www. udsmr. org with facility code, username and password. Click on “help” on the left side of the page. 4

Alpha. FIM® Instrument Guide Chapter 1: Introduction to Alpha. FIM® Instrument Chapter 2: Uses

Alpha. FIM® Instrument Guide Chapter 1: Introduction to Alpha. FIM® Instrument Chapter 2: Uses of the Alpha. FIM® Instrument Chapter 3: Implementation and Rating Overview Chapter 4: Specific Rating Instructions (note Ontario specific information in the following slides) • General Rating Rules • Descriptions and Ratings of 8 items 5

Chapter 1 – Key Points • Alpha. FIM® Instrument provides a means of measuring

Chapter 1 – Key Points • Alpha. FIM® Instrument provides a means of measuring patient disability and functional status in the acute care setting. • Abbreviated version of FIM® • Six items Patients who walk less than 150 ft Patients who walk 150 ft or more 1. 2. 3. 4. 5. 6. Eating Grooming Bowel Management Transfers: Toilet Expression Memory Transfers: Bed, Chair Locomotion: Walk Bowel Management Transfers: Toilet Expression Memory 6

Chapter 2 – Key Points Alpha. FIM® Instrument uses include: • Preadmission screening for

Chapter 2 – Key Points Alpha. FIM® Instrument uses include: • Preadmission screening for transfer to rehab • Decision regarding discharge from acute care • Outcome measure 7

Chapter 3 – Key Points ® The FIM® scoring levels contained herein are copyrighted

Chapter 3 – Key Points ® The FIM® scoring levels contained herein are copyrighted by Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. ("UBFA" ) and have been reproduced with permission. All marks associated with FIM are owned by UBFA. All rights reserved. 8

Chapter 4 – Key Points General Rating Rules: • Begin by determining ability to

Chapter 4 – Key Points General Rating Rules: • Begin by determining ability to walk 150 feet or more. • Read definitions for each item carefully. • Record actual performance, not capacity. • Use the lowest rating. • Use the best available information. • Do not leave any items blank. 9

Chapter 4 – Key Points Specific Rating Instructions: • Description • Rating Guidelines •

Chapter 4 – Key Points Specific Rating Instructions: • Description • Rating Guidelines • Definition for each rating level 10

Rating Instructions Pages 11 - 21 • Eating • Grooming • Bowel Management (see

Rating Instructions Pages 11 - 21 • Eating • Grooming • Bowel Management (see supplemental guidelines) • • • Transfers: Toilet Transfers: Bed, Chair Locomotion: Walk Expression Memory 11

Suggestions for becoming an accurate Alpha. FIM® Instrument Assessor Use all of your resources

Suggestions for becoming an accurate Alpha. FIM® Instrument Assessor Use all of your resources for accurate rating: - Alpha. FIM® Instrument Guide Helpful Hints for Rating the Alpha. FIM® Instrument Bowel Management Guidelines Remember: Alpha. FIM® Instrument is a measure of burden of care. Assess actual performance, not capacity. 12

Practice! Use the “Alpha. FIM® Case Study Booklet” for practice before writing your mastery

Practice! Use the “Alpha. FIM® Case Study Booklet” for practice before writing your mastery test. 13

Alpha. FIM® Instrument Website Portal Chapter 5: Alpha. FIM® Calculations Chapter 6: Using the

Alpha. FIM® Instrument Website Portal Chapter 5: Alpha. FIM® Calculations Chapter 6: Using the Alpha. FIM® Website 14

What is the next step? After scoring the patient on the 6 items you

What is the next step? After scoring the patient on the 6 items you must complete data entry to obtain the projected FIM® scores. 15

Website Data Entry www. udsmr. org tals" ware Por t f o S "

Website Data Entry www. udsmr. org tals" ware Por t f o S " t c e el S 16

Website Data Entry Select “Alpha. FIM Software“ or click on the icon below 17

Website Data Entry Select “Alpha. FIM Software“ or click on the icon below 17

Website Data Entry Complete Lo gin Info 18

Website Data Entry Complete Lo gin Info 18

Website Data Entry tton u b ” d d A “ Click on area

Website Data Entry tton u b ” d d A “ Click on area n o i t a m r o in the Inf 19

Website Data Entry ” field D I t n e i t a into

Website Data Entry ” field D I t n e i t a into “P r e i f i t n e d ility i ATIENT P R E T Enter fac N E ION! T DO NOT A M R O ING INF Y F I T N E ID th Date Enter the Bir ) (mm/dd/yyyy ate. d t n ank me l s b s t e f e Ass can be le h t r e Ent ields f r e h All ot 20

Website Data Entry estion: u. q n e w o th d r ll

Website Data Entry estion: u. q n e w o th d r ll e o w r s c S n menu to an et or more? ” w fe o 0 d 5 p 1 o g r d in e lk Use th bserved wa o n e e b t n e ti “Has the pa ding on n e p e d change e r o c s items to s question. t a h t e t i creen. ) h s No t t o x t e e n s e pon de on th i l s your res e h t 21 re with (Compa

Website Data Entry score o t s m e swer. w it n o

Website Data Entry score o t s m e swer. w it n o a h ” e s v e r y e s Obs with a “ previou d e e g h t n a n h o have c e slide h t i w re (Compa screen. ) 22

Website Data Entry 6 items e h t f o ’ s menus g

Website Data Entry 6 items e h t f o ’ s menus g n n i t w a o R d e ‘Raw the drop g n i s Enter th u scored e v a h u yo 23

Website Data Entry em scores, After entering the 6 it late’ button cu al

Website Data Entry em scores, After entering the 6 it late’ button cu al ‘C e g n ra o e th n o click culated w cal o n e r a scores d e t c e j Pro 24

Website Data Entry Option to print out website calculations or manually record them page

Website Data Entry Option to print out website calculations or manually record them page e h t f o e top. Go to th e ‘Print’ button th Click on 25

Printout ted. n i ectly. r r p r o s c a h

Printout ted. n i ectly. r r p r o s c a h d it re Ensure ues were ente name ll val tient a a t p a e h et. t h t e k h e c t s i e r h d w c e t prin e aph or r Double h t g o n s o s mber Addre u n d r m. o r c o e f r d h e R t l v O or hea appro l a t i p s ur ho o y n o e data h t d r o Rec 26

Website Data Entry lose. c r o l e c n Then ca AVE.

Website Data Entry lose. c r o l e c n Then ca AVE. S T O N atient DO p y n a e eav Do not l in the system. rs identifie 27

Website Data Entry Sign n o k c i l C out 28

Website Data Entry Sign n o k c i l C out 28

If you accidentally save … ve, a s y l l a t ciden

If you accidentally save … ve, a s y l l a t ciden If you ac will show an en your scre to the above ilar entry sim ou close. after y 29

If you accidentally save … Highlight by clicking on the entry. Then click on

If you accidentally save … Highlight by clicking on the entry. Then click on “Delete”. te the record le e d to t n a w u o y re ou are su A popup will ask if y Click on “OK” . 30

Options for Documentation

Options for Documentation

Sample Chart Note Alpha. FIM® Instrument completed today. Raw scores as follows: eating –

Sample Chart Note Alpha. FIM® Instrument completed today. Raw scores as follows: eating – 4, grooming – 4, bowel management – 2, transfers: toilet – 3, expression – 7, memory – 6, projected raw motor score - 39, projected raw cognitive score - 32, help needed - 2 to 3 hours. Signature 32

Chart Note - Sticker 33

Chart Note - Sticker 33

Approved Chart Forms 34

Approved Chart Forms 34

Electronic Health Record (sample 1) 35

Electronic Health Record (sample 1) 35

Electronic Health Record (sample 2) 36

Electronic Health Record (sample 2) 36

Questions? Contact your regional Alpha. FIM® Instrument Lead 37

Questions? Contact your regional Alpha. FIM® Instrument Lead 37