Outcome measures were average LOS, FIM change and FIM efficiency. FIM
change is defined as discharge FIM score minus admission FIM score. FIM
efficiency is FIM change divided by LOS. The FIM is an established, reliable
and validated measure of function following SCI.10,11 Although a newer
measure, the Spinal Cord Independence Measure (SCIM), has some
psychometric advantages this does not render the FIM invalid10,11 and the
FIM is still widely used. A decision was therefore made to capture the FIM as
reporting of this measure is required and it would facilitate external
benchmarking. Client satisfaction was also monitored for changes postimplementation.
The hospital had a long-standing process for measuring
client satisfaction using mailed questionnaires post-hospital discharge.
Outcome measures were average LOS, FIM change and FIM efficiency. FIMchange is defined as discharge FIM score minus admission FIM score. FIMefficiency is FIM change divided by LOS. The FIM is an established, reliableand validated measure of function following SCI.10,11 Although a newermeasure, the Spinal Cord Independence Measure (SCIM), has somepsychometric advantages this does not render the FIM invalid10,11 and theFIM is still widely used. A decision was therefore made to capture the FIM asreporting of this measure is required and it would facilitate externalbenchmarking. Client satisfaction was also monitored for changes postimplementation.The hospital had a long-standing process for measuringclient satisfaction using mailed questionnaires post-hospital discharge.
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