Quality Report - Physical Medicine & Rehabilitation
Our Scores
Physical Medicine at Rehabilitation at Adventist Health Glendale (AHGL) uses the Functional Independence Measure tool, or FIM®, to measure functional outcomes. FIM® refers to a scale that is used to measure an individual's ability to function independently and is applied to six basic functions:
- Self care
- Sphincter control
- Transfers (from bed to chair, etc.)
- Locomotion
- Communication
- Social cognition
FIM® is used all over the world in medical rehabilitation units like the one at AHGL. The maximum possible score on the FIM® scale is 126. The higher the score, the greater the patient's functional independence. The numbers below demonstrate the average increase in FIM scores for patients at AHGL upon admission and discharge, compared to regional and national data:
*Data extracted from UDS-PRO® Database, using "On Demand Reports", 2nd quarter 2016.
| FIM® Score and FIM® Change (Higher numbers are better) | |||||
|---|---|---|---|---|---|
|
FIM®
(upon admit) |
FIM®
|
FIM®Increase (GAMC) | FIM®Increase (Regional) |
FIM®Increase
|
|
| Stroke | 54.8 | 78.1 | 23.4 | 29.7 | 31.2 |
| Replacement of lower extremity | 67.9 | 97.2 | 29.3 | 34.9 | 35.2 |
| Fracture of lower extremity | 51.9 | 79.5 | 27.7 | 32.8 | 33.8 |
| Non-traumatic brain injury | 56.6 | 81.7 | 25.1 | 29.7 | 30.6 |
| Traumatic brain injury | 66.2 | 88.4 | 22.2 | 26.6 | 29.0 |
| Non-traumatic spinal cord injury | 60.7 | 83.9 | 23.2 | 30.3 | 30.9 |
| Percentage Discharged Home (Higher numbers are better) | |||
|---|---|---|---|
| GAMC |
Region |
Nation | |
| Brain Injury (Traumatic) | 100 | 86.9 | 88.4 |
| Brain Injury (Non-Traumatic) | 71.4 | 83.4 | 81.5 |
| Neurologic | 100 | 79.8 | 81.0 |
| Orthopedic (Fracture of Lower Extremity) | 73.3 | 76.6 | 74.4 |
| Orthopedic (Replacement of Lower Extremity) | 90 | 91.6 | 91.1 |
| Spinal Cord Injury (Traumatic) | 100 | 100 | 94.5 |
| Spinal Cord Injury (Non-Traumatic) | 70 | 85.6 | 81.7 |
| Stroke | 72.5 | 81.8 | 75.3 |