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IR cognitive FIM scores improved an average of 13.6 points compared with 6.0 [+ or -] 5.8 (mean [+ or -] standard deviation) for UDSMR, a Z-score improvement of 1.31.
Participants had IR improvements in cognitive FIM scores more than twice the national UDSMR average for 2010, and approximately two times the improvement in sphincter FIM scores for that year even with the ceiling effect described previously.
"HMC has successfully completed the requirements of the UDSMR Mastery Examination and is licensed to use the FIM tool until 2014.
Interrater reliability among the three investigators and the research nurse was measured using two case studies supplied by the UDSMR mastery training.
A number of studies tested the FIM[TM] instrument using the UDSmr database.
The FIM was developed by the UDSMR. The FIM is a standardized, performance-based, observer-rated assessment of 18 functional items for activities of daily living: eating, grooming, bathing, dressing upper body, dressing lower body, toileting, bladder control, bowel control, transfers to/from bed/wheelchair/chair; transfers to/from tub/shower; transfers to/from toilet; locomotion, stair climbing; comprehension, expression, social cognition, problem solving, and memory.
 UB Foundation Activities Inc, Uniform Data Systems for Medical Rehabilitation (UDSMR), IRF-PAI Training Manual, UB Foundation Activities Inc, Buffalo, NY, USA, 2004.
At the time of this study, roughly 60 percent of the industry voluntarily used the FIM[TM] and submitted their data to UDSMR.
The UDSMR database was used for the development of FIM-FRGs (Version 2.0).
To ensure high quality, only data from the 458 UDSMR facilities whose clinicians had passed FIM credentialing criteria were used.
Abbreviations: ADL = activities of daily living, CTT = classical test theory, DIF = differential item functioning, FIM = Functional Independence Measure, FSOD = Functional Status and Outcomes Database, IRT = item response theory, MDS = Minimum Data Set, MDS-PAC = MDS-Post Acute Care, PECS = Patient Evaluation Conference System, SD = standard deviation, UDSMR = Uniform Data System for Medical Rehabilitation, VA = Department of Veterans Affairs, VAMC = VA medical center, VHA = Veterans Health Administration.
The 1999 UDSMR data set included national data for 334,008 patients discharged from 697 community rehabilitation facilities.
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