Table 2.
Mean ratings for individual items (range 1–7) within each FIM® subscale stratified by discharge year: mean (sd).
| FIM® Subscale | Total | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 |
|---|---|---|---|---|---|---|---|---|---|---|
| Admission | ||||||||||
| Self-care | 4.3 (0.8) | 4.6 (0.8) | 4.5 (0.8) | 4.4 (0.8) | 4.3 (0.8) | 4.3 (0.8) | 4.2 (0.8) | 4.1 (0.8) | 4.0 (0.8) | 4.0 (0.8) |
| Sphincter | 4.6 (1.5) | 5.2 (1.5) | 5.1 (1.5) | 4.7 (1.6) | 4.6 (1.5) | 4.6 (1.5) | 4.5 (1.5) | 4.4 (1.5) | 4.3 (1.6) | 4.3 (1.6) |
| Transfer | 3.1 (1.0) | 3.2 (1.0) | 3.2 (1.0) | 3.2 (1.0) | 3.1 (0.9) | 3.1 (0.9) | 3.0 (0.9) | 2.9 (0.9) | 2.9 (0.9) | 2.8 (1.0) |
| Locomotion | 1.7 (0.9) | 1.7 (0.9) | 1.7 (0.9) | 1.7 (0.9) | 1.7 (0.9) | 1.7 (0.9) | 1.6 (0.8) | 1.6 (0.8) | 1.5 (0.8) | 1.5 (0.8) |
| Communication | 6.3 (0.9) | 6.6 (0.7) | 6.6 (0.8) | 6.5 (0.8) | 6.4 (0.9) | 6.3 (0.9) | 6.2 (1.0) | 6.1 (1.0) | 6.0 (1.0) | 6.0 (1.0) |
| Social Cognition | 6.1 (1.1) | 6.5 (0.9) | 6.4 (1.0) | 6.3 (1.0) | 6.1 (1.1) | 6.1 (1.1) | 5.9 (1.1) | 5.8 (1.2) | 5.8 (1.2) | 5.7 (1.2) |
| Discharge | ||||||||||
| Self-care | 5.9 (0.8) | 6.1 (0.7) | 6.1 (0.7) | 6.0 (0.7) | 5.9 (0.7) | 5.9 (0.7) | 5.9 (0.8) | 5.8 (0.8) | 5.8 (0.8) | 5.7 (0.8) |
| Sphincter | 5.9 (1.0) | 6.3 (0.9) | 6.3 (0.9) | 6.1 (1.0) | 5.9 (1.0) | 5.8 (1.0) | 5.8 (1.1) | 5.7 (1.1) | 5.7 (1.1) | 5.7 (1.2) |
| Transfer | 5.3 (0.9) | 5.5 (0.8) | 5.5 (0.8) | 5.3 (0.9) | 5.2 (1.0) | 5.2 (0.9) | 5.2 (0.9) | 5.1 (1.0) | 5.1 (1.0) | 5.1 (1.0) |
| Locomotion | 4.4 (1.4) | 4.5 (1.3) | 4.5 (1.3) | 4.4 (1.4) | 4.3 (1.4) | 4.4 (1.4) | 4.4 (1.4) | 4.3 (1.4) | 4.3 (1.4) | 4.3 (1.4) |
| Communication | 6.6 (0.6) | 6.7 (0.6) | 6.7 (0.6) | 6.7 (0.6) | 6.6 (0.6) | 6.6 (0.6) | 6.5 (0.7) | 6.5 (0.7) | 6.5 (0.7) | 6.5 (0.7) |
| Social Cognition | 6.5 (0.8) | 6.7 (0.7) | 6.6 (0.8) | 6.6 (0.8) | 6.5 (0.8) | 6.5 (0.8) | 6.4 (0.8) | 6.4 (0.8) | 6.4 (0.8) | 6.3 (0.8) |
| Change | ||||||||||
| Self-care | 1.6 (0.8) | 1.6 (0.7) | 1.6 (0.7) | 1.6 (0.8) | 1.5 (0.8) | 1.6 (0.8) | 1.7 (0.8) | 1.7 (0.8) | 1.8 (0.9) | 1.8 (0.9) |
| Sphincter | 1.3 (1.4) | 1.1 (1.3) | 1.2 (1.3) | 1.3 (1.4) | 1.3 (1.5) | 1.3 (1.4) | 1.3 (1.4) | 1.4 (1.5) | 1.4 (1.5) | 1.4 (1.5) |
| Transfer | 2.2 (1.1) | 2.3 (1.0) | 2.3 (1.0) | 2.2 (1.1) | 2.1 (1.1) | 2.1 (1.1) | 2.2 (1.1) | 2.2 (1.1) | 2.2 (1.1) | 2.3 (1.1) |
| Locomotion | 2.7 (1.4) | 2.8 (1.4) | 2.8 (1.4) | 2.7 (1.4) | 2.6 (1.4) | 2.7 (1.4) | 2.7 (1.4) | 2.7 (1.4) | 2.8 (1.4) | 2.8 (1.4) |
| Communication | 0.3 (0.6) | 0.1 (0.4) | 0.1 (0.5) | 0.2 (0.6) | 0.2 (0.6) | 0.3 (0.7) | 0.4 (0.7) | 0.4 (0.8) | 0.4 (0.8) | 0.5 (0.8) |
| Social Cognition | 0.4 (0.7) | 0.2 (0.5) | 0.2 (0.5) | 0.3 (0.6) | 0.4 (0.7) | 0.4 (0.7) | 0.5 (0.8) | 0.5 (0.8) | 0.6 (0.9) | 0.6 (0.9) |
Yearly summaries represent fiscal year periods (Oct 1 through Sep 30) from the Centers for Medicare and Medicaid Services. Dashed vertical line signifies introduction of the prospective payment system (PPS), resulting in substantial changes to functional evaluation and patient management processes. Cell values represent mean ratings for individual FIM items within the particular subscale.