AlphaFIM® Instrument for Stroke

Rating Method: Who Completes it?

What is it? 7 – Complete independence (timely, safely) No Acute Care Allied Health and Nursing
6 – Modified independence (device) Helper
AlphaFIM® Instrument Assessors must be credentialed; but
Modified Dependence all team members may be consulted
 Standardized method of assessing 5 – Supervision for information gathering.
patient disability/functional status 4 – Minimal Assist (Subject ≥ 75%)
3 – Moderate Assist (Subject = 50 - 74%) Helper
When: Day 3 post admission
in the acute care setting
Complete Dependence
 Consists of six items that can be
reliably collected in acute care 2 – Maximal Assist (Subject = 25 - 49%) Benefits
1 – Total Assist (Subject <25%)
 Utilize a common language for
 Facilitates the transfer of patients functional status and rehabilitation
from acute care to rehabilitation by
using common language Triage Guidelines* needs
 Provide objective data regarding
AlphaFIM® Rating Recommended Referral disability and stroke severity
AlphaFIM® Components Mild > 80 Community-based rehabilitation  Facilitate transfer of information to
inpatient stroke rehabilitation
6 Items are rated: Moderate 40 to 80 Inpatient rehabilitation
 Help make decisions regarding
MOTOR Restorative care with regular discharge from acute care
Severe < 40 • amount of help needed
1. Toilet Transfer assessment for rehab potential
2. Bowel Management • best destination
*AlphaFIM® rating is only one component for
If patient walks <150 feet: If patient walks ≥150 feet: consideration in discharge planning.
3. Eating 3. Walking What it Provides:
4. Grooming 4. Bed Transfer  Standardized Measure of Stroke
Further AlphaFIM® info:
COGNITION For further information on the AlphaFIM® Instrument
Severity and Function
5. Expression please contact the Ontario Stroke Network at:  Motor and Cognitive rating
6. Memory
www.ontariostrokenetwork.ca  Projected FIM® ratings*
or
info@ontariostrokenetwork.ca  Help Needed (in hours per day)

*Functional Independence Measure (FIM®) is an 18 item functional status measure used in inpatient rehabilitation.
AlphaFIM® and FIM® are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. December 2012