How to use the FIM™ Instrument

 How to use the FIM™ instrument

The first step is to be trained in the use of the FIM™ or WeeFIM® instrument. AROC provides a number of workshops each year that you can attend. Alternatively, if a number of people in your organisation require training, AROC can provide a trainer to teach a workshop at your venue.

Organisations that require frequent training often have one of their staff accredited as a facility trainer.

Once you have received training you then need to become credentialed, which means sitting and passing an exam. Credentialing lasts two years after which time you should undertake refresher training and then resit the exam to maintain your credentialing.

Are there any eligibility criteria for training?

AROC’s policy is that training is available to Registered Nurses (RN), Enrolled Nurses (EN,) Doctors, Registrars and Allied Health staff with an appropriate tertiary clinical qualification.  Assistants in nursing (AIN) and allied health assistants are welcome to attend training sessions to increase their knowledge and understanding of the FIM, and so they can contribute to FIM scoring in a clinical setting, but they are not eligible or required to become credentialed.

* FIM™ and WeeFIM® are trademarks of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

Last reviewed: 12 December, 2012

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As at 1 July 2014 the Australian Government changed the definition of residential care resulting in “low level care” and “high level care” no longer being current terminology (more details). The AROC V4 Dataset for Australia and the Australian Data Collection Forms for pathways 2, 3, 4 & 5 still have this concept in the data items “Type of Accommodation prior to the impairment”, “Interim Accommodation post discharge” and “Final Accommodation post discharge”. The ramifications of this definitional change was discussed by the AROC Scientific Clinical Advisory Committee. It was agreed that whilst AROC can’t change the V4 code set for the three affected data items mid-stream, we can introduce a new business rule that takes account of this definitional change.

New business rule for Australian facilities: All episodes admitted from or discharged to residential care from July 2014 are to be coded to residential high level care (nursing home).

NOTE: all future analyses on Australian admissions from / discharges to residential care will combine residential low level care (hostel) and residential high level care (nursing home). When the AROC V4 dataset is revised the Accommodation data items affected by this definitional change will be adjusted to include codes identifying the 4 levels of care packages at home now available, as well as residential aged care and a code identifying referral to NDIS.

FIM™ System FAQs

FIM™ System User Guide