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Written by: Bob Habasevich, PT on Friday, July 1, 2011 Posted in: Inpatient Rehab

One in five bathroom scales are used regularly to weigh luggage and pets but their owners do not weigh themselves to avoid the factual status of what the dial indicates.  We are made aware of the requirement to measure frequently what must be managed but somehow fail in this attempt by avoiding the realities of the measurement process.

So what does this mean for measuring rehabilitation performance? Consider this:  We need to face the facts to understand and improve performance. This is a primary differentiator for high performance organizations and is evident within their clinical culture of patient care delivery. There is a regular and honest review in place where facts and measures present a look at what is expected and important.  Simply looking at FIM™ change is not sufficient to manage clinical performance of the expected inpatient rehabilitation care model.  Avoiding the factual presentation of what and how much is effective in producing that change is notably absent from the discussion of too many meetings where the issue of effectiveness should be primary.

The satisfaction of hearing a FIM™ change, or efficiency number without understanding what is required to change it, is gross negligence and should be considered equivalent to avoiding the scale for what it might reveal and using it solely for weighing baggage and pets.