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The Dressing FIM scores are based on what the person is actually wearing in the 24 hour period of FIM scoring and how much help they require to put on and remove any clothing in that period of time. The FIM is not concerned about what they wore at any other time.
CMS mandated the use of Section GG beginning October 2016 and officially replaced the FIM functional items in October 2019.
The cut-off point of the total FIM scale to discriminate patients with poor outcomes was calculated as 63 points, with an area under the curve, sensitivity, and specificity of 0.90, 82.7%, and 85.0%, respectively.
The developers of the FIM recommend that the scoring be derived by consensus with a multi-disciplinary team. A final summed score is created and ranges from 18 126, where 18 represents complete dependence/total assistance and 126 represents complete independence. .
Tasks are rated on a 7-point ordinal scale that ranges from total assistance (or complete dependence) to complete independence. Scores range from 18 (lowest) to 126 (highest) indicating level of function. Scores are generally rated at admission and discharge.
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How FIM Scoring Works. The scale comprises 18 items, which are divided into two main categories: motor and cognitive functions. Each item is scored on a scale of 1 to 7, where 1 indicates total dependence and 7 indicates complete independence.

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