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Functional ability indicators

Data on the need for assistance provides the criteria for designing customer-oriented and goal-oriented actions. We manage three functional ability metrics that are used via the common AIRA information service solution. AIRA improves the usability of functional ability data in the treatment chain.

The FIM® meter evaluates the functional capacity of functionally impaired adults and their need for assistance 

FIM® is used to assess the need for assistance based on a disability group classification. Multidisciplinary work is recommended for the evaluations, which can be based on observations or customer interviews. The metric evaluates 18 basic daily activities. The assessment of each component is driven by the client’s ability to function and their need for assistance, i.e. whether they can cope independently or how much assistance is needed to cope in everyday life. What is the role of assistive devices, or is an assistant necessary? The results serve as a basis for customer-specific service, and a rehabilitation plan and an assessment of its implementation.

The FIM® metric provides reliable data on daily functional ability, the need for assistance and potential changes in these factors.

The FIM® metric data is used both at individual customer and at organisational levels. Customer-level and organisation-level reporting is carried out with the RehabFIM application, which has been developed for the FIM® metric. The data is used for the assessment of service needs and the preparation of rehabilitation and service plans.
With the aid of the metric data, organisations can demonstrate and justify the effectiveness of their own operations.  A common methodology, irrespective of the professional group, strengthens multidisciplinary work and improves rehabilitation work. The FIM® metric has been developed in the United States as a uniform data system for medical rehabilitation (UDSMR). The metric is used in many countries to assess the quality and effectiveness of treatment and rehabilitation. Training ensures consistent use of the metric, and learning is supported by a qualification test.
The FIM® metric is now available in the TOIMIA database.

The RAVA® metric evaluates the functional ability of the elderly and their need for assistance

Based on the ability of the elderly and their need for assistance, the right treatment is chosen: supported living at home; an assisted living residence; a home for the elderly; or a place on the ward of a health centre. The information generated by the RAVA® metric forms the basis for a personal care and service plan that specifies the need for care and service. The assessment is easy for experienced assessors and can be repeated when the customer’s functional ability or life situation changes.

The information generated by the RAVA® metric is necessary for the determination of support for dependent care, for example, and for the development of services. At the operating unit level, the RAVA® metric is a tool for comparing different units, departments and teams. The data is necessary when assessing resourcing and costs. The data is also used when defining customer and service charges.

Better service for mental health clients with the TUVA® metric 

The TUVA® metric maps the key areas of mental health clients’ lives. It highlights the activities where the person is strongest and situations where additional support is necessary.  
The assessment of the person’s functional ability and need for assistance is based on assessments by social care and healthcare professionals. It covers a comprehensive range of five functional areas:

  • The person’s ability to look after themselves
  • Activities related to home life, running errands and leisure
  • Social relations and skills
  • Cognitive skills
  • Psychosocial skills

Functional ability and the need for assistance are assessed using 25 different criteria and the adverse effects of 15 psychiatric symptoms (e.g. impulsiveness, aggressiveness, depressed mood) on daily activities. This creates an overall picture of the need for assistance and the impact of symptoms on performance. The assessment takes only 20 to 30 minutes to carry out, so it is possible to evaluate the person’s situation regularly and notice changes immediately.

Individual-level reports help the person and professionals to determine any changes to the service need. Organisation-level reports help the unit to develop their operations in a more client-oriented direction.

The metric illustrates the real needs of clients for the organisation.

At the same time, it makes the work that is done visible and clarifies the assessment of the effectiveness of the measures taken.

For example, an organisation report can indicate whether the clients of a more comprehensive service format have a higher level of functional ability than those of a less comprehensively supported service format. The organisation receives clear criteria specifying the right level of service for the person in question.  The data can also be used to evaluate and develop the functional structure of the units to better serve each person’s needs. 

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