Related Experiment Video
Updated: Apr 4, 2026

Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
Published on: February 9, 2022
Development of Professionalism and Performance Accountability for Sustained FIM Accuracy Improvement
Debra Eisenstadt1, Ann Summar, Jean Beckel
1St. Cloud Hospital, St. Cloud, MN, USA.
Purpose:
Rehabilitation nurses have essential responsibility for detailed Functional Independence Measure (FIM) documentation and accurate scoring. The goal of this performance improvement project was to improve individual FIM accuracy and establish and maintain a FIM accuracy standard.
Design:
Case Study.
Methods:
This performance improvement project was implemented in a 20-bed CARF-accredited Midwestern acute care hospital inpatient rehabilitation unit.
Findings:
Improved individual and overall RN FIM scoring accuracy, with increased length of stay and case mix index.
Conclusions:
Concurrent FIM scoring and documentation review holds staff accountable and allows for timely revisions following discrepancy identification. Leadership supports for concurrent FIM audits, utilization of available technology, transparent reporting of results, and individual accountability lead to sustained improvement in FIM scoring accuracy.
Clinical Relevance:
Accurate FIM documentation and scoring drive appropriate length of stay and case mix group assignment. Assessment competence enhances nursing engagement, confidence, and process accountability.
Related Concept Videos
Accountability and Responsibility of a Nurse II
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
Accuracy and Precision
Accuracy and Precision
Accountability and Responsibility of a Nurse I
Errors occurring during blood pressure monitoring
Several factors...
Sources of Self-Esteem II: Performance Feedback

