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Functional status evaluation form: development and implications.

M Grabois, T Strax

    Southern Medical Journal
    |March 1, 1978
    PubMed
    Summary
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    A mandatory functional status form improved documentation completeness and quality in a rehabilitation hospital. This enhanced patient care and physician education, aiding future medical audits.

    Area of Science:

    • Rehabilitation Medicine
    • Healthcare Quality Improvement
    • Medical Auditing

    Background:

    • Medical audits identified significant deficiencies in functional evaluation quality within a rehabilitation hospital.
    • Existing educational programs and optional forms failed to improve functional evaluation completion rates or consistency.

    Purpose of the Study:

    • To assess the impact of a mandatory, problem-oriented functional status form on the quality and completeness of patient functional evaluations.

    Main Methods:

    • A mandatory functional status form, incorporating past, present, and future goals, was implemented in patient charts.
    • Chart reviews were conducted after six months of the form's use to evaluate documentation rates.

    Main Results:

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  • Implementation of the mandatory form resulted in over 90% documentation across all functional areas.
  • The new form significantly improved the rates and consistency of functional status reporting.

    • Conclusions:

    • A mandatory functional status form is effective in enhancing the quality and completeness of patient functional evaluations.
    • This approach is expected to improve patient care, physician education, and the efficacy of medical audits.