20 hours ago The Activity Measure for Post-Acute Care (AM-PAC™) "6-Clicks" Inpatient Short Forms are multidimensional measures that use 6 questions to assess functional outcomes of patients in postacute care settings. The original AM-PAC™ is used with a variety of diagnoses and patient populations to measure basic mobility (with and without a stair ... >> Go To The Portal
The AM-PAC is a validated measure based on the activity limitation domain of the ICF, 7 originally designed to assess function in patients receiving post-acute care rehabilitation. 9 To meet needs in the acute care setting, 2 new tools, AM-PAC “6-Clicks,” were developed using calibrated items from the original AM-PAC: one form to measure basic mobility and another to measure daily activity function. 10 The tools were designed to be simple and quick to complete and to represent the types of patient functions that physical therapists and occupational therapists commonly must assess in the acute care setting.
Full Answer
No. The AM-PAC assesses a person’s ability to do an activity as he/she currently does it without attribution to a specific diagnosis or condition. AM-PAC scores are based on items that were calibrated using standardized instructions in a large sample of patients with different diagnoses and conditions.
The different AM-PAC short forms can be used to monitor outcomes across different care settings. Transformed scores (but not raw scores) for different AM-PAC short form versions can be compared even though different items are administered because the short form items were selected from the same calibrated item bank.
Yes, there are guidelines for the two different types of AM-PAC items. Use the guidelines below for items that ask about how much difficulty a patient experiences. Select ‘Can’t Do’ if the patient is not able to do the activity without special equipment or help from another person.
Designed to be minimally burdensome to both providers and patients, 6 Clicks is an electronically administered pair of questionnaires that assess patients’ and self-care abilities (ADLs). Clinicians select the appropriate response for the AM-PAC Inpatient Short Form items based on observed patient activity and/or professional judgment.
Instrument. The “6-Clicks” short forms include items selected from the AM-PAC, a validated measure designed to be used for patients receiving post–acute care services regardless of type of condition or setting. One “6-Clicks” form assesses basic mobility function, and another form assesses daily activity function.
6-Clicks assesses ability to turn in bed, sit, transfer from bed to chair, stand, walk, eat, dress, bathe, perform personal care and use the bathroom. Scores range from 6 to 24, with higher scores representing greater functional independence.
Designed to be minimally burdensome to both providers and patients, 6 Clicks is an electronically administered pair of questionnaires that assess — through six questions each — patients' mobility and self-care abilities.
(insurance). The AMPAC is an objective tool that can be used to measure functional status in the. inpatient setting. Our study aimed to test the ability of the acute hospital AMPAC score to predict. discharge outcomes from acute rehabilitation.
Our study confirms that lower AM-PAC “6-Clicks” functional assessment scores are significantly associated with increased 30-day hospital readmissions.
The mean length of time to complete the Basic Mobility scale was 1.9 minutes, using, on average, 6.6 items per CAT session from the Basic Mobility scale item pool.
1.3 AM-PAC CAT Functional Domains The AM-PAC Daily Activity domain includes 70 items that address basic self care and instrumental activities of daily life.
The AM-PAC® is a comprehensive and precise point-of-care assessment of patient-related functional outcomes for settings where acute and/or post acute care is being provided.
The floor-to-SNF program allows for medically stable inpatients with an initial 6 Clicks score of 18 or below (out of a possible 24) and a therapist recommendation for SNF transfer to be eligible for transfer without an updated PT/OT note.
The FRT assesses a patient's stability by measuring the maximum distance an individual can reach forward while standing in a fixed position. The modified version of the FRT, requires the individual to sit in a fixed position.
The study objective was to determine the accuracy of “6-Clicks” basic mobility and daily activity measures for predicting discharge from an acute care hospital to a home or institutional setting.
Descriptive statistics were used to describe the characteristics of the patients in the sample and to summarize “6-Clicks” basic mobility and daily activity scores at the first physical therapist or occupational therapist visit. Our dataset included actual discharge destination only for patients who were discharged to home with services or to an institutional setting; the data field was left empty for patients who were discharged to home without services. However, we were unable to determine whether an empty data field represented discharge to home or whether the data were simply missing. The dataset also included the discharge recommendations made by physical therapists and occupational therapists after their last visit with a patient; we determined that in 83% of patients for whom complete data were available, the physical therapists' and occupational therapists' recommendations for discharge setting agreed with the actual discharge setting. Therefore, when the actual discharge destination field was empty, we coded it as “home” if the recommendations of both physical therapists and occupational therapists agreed on home discharge; if they did not agree, we coded the field as missing data.
The “6-Clicks” short forms include items selected from the AM-PAC, a validated measure designed to be used for patients receiving post–acute care services regardless of type of condition or setting. 23 One “6-Clicks” form assesses basic mobility function, and another form assesses daily activity function. 25 Each item is scored from 1 to 4 on the basis of the amount of difficulty a patient has or how much help is needed from another person in completing the task. Lower scores equate to lower levels of function. A previous study provided evidence for convergent and divergent validity as well as the responsiveness of the “6-Clicks” forms. 24
AM-PAC Computer Adaptive Test (CAT): (Jette et al., 2007; n = 1815 retrospective study; patients diagnosed with spine, lower-extremity, and upper-extremity impairments)
We have reviewed nearly 300 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.