Project Title: Mobility in Acute Care: An examination of AM-PAC and FIM scores by inpatient diagnostic category

Faculty Sponsor: Jennifer Blackwood

Department: Physical Therapy



Project Description: Early mobility within an inpatient hospital acute care stay has been reported to predict length of stay, costs associated with care, falls, nursing home placement, morbidity and mortality. Health care providers often use validated measures to assess the functional level of hospitalized patients to help determine need for rehabilitation services both within the hospitalization and after discharge. 

In 2016, the University of Michigan Hospital System (UMHS) rehabilitation department initiated the use of the Boston University Activity Measure for Post-Acute Care ‘6-click’ (AM-PAC 6-click) to quantify activity limitations in hospitalized patients in order to identify needs for further care within and post-hospitalization. Physical and occupational therapists at UMHS used the AM-PAC 6-click to quantify level of independence of their patient/client in the following activities: turning in bed, getting in/out of bed or a chair, walking in the hospital room, and climbing 3-5 stairs. Previously, UMHS used the Functional Independence Measure (FIM), as the only measure of functional mobility. Since patients of differing admitting diagnoses will likely have different functional limitations, it is important to examine relationships between the AM-PAC 6-click score and FIM scores to assist in determining discharge status and need for further rehabilitation. 

Although the AM-PAC has been validated in acute care with multiple admitting diagnoses combined, no study has examined AM-PAC and FIM scores by admitting diagnosis groups (cardiac, pulmonary, neurological oncology, orthopedics etc.). Therefore, it is unknown if the AM-PAC 6-click is able to predict discharge outcomes in patients by differing admitting diagnoses. Thus, the purpose of this research is to examine relationships between AM-PAC 6-click and FIM scores by admitting diagnosis group and to determine if AM-PAC 6-click scores can predict rehabilitation referrals post-hospitalization.

Student Tasks & Responsibilities: Responsibilities include but are not limited to the following: (1) Coordinate calendars and schedule meetings and appointments. (2) Develop, organize and disseminate marketing, publicity, outreach and related materials. (3) Perform data entry including cleaning and coding. (4) Transcribe, edit, copy and collate documents. (5) Organize and maintain files. (6) Work effectively with other students, clinicians, and faculty.

Minimum Student Qualifications:

Required Qualifications
Current student in good academic standing at the University of Michigan. Proficiency with Word, Excel, PowerPoint, and e-mail. Good professional writing and communication skills. Reliable person with the ability to complete tasks assigned in a timely manner with appropriate supervision. Available for at least 5 hours between 8 am and 5 pm throughout the traditional work week (Monday-Friday) for ongoing, time sensitive support activities. Travel to the University of Michigan Hospital in Ann Arbor may be required.

Desired Qualifications
Previous experience with research data entry. Familiarity with the logistics of cleaning and recoding research data. Must flourish in an environment that is highly flexible, collaborative, and requires a high degree of self-motivation. Experience working or volunteering in a clinical setting and/or working with research data file management preferred