Activity Measure for Post Acute Care

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The Activity Measure for Post-Acute Care (AM-PAC®) measurement system was developed by researchers at Boston University's Health and Disability Research Institute to assess activity limitation across post-acute care settings. The AM-PAC® is based on the conceptual framework outlined in the World Health Organization's International Classification of Functioning, Disability and Health (ICF), which describes activity limitation as "difficulty in the execution of a task or action by an individual".

Benefits

• Use as a screening tool to identify patients who require skilled rehabilitation services
• Patient-reported or clinician-reported outcome measure
• Designed for use across patient diagnoses, conditions and in different settings where acute and post-acute care is provided
• Progress monitoring of a broad range of relevant functional abilities as patients move across care settings.
• Assesses changes in function from admission to discharge in one setting or across an episode of care
• Guide discharge planning decisions
• Recognized by the Centers for Medicare and Medicaid as a core element of the Assessment Tool for the outpatient prospective payment project
• Monitor clinical outcomes for inpatient, outpatient and research settings

Features

• AM-PAC Inpatient Short Forms, referred to as '6-Clicks,' assess activity limitation in three different domains:
  • Basic Mobility: basic movement and physical mobility activities
  • Daily Activity: basic self-care and instrumental activities of daily living
  • Applied Cognitive: higher-level cognitive or executive functions
• Unlimited use reproducible forms provided with the purchase of an annual license per single clinical site. License options for use include:
  • Reproducing the paper forms
  • Building the forms in to electronic health record systems
• Item responses are completed by the patient, or a patient proxy (e.g., clinician, family member); however, in the inpatient setting, clinicians typically serve as the patient proxy. Item responses are selected based on observing the patient or, if an activity is not observed, the clinician uses clinical judgement or input from family members to select the item response.