Self-Care FOMs
FOM code for eating when a patient has a feeding tube and is NPO; however, they were eating orally prior to stroke and hospitalization.
What is Code 88 (Not attempted due to medical condition or safety concerns)?
FOM Code used anytime an additional caregiver is needed to bring wheelchair behind a patient because they may fall while walking.
What is Code 01 Dependent?
Every instance of incontinency reported helps paint a clear picture of patient ability level.
Why do I need to document all incontinency that occurs during my shift or session?
The first three days of a patient's rehab stay when FOMs are measured by nursing and therapy each shift or session
What is the 3-day admission window?
FOM day 2, FOM day 3 and Discharge FOMS are mentioned in huddle, communicated by putting the flags out on the guide near patient's door and can be written on your daily schedule
What are ways I can remember to document FOM measures on my patients?
FOM code for showering when patient washed all body except their back and bottom by themselves but needed two caregivers to help them stand and wash the peri area and bottom.
What is code 01 dependent?
When assessing bed mobility, it is important to have the bed in this position
What is bed flat or a flat bed?
Bowel code for patient with a new ostomy who is learning to care for it themself.
What is Code 09 not rated?
Patient had an ostomy during the entire 3-day admission FOM period.
The phrase used by CMS to describe how admission FOM's are to be assessed before any cues, guidance, directions or adaptive equipment are given to a patient.
What is prior to the benefit of services or instruction?
Correct response on FOM worksheet for FOM items that did not occur during my shift or session with a patient
What is leave it blank?
Toilet hygiene code for patient that has a new ostomy and is learning to care for it themself. They need the nurse to help by verbally cuing them about next step and for online problem solving.
What is Code 04?
Transfer code if using a sit to stand lift (non hydraulic) and helper assists with more than half the effort.
What is Code 02?
Bladder code for patient who has a foley catheter during the entire admission 3-day FOM window.
What is 09 not rated?
Indwelling catheter
4 codes for a task not attempted
What are codes: 07 refused, 09 not applicable, 88 medical concerns, 10 environmental limitations?
FOM measures allow CMS to understand the patient's ability level for self-care, mobility, continency, and language expression/comprehension at the beginning and end of their rehab stay so these measures can show progress and the functional efficiency of our rehab program
What is the purpose of Functional Outcome Measures?
Overnight I do not help my patient take off/put on their socks or shoes. When scoring the FOM worksheet I should ...
What is leave it blank?
Toilet transfer the first night of arrival for a patient. Two caregivers go to help because they are not sure what to expect yet. FOM code for this toilet transfer
What is Code 01 Dependent?
2 caregivers present, even if one is not needed your clinical judgment was that they might be needed
Amount of incontinence that is needed to record an incontinent episode on FOM worksheet
What is you should document all incontinence, even if it just a small amount?
Created by BRRH and housed in the back dayroom, this resource is used to help a patient that arrives without clothing still obtain their dressing FOM codes during the admission assessment 3-day window.
What is the extra clothing cabinets?
FOM's is an abbreviation used by Ernest Health for this quality indicator assessed by CMS
What is Functional Outcome Measures?
Bob wears a t-shirt, flannel shirt and TLSO brace. When completing upper body dressing, Bob needed help threading his t-shirt over his head and he needed more than 50% assistance putting the TLSO brace on. His Code for upper body dressing is ____.
What is Code 02 (helper does more than half the work)?
When walking 10 feet to the bathroom, patient needed to take a standing break due to pain. He used his walker and needed a caregiver to hold onto a gait belt for steadying balance. FOM code for walk 10 feet would be?
What is Code 04?
standing breaks are allowed
CGA from caregiver makes it 04
CMS position on incontinence that is the result of needing to wait for caregiver assistance
What is "incontinence due to delayed caregiver response is still considered incontinence?"
Other ways approved by CMS you can get information to include on patient's FOM worksheet for your shift/session.
What is by patient report, clinician or care staff report, or family report?
Name a reason that FOM's are important.
What is they are used to calculate estimated length of stay for our patients by CMS and/or they are an outcome measure used to assess the success of our hospital?