We've lost our brains with functional limitation reporting. Payers dictate what we need to report. Enter into the picture pet peeve number 1. We are in a situation where the majority of rehabilitation professionals have lost their brain and are not thinking.
If we really, really believe in the value of evidence based medicine, then our actions need to reflect that we understand how to apply evidence EVEN when it comes to Functional Limitation Reporting. Let me state that not all outcome measures truly fit the desired goal of Functional Limitation Reporting.
Know the background of your favorite outcome measures. Pay particular attention to performance measures. There are crosswalks all over the place for pretty much every performance measure under the sun. Phone apps are being created to make testing easier for you: providing results and Functional Limitation Reporting g codes. I ask that you stop and think. What was the performance measure designed to do?
Predicting risk of falling does not equate to a functional limitation.
Predicting mortality does not equate to functional limitation.
Predicting risk of injury does not equate to functional limitation.
Scientifically not all scores readily convert to a percentage.
Whenever you choose the "easy" path and shove a square peg in the round insurance hole, there will be consequences. Functional Limitation Reporting has enough of its own flaws without us professionals making the situation even worse.
We are all in this reporting mess together. Know the design of the measures you use and if those measures are truly applicable for Functional Limitation Reporting. Just because a tool is measuring some aspect of mobility does not necessarily mean it automatically provides a score that is supposed to be converted for Functional Limitation Reporting. Just because the score has been converted for you does not mean it is appropriate to use it for reporting purposes.
You are the professional; you determine if the situation of a square peg will be shoved into a round hole is being pushed onto you. Don't do it... use a round peg, please.
Until next time,