Outcomes Tools

You have two choices when selecting a functional outcome measure.

Functional Measures

CareConnections Functional Index (CCFI)

The CCFI is a comprehensive functional outcome measure with established criterion validity, test-retest reliability, and responsiveness (Hoekstra, Deppeler, and Rutt; 2014). Reference standards are the Neck Disability Index; Modified Oswestry Disability Index; Quick Disabilities of the Arm, Shoulder and Hand (DASH); and the Lower Extremity Functional Scale (LEFS).

Through our web-based interface, your patients and clients select the relevant body area, and only those questions are presented to them. A VAS pain scale is also included. Patients and clients can complete the assessment at home via email or in your reception area on a tablet. The data is then automatically uploaded into the CareConnections system.

Users can immediately access a Registration Summary for the provider that includes risk-stratified projections for improvement and number of visits as compared to national averages. This document is updated with each follow-up assessment and finally at discharge. The Registration Summary is an effective tool to help practitioners guide patient expectations and monitor progress. 

Activity Measure for Post-Acute Care (AM-PAC)

AM-PAC is an activity limitations instrument developed by researchers at Boston University’s Health and Disability Research Institute. It is a computer adaptive test (CAT) that measures global functional outcomes using Item Response Theory (IRT) methodology. Collection of functional outcomes was historically evaluated by disease, condition, or anatomical region. AM-PAC was specifically designed for use across patient diagnoses, individual conditions, and settings where post-acute care is being provided. Due to the widespread nature and abilities of AM-PAC, this precise point-of-care assessment for outcomes is increasingly utilized across various healthcare settings today.

Electronic delivery via email or tablet and production of the Registration Summary are similar processes to that of the CCFI.

Learn more about AM-PAC

Additional Measures

Patient Specific Functional Scale (PSFS)

This short, easy-to-use tool allows patients to specify one to three activities that they are unable to do or are having difficulty performing because of their injury or area of dysfunction. It also helps practitioners to engage in shared decision making and set specific functional goals for patients. 

The PSFS can be used with any of your patients, but we recommend it specifically for high-functioning patients and for those clinics using AM-PAC. It can be especially useful to identify issues the patient is struggling with that do not impact global function in daily activities (e.g. patient wants to run marathon or participate at a higher level in another physical activity). This makes PSFS a great addition, since many other outcome measures do not show significant functional change for patients with no global functioning deficits.

Clinics currently using the AM-PAC functional measure will get the PSFS automatically queued as part of every patient's assessment. 

Fear Avoidance & Beliefs Questionnaire (FABQ)

The sixteen question FABQ helps identify patients with acute issues who are at risk of persisting into chronic pain and prolonged disability. It measures fear around pain sensations and the resulting avoidance of physical activity. High scores on the FABQ can prompt the therapist to modify interventions accordingly and reset their expectations for the complexity of the case.