Activity Measure for Post Acute Care (AM-PAC

1. Activity Measure for Post Acute
Care (AM-PAC) for Occupational
Therapy
Suzie Kwon, MOTS
Swedish Medical Center, First Hill
September 7
th
, 2016

2. *Important in discharge planning
*Standardized assessment of patient’s function
Need for an Objective Outcome Measure

3. *Evidence of the accuracy of “6-Clicks” scores for
predicting destination after discharge from an acute
care hospital (Jette et al., 2014).
*Evidence for the validity of “6-Clicks” scores for
assessing patients' activity limitations in acute care
settings (Jette et al., 2014).

Supporting Evidence

4. *Provides a quantitative score
*Can be used across patient diagnoses, conditions, and
settings
*Can predict level of care at discharge
http://pac-metrix.com/am-pac-resources/am-pac_short-form/
AM-PAC Design

5. •Acute hospital
•Inpatient rehabilitation
•Post-acute care
•Hip fracture
•Stroke
•Cancer
•Geriatric
•Orthopedic impairments
•Medically complex cases
http://am-pac.com/category/population/
Intended Population

6. Three functional domains:
•Basic Mobility- Physical Therapy
•Daily Activity- Occupational Therapy
•Applied Cognitive- Speech & Language Pathology
http://am-pac.com/category/domains/
Inpatient “6-Clicks” Short Forms

7. *Grooming & Hygiene
*Feeding and Meal Preparation
*Personal Care
http://am-pac.com/category/domains/
Daily Activity Domain

8. *Unable-1 (total assistance or dependent)
*A Lot-2 (moderate to maximum assistance)

*A Little-3 (minimal/contact guard/supervision)
*None-4 (independent/modified independent)
“6-Clicks” Scoring

9. *How much help from another person does the patient currently
need . . . 
1.Putting on and taking off regular lower body clothing?  
2.Bathing (including washing, rinsing and drying)? 
3.Toileting, which includes using toilet, bedpan or urinal? 
4.Putting on and taking off regular upper body clothing?  
5.Taking care of personal grooming such as brushing teeth?  
6.Eating meals? 
*Total Raw Score can convert to G Code and % impairment
“6-Clicks”

10. *80 patients in inpatient acute care at Swedish First Hill
*Time period: 8/10 /16– 9/2/16
*AM-PAC scores throughout their inpatient stay
Trial 

11. *AM-PAC possible raw score range: 6-24
*Lowest raw score: 6
*Highest raw score: 23
*Average raw score at eval during our trial: 16.18
*Average raw score at discharge during our trial: 16.91
Data

12. *Considerations
*Next Steps: 
*.ampacot for SmartPhrase
*Applied Cognitive domain for inpatient Speech & 
Language Pathology team
Trial Outcomes

13. *The patients at Swedish Medical Center, First Hill
*Lauren Anderson-Connolly, OTR/L
Thank You!

14. *Jette, D. U., Stilphen, M., Ranganathan, V. K., Passek, S. D.,
Frost, F. S., & Jette, A. M. (2014). AM-PAC “6-Clicks”
Functional Assessment Scores Predict Acute Care Hospital
Discharge Destination. Physical Therapy, 94(9), 1252-1261.
Accessed September 01, 2016.
http://dx.doi.org/10.2522/ptj.20130359.
*Jette, D. U., Stilphen, M., Ranganathan, V. K., Passek, S. D.,
Frost, F. S., & Jette, A. M. (2014). Validity of the AM-PAC “6-
Clicks” Inpatient Daily Activity and Basic Mobility Short
Forms. Physical Therapy, 94(3), 379-391. Accessed
September 01, 2016.
http://dx.doi.org/10.2522/ptj.20130199.
References

15. Questions?