The AM-PAC® is a comprehensive and precise point-of-care assessment of patient-related functional outcomes for settings where acute and/or post-acute care is being provided. 
Activity Measure for Post Acute Care
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Activity Measure for Post Acute Care

AM-PAC

Alan Jette, PT, PhD,Stephen M. Haley, PhD, PT, FAPTA,Wendy J. Coster, PhD, OTR/L, FAOTA,Peng Sheng Ni, MD, MPH
The AM-PAC® is a comprehensive and precise point-of-care assessment of patient-related functional outcomes for settings where acute and/or post-acute care is being provided. 
Age range:
Adult
Scores/Interpretation:
T-Scores, Standard Error
Qualification level:
A
Completion time:
5 minutes
Administration:
Paper-and-Pencil
Forms:
Reproducible Short Forms included for different settings

Ordering AM-PAC

Complete this order form and and email it to orders@pearsonclinical.co.uk. Our Customer Support team will process your order.

Priced at £222.60 per year, an AM-PAC license includes:

  • Complete AM-PAC manual delivered via email upon confirmation of your order
  • Complete set of reproducible AM-PAC forms contained within the manual
  • Unlimited use of AM-PAC forms per hospital/clinical site for 1 year from date of sale

Please note:

  • Each clinical / hospital site will require a separate license. For example, an organisation with 7 hospitals will require 7 licenses
  • After 1 year, renewal of licenses will be required
 

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 function 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).

Benefits

  • Use as a screening tool to prioritize patients who require skilled rehabilitation services
  • Patient-reported, clinician or family-member-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 acute care discharge planning decisions
  • Recognised by the Centers for Medicare and Medicaid as a core element of the Assessment Tool for the outpatient prospective payment project
  • Monitor functional outcomes for inpatient, outpatient and clinical research settings

Features

  • AM-PAC Inpatient Short Forms, referred to as '6-Clicks,' assess function 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 of 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 into 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

Acknowledgements

The Boston University Activity Measure for Post-Acute Care (AM-PAC®) was developed at the Boston University Research and Training Center for Measuring Rehabilitation Outcomes and supported, in part, by the National Institute on Disability and Rehabilitation Research (grant no. H133B990005) and the National Institute of Child Health and Human Development (grant no. R01 HD43568). Development of the AM-PAC® Outpatient Short Forms for use in outpatient settings was supported in part by an Independent Scientist Award (K01 HD45354-01) received by Stephen Haley, PhD.

The AM-PAC® team would like to acknowledge the collaborators from the Cleveland Clinic and Johns Hopkins Departments of Rehabilitation Medicine, and the University of Pittsburgh Medical Center for their assistance in developing many of the short forms included in this manual. Further information on the Johns Hopkins Activity Mobility Promotion tool kit is at this site

 
 

Kits, components, and pricing

Ordering AM-PAC requires a form to be downloaded and completed from the website (click here for the order form and instructions). Customer support will email a PDF of the AM-PAC manual upon completion of your order, this will be emailed to the contact detailed on the order form. Upon receipt of the manual, it is licensed for use at the organisation site listed on the order form.

A license agreement is included on the AM-PAC order form, the agreement states that the forms are licensed for use for 1 year upon completion of your order.

Orders are not automatically renewed; a new license agreement and order must be completed each year.

You can use the forms in the appendix and reproduce these in either of the following formats:

  • Copying the forms and administering them via paper and pencil
  • Re-creating the content in your EHR system

Content

Function scores are a critical component, but not the only component to support such decisions, other factors should also be considered e.g. social factors.

The Low-Function forms include 2 additional items to the original 6-clicks, these forms have been used successfully with patients in ICU. It allows the same metric to be used and followed as the patient moves out of the ICU, and through to post-acute care.

We currently have no plans for this; however, your license will allow you to create a digital version of the forms within your licensed hospital site.

 
The following training events are available for AM-PAC.