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).
- 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
- 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
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.