In 1988, UDSMR began data collection and reporting services for facilities that provide comprehensive medical rehabilitation services for adults. Currently, this database includes over 13 million patient assessments. Research using the FIM® instrument and changes in the delivery of rehabilitation services have led to the development of other adult rehabilitation databases for subacute care programs, Veterans Affairs rehabilitation units, and acute medical/surgical care units. In addition, a pediatric data set has been developed for inpatient and outpatient pediatric settings. This data set uses the WeeFIM® instrument as the measure of disability. Translations of the Guide for the Uniform Data Set for Medical Rehabilitation (Including the FIM® instrument) have fostered the development of the international rehabilitation database. Various versions of the guide have been translated into:
The large number of patient records in the databases has permitted the tracking of attributes such as case mix, patient age, length of stay, functional status on admission and at discharge, and the percentage of patients discharged to the community. This data provides information that can be used to evaluate the efficiency and effectiveness of rehabilitation services. The aggregate data serves as a reference point for outcomes against which facilities can compare their own performance across the United States and internationally.