Crosswalk

Crosswalk for Changes to Continuity Assessment Record and Evaluation (CARE) tool for use in
Functional Assessment Standardized Item (FASI) Set
The TEFT FASI items are primarily a subset of the CARE item set. Only four sections of the CARE tool are
included in the FASI Item Set:
• a subset of Section I. Administrative Items (Gender, Age)
• a subset of Section V. Impairments, (only item H. Mobility Devices and Aides Needed)
• a subset of Section VI. Functional Status (excludes tube feeding, wheeling long and short ramps,
using public transportation)
• a subset of Section VII. Discharge status, including a modified item on frequency of assistance
needed at discharge, living arrangements, and Support Needs/Caregiver Assistance.
A few new items were included in the function section that measure mobility in the community,
including ability to walk/wheel for 15 minutes, ability to cross street before light changes, ability to
walk/wheel around obstacles in rooms, and ability to carry something in both hands while walking. A
set of personal priority items were also included in each subsection (self-care, mobility, instrumental
activities of daily living, and living arrangements/caregiver assistance needs). The priority items are two
open-ended items to allow the individual to identify their priorities for the next six months in each
subsection. Last, the first section in the FASI item set is much shorter, collecting only information on
gender and age (modified from date of birth in CARE) and adding an item on which waiver the person is
on as well as assessor and participant ID numbers. The following describes these modifications by
Section.
Section # on Current CMS10243 (07/07)
I. Administrative

Type of Change

Rationale for Change

Excluded all CARE items.
Replaced with study IDs only.

Protected confidentiality for
beta test.

II. Admission Information

Excluded entire section.

FASI focuses only on function.

III. Medical Information

Excluded entire section.

FASI focuses only on function.

IV. Cognitive Status, Mood
and Pain

Excluded entire section.

FASI focuses only on function.

V. Impairments

Dropped all items except H1.
Mobility Devices.

Rest of the items are
irrelevant for LTSS.

V. Impairments

Added Devices to the CARE H1
Mobility Devices (FASI Section
C list.)

The types of devices used in
the community are broader
than in the healthcare setting.

VI. Functional Status

Excluded some items: tubefeeding, laundry, and public
transportation use and
wheeling long and short ramps.

Poor reliability in earlier tests
or inappropriate for
community measurement.

Section # on Current CMS10243 (07/07)
VI. Functional Status

Type of Change

Rationale for Change

Added a column to collect
information on the person's
most dependent level in past
month in addition to the
original metric of usual ability
over the past 3 days.

More relevant for this
population.

VI. Functional Status

Reorganized order of items
from core and supplemental to
group similar items.

Grouped similar items
together (e.g., all mobility
items, all self-care items, all
IADL items).

VI. Functional Status

Added separate items for
mobility ability using a
motorized wheelchair and a
manual wheelchair. Individuals
can be coded on ambulation,
and both types of wheelchair
use, independent of ability on
the other two types of mobility.

Some people walk in the
house but need wheelchairs in
the community; ability may
differ depending on whether
the wheelchair being used is
manual or motorized. Same
person may use all 3 modes of
mobility.

VI. Functional Status

Added 3 sets of mobility items
(ambulation, motorized
wheelchair, manual
wheelchair) to measure
walking/wheeling for 15
minutes, walking/wheeling
across street, walking/wheeling
indoors around obstacles, and
one ambulation item on
carrying something in 2 hands
while walking indoors.

Items expand measurement
into activities common in
community living.

VI. Functional Status

Added 2 open-ended priority
items in each of the four
sections (Self-care, mobility,
IADL, Caregiver assistance
needs).

Identify personal
preferences/goals for a more
person-centered assessment.

VI. Functional Status

Modified Instrumental
Activities of Daily Living items
to separate simple and
complex tasks in making a light
meal (cold meal v hot meal
preparation).

Better measures of need for
assistance. Cognitive
impairment can affect one's
ability to make a hot meal
differently than a cold meal.

Section # on Current CMS10243 (07/07)
VI. Functional Status

Type of Change

Rationale for Change

Replaced wiping down surface
with light and heavy
housework and added simple
and complex financial
management.

Broader set of housework
activities are more relevant to
this population.

VII. Overall Plan of Care

Excluded entire section.

FASI focuses only on function.

VIII. Discharge Status

Excluded most items.

Not relevant to this
population.

VIII. Discharge Status

Modified living arrangements
to collect information on past
month in addition to past 3
days.
Modified frequency of
assistance needed to
differentiate between paid and
unpaid assistance.

More relevant for this
population.

Modified caregiver
assistance/support needs to
differentiate between paid and
unpaid assistance.

More relevant for this
population.

VIII. Discharge Status

VIII. Discharge Status

More relevant for this
population.