Name of the Procedure:

Functional Limitation Reporting

• Common Name: Goal Status Reporting
• Medical Term: G9166 Procedure Code

Summary

Functional Limitation Reporting involves setting goals for a patient's functional abilities at the start of a therapy episode, monitoring progress at regular intervals, and evaluating goal achievement at discharge or the end of the reporting period.

Purpose

• To address and track functional limitations arising from various medical conditions or injuries.
• The goal is to improve patient mobility, daily functionality, and overall quality of life.

Indications

• Symptoms: Difficulty with movement, daily activities, physical limitations, or disabilities.
• Conditions: Stroke, orthopedic injuries, chronic pain, neurological disorders.
• Appropriate for patients who require physical, occupational, or speech therapy.

Preparation

• No specific fasting or medication adjustments are typically required.
• Initial assessments: Physical and functional evaluations to determine baseline status and set realistic goals.

Procedure Description

1. Initial Assessment: The healthcare provider evaluates the patient's current functional abilities and limitations.
2. Goal Setting: Short- and long-term functional goals are established.
3. Reporting Intervals: Progress is evaluated and documented at predetermined intervals.
4. Discharge Evaluation: At the end of the therapy episode, the patient's progress towards the set goals is assessed.

Tools/Equipment: Assessment tools may include standardized tests, functional grading scales, and patient self-reports.

Duration

The duration varies based on individual patient needs but generally corresponds with the length of the therapy episode.

Setting

Performed in various healthcare settings including hospitals, outpatient clinics, rehabilitation centers, or home health services.

Personnel

• Therapists: Physical, occupational, or speech therapists.
• Supporting Staff: Nurses, therapy assistants, administrative staff for documentation.

Risks and Complications

• Minimal risk involved with the procedure itself.
• Potential for incorrect assessment or reporting, which could impact treatment plan effectiveness.

Benefits

• Helps tailor and optimize therapy plans specific to individual needs.
• Enables objective tracking of patient progress.
• Facilitates better communication among healthcare providers involved in patient care.
• Patients may see improvements in functional abilities and quality of life.

Recovery

• No physical recovery needed from the reporting process itself.
• Continuous therapeutic exercises and follow-ups to maintain or improve functional abilities as per the goals set.

Alternatives

• Functional limitations can sometimes be measured through less standardized and more subjective methods.
• Feedback from multiple caregivers without structured documentation or standardized re-evaluation can be an alternative, though less reliable.

Patient Experience

• Generally, the process is non-invasive and involves consultation and assessment.
• Patients might feel encouraged by clear goal setting and visible progress tracking.
• Regular assessments allow for timely adjustments to therapy plans, which can improve overall treatment satisfaction.