Name of the Procedure:

Functional Status Assessment
Common name(s): FSA
Technical/Medical terms: Functional Status Report (HCPCS Code: G9916)

Summary

A Functional Status Assessment is a simple evaluation aimed at understanding how well a person can perform daily activities and manage their life. This includes an overview of physical, emotional, and social health over the past year.

Purpose

The Functional Status Assessment is used to monitor the overall health and functioning of patients, particularly those with chronic illnesses or conditions that affect their daily lives. The main goal is to identify any difficulties in performing everyday tasks and to develop strategies or interventions that can improve a patient’s quality of life and independence.

Indications

This procedure is appropriate for individuals experiencing:

• Chronic health conditions (e.g., arthritis, diabetes)
• Post-surgical recovery
• Age-related decline
• Conditions impacting mobility, cognition, or emotional health

Preparation

There is no special preparation required for a Functional Status Assessment. However, patients might be asked to:

• Bring a list of current medications
• Provide information on any recent medical history or changes in health

Procedure Description

1. Interview/Questionnaire: The healthcare provider will start with a series of questions about the patient's ability to perform daily activities, physical health, emotional well-being, and social interactions.
2. Physical Examination: Depending on the patient's condition, a brief physical exam may be conducted to assess range of motion, strength, and mobility.
3. Assessment Tools: Standardized tools or questionnaires, such as the SF-36, Barthel Index, or other validated instruments, might be used to obtain quantifiable data.

Typically, this is done face-to-face or via a telehealth appointment using simple or digital tools.

Duration

The Functional Status Assessment usually takes about 20 to 60 minutes, depending on the depth of the assessment and the patient’s health status.

Setting

This procedure can be performed in various settings, including:

• Outpatient clinics
• Primary care offices
• Hospitals
• Telehealth platforms

Personnel

• Primary Care Provider: Usually a physician, nurse practitioner, or physician’s assistant conducts the assessment.
• Nurses or Medical Assistants: May assist in gathering information and conducting preliminary screenings.

Risks and Complications

There are minimal risks associated with this assessment. However:

• Emotional Distress: Discussing limitations or health issues might cause stress or anxiety.
• Data Accuracy: Inaccurate self-reporting or misunderstanding of questions can lead to less effective care planning.

Benefits

• Early Detection: Identifies problems early, allowing for timely interventions.
• Quality of Life Improvement: Helps in planning strategies to enhance daily functioning and independence.
• Personalized Care: Tailors healthcare plans to meet individual needs more effectively.

Recovery

There is no recovery period since this is a non-invasive procedure. Patients might receive follow-up instructions, referrals, or recommendations for further actions based on the results.

Alternatives

• Specific Function Tests: More specialized tests like gait analysis or cognitive function tests can be alternatives.
• Routine Check-ups: Regular physical exams and health consulting can provide some similar insights but might miss specific functional assessments.

Pros: More focused data from targeted assessments.
Cons: May require more tests or appointments.

Patient Experience

During the procedure, patients should expect to answer questions honestly and participate in any simple physical tests. It might feel like an extended doctor’s appointment discussing various aspects of health. Post-assessment, the patient may receive advice on improving daily functions, which could include physical therapy, lifestyle changes, or other interventions. Pain or discomfort is not typically associated with this procedure.