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Am Pac 6 Clicks Daily Activity Form.pdf Free Download Here AMPAC Short FormsTM for Inpatient and Outpatient settings ... http://www.bu.edu/bostonroc/files/2013/10/AMPACShortFormManual 10.24.2013SAMPLE.pdf.

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How to fill out the Ampac 6 Clicks online

Filling out the Ampac 6 Clicks form online is a straightforward process that allows users to efficiently assess daily activities. This guide provides detailed instructions to help you navigate each section of the form with ease.

Follow the steps to complete the Ampac 6 Clicks form online.

  1. Click the ‘Get Form’ button to access the form and open it in the editing interface.
  2. Begin by filling in personal information such as your name, date of birth, and contact details. Ensure that all information is accurate to facilitate proper assessment.
  3. Proceed to the section that evaluates daily activities. Read each question carefully and select the appropriate response based on your experience.
  4. Once you have completed all sections of the form, review your answers for accuracy. Make any necessary corrections.
  5. After verifying your information, save your changes. You may also choose to download, print, or share the form as needed.

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The range of standardized scores for the basic mobility form is 23.55 to 61.14, and a score of 42 equates to approximately 50% impairment. The range of standardized scores for the daily activity form is 17.07 to 57.54, and a score of 37 equates to approximately 50% disability.

These tools, called “6-Clicks,” are short forms created from the Activity Measure for Post-Acute Care (AM-PAC) instrument, developed by researchers at Boston University.

6-Clicks assesses ability to turn in bed, sit, transfer from bed to chair, stand, walk, eat, dress, bathe, perform personal care and use the bathroom. Scores range from 6 to 24, with higher scores representing greater functional independence.

Known as “6-Clicks” due to being composed of six scored patient activity questions, a patient's “6-Clicks” score falls on a 6- to 24-point scale where a score of 6 represents total functional impairment and a score of 24 represents total absence of impairment.

The mean total AMPAC score from acute care hospital for home discharge cohort was 33.07 with a standard deviation of 5.83. The average total AMPAC score for the SNF and AO cohorts at 24.21 (standard deviation of 5.37) and 26.47 (standard deviation of 6.97) respectively, were similar.

The median AMPAC Total value was then found of the 240 unique admissions – which was found to be 30. Admissions with an AMPAC Total of greater than or equal to 30 (n = 122) had an 81.15% chance of discharge to home, while those with an AMPAC Total score of 29 or less had a 34.75% chance of discharge home.

6 Clicks is all about data: Meaningful discrete data are collected by therapists at every inpatient encounter and then used to drive clinical decisions, guide resource use in the hospital and help determine the most appropriate discharge disposition.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232