Barthel Index Training & Certification

Activity Description

This activity is designed to educate healthcare professionals involved in assessment of patients with stroke or other potential causes of disability so that they are better able to offer a valid and consistent (with peers) rating of their patients’ functional status for use in auditing healthcare outcomes or researching treatment efficacy and effectiveness.

Activity Faculty

Target Audience

This activity has been designed to meet the educational needs of physicians, nursing professionals, researchers and other healthcare professionals who manage, or are engaged in assessing patients with health conditions that may lead to functional disability. Other healthcare providers may also participate.

Learning Objectives

After participating in the activity, learners should be better able to:


The Barthel Index training and certification is offered as part of BlueCloud Healthcare Professional Level 2 annual membership ($89). It is also available separately ($98) on the BlueCloud Education Network.

Accreditation and Credit Designation

Provided by
In support of improving patient care, American Academy of CME, Inc. is Jointly accredited by the Accreditation Council for Continuing Medical Education (AACME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


American Academy of CME, Inc., designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


American Academy of CME, Inc., designates this educational activity for 1.25 contact hours.


Provider approved by the California Board of Registered Nursing, Provider Number CEP16993 for [1.25] contact hours.

Method of Participation

In order to receive CE credit and certification, learners must view the training module and achieve a passing score of 70% or higher on the items presented to them in the certification/recertification module. After completion of the certification scenarios, learners receive feedback on the number of correctly scored items and on whether they have met the standard required (which is based on peer performance) or should review the training materials and re-score the cases. Feedback on a case by case basis is not provided to avoid random guesswork that would undermine the validity of the final certification procedure. The system will limit your attempts to three (3) chances. If a learner fails to achieve certification after 3 attempts their account will be locked; additional instructions will be e-mailed to their registered account and additional training will need to take place. After achieving a passing score, learners must complete and submit the activity evaluation, which will result in a certificate of credit/certification being issued.
NOTE: Each certification is valid for up to two (2) years.

Disclosure Statement

According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial interests related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity and levels of evidence. All relevant financial relationships listed for these individuals have been mitigated. Disclosures are as follows:

Terence J. Quinn, MD, discloses the following: Speakers Bureau for Educational Activities: Bristol-Myers Squibb/Pfizer Alliance

Kennedy R Lees, MD, discloses the following: Advisory Boards: Astellas, Boehringer Ingelheim, EVER NeuroPharma, Nestlé; Grant/Research Support: Sunovion, EVER NeuroPharma; Data Safety Monitoring Board: Boehringer Ingelheim

CE Planners

John JD Juchniewicz, MCIS, CHCP, Natalie Kirkwood, RN, BSN, JD, Tina Posey: No relevant financial relationships with any ineligible companies.


This activity will not review off-label or investigational information.

The opinions expressed in this educational activity are those of the faculty, and do not represent those of Academy. This activity is intended as a supplement to existing knowledge, published information, and guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information. Please be advised that this training alone may not be enough to demonstrate competency or evidence based education with regulatory agencies, and additional training may be required.

Implicit Bias: Implicit bias refers to unconscious attitudes and stereotypes that influence our thoughts, judgements, decisions, and actions without our awareness. Everyone is susceptible to implicit bias, even clinicians. In healthcare, implicit biases can have a significant impact on the quality of care an individual receives. These biases can be both favorable and unfavorable, and are activated involuntarily without an individual’s awareness or intentional control. Studies have indicated that healthcare providers’ incorrect perceptions can impact providers’ communications and clinical decision-making contributing to disparities in clinical outcomes. Addressing implicit biases in healthcare is critical to improving health outcomes and promoting health equity for all patients. Patient-centered care can reduce the impact of implicit bias, by treating each patient as a unique individual who may or may not hold beliefs associated with their backgrounds and circumstances. In addition, recognizing implicit bias in one’s own practice using techniques such as self-reflection and mindful clinical decision-making can ensure more equitable and effective care to all patients.

Over the past several decades, cognitive science research has demonstrated human behavior, beliefs and attitudes are shaped by automatic and unconscious cognitive processes. The healthcare profession is devoting greater attention to how these automatic and unconscious processes impact care including: (1) preferential treatment toward or against specific patient populations causing healthcare inequities, (2) influence patient-provider communications leading to misunderstandings and mistrust, and (3) impact access to healthcare and affect treatment decisions resulting in misdiagnosis, delays in treatment and specialty referrals and poor pain management. Considering one might have unconscious biases and exploring them may be uncomfortable because the very idea that they exist may conflict with how clinicians perceive themselves. It is only by becoming aware of one’s unconscious biases that members of the healthcare team can take steps to mitigate them to ensure all their patients are treated receive quality healthcare.

Hardware/Software Requirements

Windows Requirements: • Operating system: Windows 7 or later • Browser: Internet Explorer (10 or later), Chrome, Mozilla Firefox • Internet connection: Broadband or other high-speed connection • Flash: Adobe Flash Player 12 or later

Apple/Mac Requirements: •Operating system: Mac OS X v10.3 or later • Browser: Mozilla Firefox • Internet connection: Broadband internet connection • Flash: Adobe Flash Player 12 or later


For more information about the American Academy of CME privacy policy, please access


For technical support or replacement certificates, please contact: 512-302-3113 For any questions about this activity, please contact:


© 2017. This activity is held as copyrighted © by Kennedy R Lees MD.