The MDS Decoder: ADLs
Contents
1. ATTY U nae f E The MDS Decoder ADLs is published by HCPro Inc 432 1 No part of this publication may be reproduc by any means without priorswri t immediately if you HCPro provides info or the health care industry HCPro is not affiliat intsGommission on Accredi tation of Heal e JCAHO trademark Suzanne Pe Advice given i specific legal Visit HCPro at its World Wide Web sites www hcmarketplace com www hcpro com and www snfinfo com 4 2003 17010 Understanc Definitions Correct codi Pop quiz Answer ki 2003 HCPro Inc Unauthorized duplication is prohibited ili 2003 HCPro Inc Unauthorized duplication is prohibited 2003 HCPro Inc Unauthorized duplication is prohibited 1 s S fter study has reached the in a recent government r 2 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs The MDS is an importan e of p for all of the fol lowing re e lt helps establish a plan of c ased on the problems you resident 2003 HCPro Inc Unauthorized duplication is prohibited 3 The MDS Decoder ADLs 4 2003 HCPro Inc Unauthorized duplication is prohibited or to this i the room resi 9 Toilet use item G1i considers how the resident 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs t CO de be rself changes pads mana and adjusts2. provided Q True U False 3 Self performance is an indication of what a resident may be capable of rather than a measure of what he or she actually does in performing a task Q True U False 4 It s critical that the code entered on the MDS represents the resident s performance over the prior seven days and the prior seven days only Q True U False 5 Identify the four late loss ADLs 2003 HCPro Inc Unauthorized duplication is prohibited 23 The MDS Decoder ADLs 6 A resident is sitting up in bed and enjoying a meal on her own In the eating category how would you score this resi dent under the self performance category 7 You assist a resident by guiding his arm into the armhole of his shirt Under the support provided category for the dressing ADL you should code this as 2 for a one person physical assist Q True Q False 8 It is best to go back and forth between categories as you code each ADL entering the self performance codes and support provided codes for the same ADL Q True QO False Name Title Date 24 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs A a i Answer key 1 False The MDS also helps a nursing home establish a plan of care for its residents and can have a direct impact on the quality of care they receive The data is also used to develop a facility s quality indicators and qualit
3. your residents well being and the financial health of your nursing home Brought to you by HCProfessor HCProfessor is the online learning division of HCPro _ ISBN 1 57839 257 amp q 781578 392575 gt K yy hcPro P O Box 1168 Marblehead MA 01945 www hemarketplace com
4. 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs 2003 HCPro Inc Unauthorized duplication is prohibited 17 The MDS Decoder ADLs use ADL The e resi off the toilet How would you code a casesin which a Q gt needs encouragement to s up from 18 2003 HCPro Inc Unauthorized duplication is prohibited ke advantage of any ongoing education andbook to review the definitions used i 2003 HCPro Inc Unauthorized duplication is prohibited rs infor inator will 19 bet eight bearing and es a resi week nursing assistants don t give themselves credit for the support they provide residents You play an 20 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs le in ing su apy sessions Nursing staff may see the resident the rest of 2003 HCPro Inc Unauthorized duplication is prohibited 21 sistent 22 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs Pop quiz The following questions relate to the activities of daily living ADLs handbook you have just read Please respond to the questions to the best of your ability 1 There is only one primary purpose of the Minimum Data Set MDS which is to determine how much Medicare reim bursement a facility receives Q True U False 2 All of the ADLs are coded under the following two cate gories self performance and support
5. c P O Box 1168 Marblehead MA 01945 Fax 800 639 8511 I I I I I E mail customerservice hcpro com I I I I I I I For special pricing on bulk orders please call I I Dave Miller toll free at 888 209 6554 I d The MDS Decoder ADLs If you ve ever been confused as you ve tried to code the activities of daily living ADLs on the Minimum Data Set MDS you re not alone The truth of the matter is coding of the ADLs such as getting dressed eating and moving from place to place is one of the most difficult and confusing tasks for nursing staff Study after study has reached that conclusion In a recent government report 40 of MDS coordinators surveyed identified Section G of the MDS which includes the ADLs as the most difficult area to complete That s why we created The MDS Decoder ADLs to explain simply what the ADLs are and to help you improve accuracy on the coding of this crucial section of the MDS This user friendly handbook will answer all your questions including e What are the ADLs e Why are they so important to my nursing home e What are the six ways can improve documentation of the ADLs In addition The MDS Decoder ADLs includes examples and photographs to show you exactly how to code all kinds of scenarios And you ll want to keep the handbook as a quick reference for when questions arise Take the confusion out of the MDS and the ADLs once and for all It s crucial to both
6. clothing foll pal hygiene including ing applying ma e hands and peri code each ADL s rves and 6 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs i i ese are the most b ally the last to di cline co cate that a resi Those fa 2003 HCPro Inc Unauthorized duplication is prohibited 7 2003 HCPro Inc Unauthorized duplication is prohibited ndependent esident can per this ADL on his or own without help staff or supervision gt the activity as pendent even if the resident has had staff eS m a help or supervision as long as it wasn t more once or twice dur The resident gets out of bed without he seven ay assistance and gets into her chair z ssessment period Example In this case the resident is capable of her own transfers such as mi o the chair and does not need sta But when assigning a code don t fc ler the time frame involved as described in th L EST 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs The MDS Decoder ADLs Use this code even if the resi dent needed physical A staff member supervises the resident as she moves from her bed to the chair ore than reminding her to lower her body slowly g the peric 10 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs sistance when very in activity ed phys thr
7. nauthorized duplication is prohibited The MDS Decoder ADLs pate in any aspects of the ADL Two staff members help the resident up from Example Two staff the bed so they can move her from the bed into a chair transfer the residen ident need did not occur n days by either the resident or staff 2003 HCPro Inc Unauthorized duplication is prohibited 13 taff members assist to show is or her The resident moves from the bed to a standing position as her nurse assistant makes sure her walker is in place 14 2003 HCPro Inc Unauthorized duplication is prohibited The MDS Decoder ADLs A 1 or setup h nly s staff ly provide the resi dent with mat cane or Walker to perform the tra e person physical staff member pro vides the resident with physical assistance ined as one staff providing the sident with physical ce again in the prior seven days A staff member holds the resident s arm as she leads her to sit down on the bed 2003 HCPro Inc Unauthorized duplication is prohibited 15 The MDS Decoder ADLs zi Two staff members help the resident up from the chair physical assistant order to perfor so they can move her from the chair into a bed 16 8 Th activi Il in the prior seven days by eithe 8 means the activity in the prior s Here provided catego r that ADL under the sel In doc ed to the
8. ough neuver r other aring as ree or Limited a this code resident i ed in the has rece help onl guided ing of limbs non weight b sistance on t e occasions This ode also applies to cases in which a resi t needs this limited assistance three or more was needed no The resident gets out of bed and moves to the chair as the staff member puts her hand on the resident s shoulder to guide her times and additiona more than two ti involved in get p only as the staff as she Example In th ting out of be member puts an arm on steady h sits do 2003 HCPro Inc Unauthorized duplication is prohibited 11 The MDS Decoder ADLs xtensive lassistance this code when the sident has p formed of the act ity but or both of the fol ng types Of assis ce occurred e The resident needed weight bearing support e or moreltimes dur g the activit e staff pe the activity w from the formed hout any resident A staff member lifts the resident around gt or moreltimes dur her waist to help her sit up straight in ing some bu Inot all the chair e last seven days Remember that weight bearing the lifting a part ce is defi a as her words it means Example In this case the resi e to move from the bed tolthe chai the s lifting part of her body to help p air 12 2003 HCPro Inc U
9. y measures See p 3 for more information 2 True See p 6 3 False Remember that the code you give must be based on what the resident actually does not what you feel or know the resident is capable of See p 7 4 True See p 7 5 Bed mobility transfer eating and toilet use See p 7 6 Score this resident as independent or as a 0 since the res ident needs no assistance eating or drinking See p 17 7 True One person assists the resident in dressing See p 15 8 False Remember to complete self performance coding sepa rately from support provided coding to avoid confusion that can result from jumping back and forth See p 21 2003 HCPro Inc Unauthorized duplication is prohibited 25 PONENT ONE ONENONTON OTE EE NEAN NN NNN YNN YA NN M MEME MN NN MENEAME VIN ds JaYsi GngUaPISAld 221A aueg auuezns NO Male il nn AANNEMEN NEEN NAAR ONO SOI SOULS eS SET Resources Visit our Web site at www snfinfo com for news information and helpful advice about long term care Sign up for our free e zine SNFinfo Connection at www snfinfo com to receive news and other informa tion about the long term care industry Need more copies That s easy Call customer service at 800 650 6787 for more information or to order additional copies For bulk ordering information see below Call 800 650 6787 Internet www hcmarketplace com Mail to HCPro In
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