Treatment and Procedures
Coding Questions and Answers
Question: Do I need to capture the visits undertaken by a physician whilst a client is in an acute hospital setting?
Answer: No. The intent is to capture visits to clinics/ offices by the client or visits to the clients home only.
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Related MDS item per type of assessment |
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CA / PC |
HC |
CHA |
LTCF |
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Not applicable |
N4c |
M2a |
O5 |
Question: In New Zealand who is classified as a medical provider?
Answer: The following disciplines can be included: podiatrist; Optometrist; Ophthalmologist; Nurse practitioner (autonomous practitioner); dentist; dental surgeon; Naturopathic physician; any consultant.
Do not include chiropodist; orthotist; chiropractor; optician; psychologist; osteopath (as they are not trained as in USA/Canada) and Clinical Nurse Specialist.
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Related MDS item per type of assessment |
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CA / PC |
HC |
CHA |
LTCF |
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Not applicable |
N4c |
M2a |
O5 |
Question: Is CPAP (Continuous Positive Air Pressure)coded under Treatments and procedures section: Ventilator or Respirator?
Answer: CPAP can be included under N2j as it is considered a respiratory treatment.
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Related MDS item per type of assessment |
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PC |
HC |
CHA |
LTCF |
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M1o |
N2j |
FS: K1j |
O2j |
Question: What does interRAI.org consider to be the difference between an 'enabler' and a 'restraint when coding the MDS item 'Physically Restrained'?
Answer: An Enabler: items which allow a person to safely move in his/her environment and which can be removed by the person.
A Restraint: items which prevents/restricts a person’s movement and is unable to be removed by that person. Irrespective of the reason for the restraint
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Related MDS item per type of assessment |
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CA / PC |
HC |
CHA |
LTCF |
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Not applicable |
N5 |
N5 |
O7 |
Question: Should homemaking services be captured if the person pays privately for these?
Answer: If the person has an identified therapeutic need for such services then, any formal care received privately or publicly funded would be captured in 'Home making Services'?
The intent is to capture required services the person had to support community living.
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Related MDS item per type of assessment |
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PC |
HC |
CHA |
LTCF |
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M2c |
N3c |
FS:N4c |
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Question: What is defined as a 'scheduled toileting programme'?
Answer: The intent of the plan must be to improve the person's continence not just to keep them dry.
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Related MDS item per type of assessment |
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CA / PC |
HC |
CHA |
LTCF |
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Not applicable |
N2l |
FS: N3l |
O2l |
Question: Is a 24 hour medical clinic considered the same as an ED hospital department?
Answer: No. Attending a 24 hour clinic is considered 'urgent medical attention' and cannot be included for this item. Only emergency admissions to an acute hospital ED department can be considered here.
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Related MDS item per type of assessment |
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PC/CA |
HC |
CHA |
LTCF |
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M3b/D17 |
N4b |
FS: N4b |
O4b |
