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Identification information

In this section we answer questions related to the Identification information screen.


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Questions

How do I select the correct coding option for ‘A8 – Reason for Assessment’?

How do I code for a person while they are an inpatient in the acute hospital setting?

How do I code for 'time since last hospital, stay' if the facility was a hospice?

How is 'first assessment' defined?


Answers

Question: How do I select the correct coding option  for ‘A8 – Reason for Assessment’? 

  • When a person has never had an interRAI assessment of this type, for example first Home Care assessment, first LTCF assessment.
  • When the person has had a similar interRAI assessment but has had a significant change in status
  • When the person has had a similar interRAI  assessment but has had a significant change in status AND has just returned for an acute hospital setting

Answer:


Question: How do I code Reason for Assessment for a person while they are an inpatient in the acute hospital setting?

Answer:

If this is a person, who has previous interRAI assessments,but is now in hospital and you use the HC/LTCF to assess the person before they are discharged from the acute hospital, then code 3- return assessment is appropriate.

Related MDS item  per type of assessment

Palliative Care

Home Care

Community Health 

Long Term Care Facility

 A8

A8

A8

A8

 


 Question: How is 'First Assessment' defined for item - A8 Reason for Assessment?

Answer:

First Assessment is defined as the first time a person is assessed using that particular assessment tool, e.g. PC/HC/LTCF.

The interRAI CHA assessment is considered the same as the interRAI Home Care assessment. If there is a completed CHA + FS in a person's record  any HC completed after this will not be coded '1' - 'First Assessment'.

 


Question: How should A8 and B4 be coded in the Home Care assessment, when a person moves from a permanent residential facility to the Community?

A: The Home Care assessment completed after permanent discharge from a residential facility is a new ‘First Assessment’.

A8: Reason for assessment – code ‘1’ = First assessment

B4: Residential history over the last 5 years – code 4a ‘1’ = Yes

  


Question: How do I code for 'time since last hospital stay' if the facility was a hospice?

Answer:

This item intent is to capture a person's most recent hopitalisation as a measure of clinical instability and care trajectory. All inpatient stays are included here

Related MDS item  per type of assessment

Contact 

Palliative Care

Home Care

Community Health

Long Term Care Facility

D16

A17

A14

A14

A14

 


 

Question: What is the difference between 'War Veteran' and 'War Disability Pension'?

Answer: 

War veteran

A person who has served in the New Zealand armed services and been deployed overseas to an area of conflict where there has been a perceived risk of injury or harm. This can be in a war or in a peace keeping capacity.

War Disability pension 

Is a pension awarded to a veteran who has incurred an injury or medical condition as result of overseas deployment in an area where there is a perceived risk to personal safety  in a war  or on a peace keeping mission. 

Related MDS item  per type of assessment

Contact 

Home Care

Community Health 

Long Term Care Facility

 Not applicable

 Not applicable

 

A5c

 

 

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