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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.

Related MDS item  per type of assessment

CA / PC

HC

CHA

LTCF

 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.

Related MDS item  per type of assessment

CA / PC

HC

CHA

LTCF

 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.

Related MDS item  per type of assessment

PC

HC

CHA

LTCF

 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

Related MDS item  per type of assessment

CA / PC

HC

CHA

LTCF

 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.

Related MDS item  per type of assessment

PC

HC

CHA

LTCF

 M2c

N3c

FS:N4c

 

 

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.

Related MDS item  per type of assessment

CA / PC

HC

CHA

LTCF

 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.

Related MDS item  per type of assessment

PC

HC

CHA

LTCF

 M3b

N4b

FS: N4b

O4b

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