Steps for Coding A1005: Ethnicity

1. Interview the Resident:

   • Begin by asking the resident if they identify as Hispanic, Latino/a, or of Spanish origin, offering a respectful and inclusive approach to gather their ethnic background.

2. Family or Representative Input:

   • If the resident cannot respond, consult a family member, significant other, or legally authorized representative for their input on the resident's ethnicity.

3. Documentation Review:

   • Use medical records to code A1005 only if the resident and their representative are unable to provide information.

4. Coding Responses:

   • Mark all applicable ethnic categories as indicated by the resident or their representative. Include code "X" if the resident is unable to respond, and "Y" if the resident declines to respond.

5. Quality Assurance:

   • Double-check entered codes for accuracy and completeness, ensuring all applicable boxes are checked based on the resident's or representative's responses.

The Step-by-Step Coding Guide for item A1005 in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, it is crucial for healthcare professionals to ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.