Step-by-Step Coding Guide for Item Set F0500D: Resident Interview - Keep Up with News

1. Review of Medical Records

• Objective: Gather accurate information regarding the resident’s interest and activity in keeping up with the news.
• Steps:
  1. Collect Information: Review the resident’s comprehensive medical records, including social work notes, activity logs, care plans, and previous assessments.
  2. Identify News-Related Activity: Look for documented instances of the resident’s interest in and engagement with news-related activities, such as reading newspapers, watching news programs, or discussing current events.
  3. Confirm Details: Verify the consistency and accuracy of the documentation through various sources within the medical records.

2. Understanding Definitions

• Keeping Up with News: The activity of the resident engaging in staying informed about current events through various mediums such as newspapers, television, radio, or online sources.
• Key Points:
  • Keeping up with the news can involve passive activities like reading or watching the news, as well as active participation such as discussing current events with others.
  • The frequency and enjoyment of engaging with the news should be considered.

3. Coding Instructions

• Steps:
  1. Conduct Interview: During the assessment period, ask the resident about their interest in and frequency of keeping up with the news.
  2. Evaluate Participation: Determine how often the resident keeps up with the news based on their response.
  3. Code Appropriately: Use the following scale to code the resident’s participation in keeping up with the news:
     • 0: Never
     • 1: Rarely or some of the time
     • 2: Frequently or all of the time

4. Coding Tips

• Accurate Questioning: Ensure the questions about keeping up with the news are asked clearly and in a way the resident can understand.
• Clarify Definitions: Make sure the resident understands what is meant by “keeping up with the news.”
• Consistent Terminology: Use consistent terminology and phrasing when documenting and coding the resident’s news-related activity.

5. Documentation

• Required:
  • Interview Notes: Document the resident’s responses during the interview, including details about their news-related habits and preferences.
  • Staff Reports: Include reports from staff members detailing their observations and interactions with the resident regarding news-related activities.
  • Activity Logs: Records of the resident’s participation in scheduled news-related activities or personal news consumption.

6. Common Errors to Avoid

• Misclassification: Ensure accurate classification by verifying the resident’s news-related habits through multiple observations and interviews.
• Incomplete Documentation: Make sure all relevant details about the resident’s news-related activity are thoroughly documented.
• Assumptions: Do not assume the resident’s news-related habits without proper documentation and verification.

7. Practical Application

• Example:
  • Resident Profile: John, a 75-year-old resident, regularly reads the newspaper and watches the evening news.
  • Steps:
    1. Conduct Interview: The nurse asks John about his interest in and frequency of keeping up with the news during the assessment period.
    2. Evaluate Response: John reports that he keeps up with the news frequently by reading the newspaper daily and watching the news every evening.
    3. Document and Code: The nurse documents John’s responses and codes F0500D as "2".
  • Outcome: John’s interest in and frequency of keeping up with the news are accurately documented and coded, ensuring proper follow-up and care planning.

Please note that the information provided in this guide for MDS 3.0 Item set F0500D was originally based on the CMS's RAI Version 3.0 Manual, October 2023 edition. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. 

The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. 

Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.