Step-by-Step Coding Guide for F0700: Should the Staff Assessment of Daily and Activity Preferences be Conducted?

Introduction to F0700

Objective: To determine if a staff assessment for daily and activity preferences needs to be conducted for a resident who could not complete the interview for Daily and Activity Preferences (F0400 and F0500). Key Points:

• This item is crucial for ensuring that residents who are unable to express their preferences verbally are still assessed through staff observation.
• The assessment helps tailor care planning to the resident's likes and dislikes, enhancing their quality of life.

Steps for Assessment

1. Review Responses: Start by reviewing the resident, family, or significant other's responses to F0400A-H and F0500A-H.
2. Determine Need: Decide if the staff assessment is necessary based on the completion of the interview sections. If three or more items in F0400 through F0500 were not completed (coded as 9 or “-”), a staff assessment is warranted.

Coding Instructions

• Code 0 (No): If the Interview for Daily and Activity Preferences (F0400 and F0500) was completed by the resident, family, or significant other.
• Code 1 (Yes): If the Interview for Daily and Activity Preferences (F0400 through F0500) were not completed because the resident, family, or significant other was unable to answer 3 or more items.

Common Errors to Avoid

• Failing to conduct a staff assessment when the interview is incomplete, potentially missing critical information for personalized care planning.
• Incorrectly coding this item based on partial interview data without considering all required sections.

Practical Application

• Case Study: A resident with cognitive impairment was unable to complete the interview sections F0400 and F0500. Staff observed the resident's reactions to various daily activities and preferences over a week. Based on these observations, they coded F0700 as 1 (Yes) and proceeded with a detailed staff assessment to inform the care plan.

Resources for Further Learning

• CMS’s RAI Version 3.0 Manual, specifically Section F for detailed guidelines on assessing and coding resident preferences.

The Step-by-Step Coding Guide for item F0700 in MDS 3.0 Section F is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must 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.