tep-by-Step Coding Guide for Item Set F0800O: Staff Assessment - Keeping Up with News

Step-by-Step Coding Guide for Item Set F0800O: Staff Assessment - Keeping Up with News

1. Review of Medical Records

• Objective: Gather accurate information regarding the resident’s ability to keep up with the news.
• Steps:
  1. Collect Information: Review the resident’s comprehensive medical records, including nursing notes, social work assessments, care plans, and previous assessments.
  2. Identify Relevant Behaviors: Look for documented instances where the resident has demonstrated interest or engagement in keeping up with the news.
  3. Confirm Details: Verify the consistency of these behaviors through various sources within the medical records.

2. Understanding Definitions

• Keeping Up with News: Refers to the resident’s ability and interest in staying informed about current events through various means such as television, newspapers, radio, or digital media.
• Staff Assessment: An evaluation conducted by staff members to determine the resident’s cognitive and behavioral patterns related to keeping up with the news.

3. Coding Instructions

• Steps:
  1. Assess Behavior: Observe and document the resident’s behavior related to keeping up with the news.
  2. Determine Frequency: Identify the frequency with which the resident engages in activities related to keeping up with the news.
  3. Code Appropriately: Use the following scale to code the resident’s behavior:
     • 0: Never
     • 1: Rarely
     • 2: Sometimes
     • 3: Often
     • 4: Very Often

4. Coding Tips

• Accurate Observation: Ensure that the assessment is conducted in a consistent and controlled environment to accurately observe the resident’s behavior.
• Clarify Definitions: Make sure the staff understands the definitions of frequency categories (e.g., Never, Rarely, Sometimes).
• Consistent Terminology: Use consistent terminology and phrasing when documenting and coding the resident’s behavior.

5. Documentation

• Required:
  • Observation Notes: Document the observations made during the assessment, including the specific instances of the resident engaging with the news.
  • Staff Reports: Include reports from staff members detailing their observations and interactions with the resident.
  • Assessment Summary: Summarize the resident’s ability to keep up with the news in the assessment records.

6. Common Errors to Avoid

• Misclassification: Ensure accurate classification by verifying the resident’s behavior through multiple observations.
• Incomplete Documentation: Make sure all relevant details about the resident’s behavior are thoroughly documented.
• Assumptions: Do not assume the resident’s behavior without proper documentation and observation.

7. Practical Application

• Example:
  • Resident Profile: John, an 85-year-old resident, is being assessed for his ability to keep up with the news.
  • Steps:
    1. Observe Behavior: The nurse observes John reading the newspaper daily and watching the evening news.
    2. Determine Frequency: John engages with the news very often, almost every day.
    3. Document and Code: The nurse documents John’s behavior and codes F0800O as "4".
  • Outcome: John’s ability to keep up with the news is accurately documented and coded, ensuring proper follow-up and inclusion in his care plan.

Please note that the information provided in this guide for MDS 3.0 Item set F0800O 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.