A1010N: Race - Other Pacific Islander, Step-by-Step

Step-by-Step Coding Guide for A1010N: Race – "Other Pacific Islander"

1. Review of Medical Records

Objective: Document the resident’s race based on their identification as "Other Pacific Islander," under the broader category of Native Hawaiian or Other Pacific Islander.

Actions:

• Review demographic data provided in the resident’s medical records.
• Directly ask the resident if they identify as a Pacific Islander, ensuring they specify the specific group (e.g., Tahitian, Chuukese, or Fijian).
• If the resident cannot respond, consult with a family member, caregiver, or legally authorized representative for confirmation.

2. Understanding Definitions

A1010N: Other Pacific Islander refers to individuals who identify with a Pacific Islander background other than the predefined groups (e.g., Native Hawaiian, Guamanian, or Samoan). This might include ethnicities such as Tongan, Fijian, or other Pacific Island cultures.

Example Scenario:

• Resident A: A resident identifies as Fijian, which falls under the category of "Other Pacific Islander." This would be coded as A1010N: Other Pacific Islander.

3. Coding Instructions

Step-by-Step:

• Step 1: Ask the resident if they identify as a Pacific Islander and request specifics on their ethnic group.
• Step 2: If the resident identifies as a Pacific Islander but not specifically as Hawaiian, Guamanian, or Samoan, code A1010N.
• Step 3: If the resident is unable to respond, seek information from family members or caregivers.
• Step 4: If no one can confirm the resident's race, document X: Resident unable to respond.

4. Coding Tips

• Self-Identification is Key: Always base the racial category on the resident’s self-identification or input from family members if necessary.
• Multiple Categories: If the resident identifies with multiple racial groups, code each applicable race, including A1010N if "Other Pacific Islander" is mentioned.

5. Documentation

Objective: Accurately record the resident’s racial background to ensure proper demographic tracking and personalized care.

Actions:

• Document the resident's identification as "Other Pacific Islander" along with any specific details provided.
• If family members provide the response, record this source in the documentation.

6. Common Errors to Avoid

• Assumptions Based on Appearance: Do not assume the resident’s race based on physical characteristics. Always verify through direct conversation or reliable family input.
• Incomplete Documentation: Ensure that if a resident identifies as "Other Pacific Islander," this is clearly marked alongside any other racial categories they select.

7. Practical Application

Example 1:
A resident from Tonga identifies as Tongan. This would be coded as A1010N: Other Pacific Islander.

Example 2:
A resident is unable to respond, but their family confirms they are from Micronesia. This would also be coded as A1010N and X: Resident unable to respond.

Please note that the information provided in this guide for MDS 3.0 Item set A1010N 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.