A1110. Language

Step-by-Step Coding Guide for Section A1110: Language

Objective: This guide aims to assist MDS coordinators and healthcare professionals in accurately coding Section A1110, which focuses on the resident's ability to understand and communicate in their preferred language. Understanding and correctly coding this section is vital for ensuring effective communication and appropriate care planning.

Step 1: Review the Resident's Background Information

• Key Action: Begin by reviewing the resident's medical record, admission information, and any available social history for preliminary information on the resident's primary language and any communication needs.

Step 2: Conduct an Initial Interview

• Key Action: Attempt to engage the resident in a conversation using the primary language indicated in their records. This conversation can provide immediate insight into the resident's language proficiency and communication abilities.

Step 3: Observe the Resident's Communication

• Key Action: Observe the resident during various interactions throughout the day. Note how well they understand questions or instructions and their ability to make their needs known.

Step 4: Consult with Team Members and Family

• Key Action: Speak with nursing staff, therapists, and family members (if available) to gather their observations regarding the resident's preferred language and any communication barriers they have noticed.

Step 5: Determine the Resident's Preferred Language

• Key Action:
  • A1110A: Identify the language the resident prefers for reading and conversation, as indicated by consistent use or express preference.
  • A1110B: Note any language(s) other than English the resident uses or understands, based on observations and consultations.

Step 6: Assess Need for Interpretive Services

• Key Action: Evaluate whether the resident requires an interpreter or translation services for effective communication, especially for important healthcare discussions or consent processes.

Step 7: Coding for Section A1110

• Key Action:
  • A1110A (Preferred Language): Code according to the resident's demonstrated or stated preference for daily communication and reading.
  • A1110B (Ability to Understand and Speak Other Languages): Indicate any additional languages the resident understands or speaks, even if not preferred.

Step 8: Document Findings

• Key Action: Clearly document your findings and the basis for your coding in the resident's MDS assessment. Include notes on how the language preference was determined and any communication barriers identified.

Step 9: Care Planning

• Key Action: Utilize the information gathered and coded in Section A1110 to develop or adjust the resident's care plan. Include strategies to address communication barriers, such as using staff members who speak the resident's preferred language or employing interpretive services.

Step 10: Continuous Reassessment

• Key Action: Recognize that a resident's communication abilities and preferences may change, especially following a significant health event. Regularly reassess and adjust coding as needed to reflect the current status.

Common Errors to Avoid:

• Failing to directly communicate with the resident to verify language preference.
• Overlooking the input of interdisciplinary team members or family regarding the resident's communication abilities.
• Not considering the use of translation services or technology aids for residents with unique communication needs.

Best Practice Tips:

• Engage residents in their preferred language whenever possible to ensure accurate assessment and to promote comfort.
• Document any communication aids or technologies that support effective communication for the resident.
• Train staff on the importance of recognizing and supporting residents' language and communication preferences.