Understanding and Coding MDS Item D0100: PHQ - Should Resident Mood Interview Be Conducted

MDS 3.0 Item D0100: PHQ - Should Resident Mood Interview Be Conducted?

Introduction

Purpose: Assessing the mood of long-term care residents is a critical component of ensuring comprehensive care. Accurate coding of MDS Item D0100, which addresses whether a resident's mood interview should be conducted, is essential in identifying residents at risk of mood disorders such as depression. This article will provide an in-depth guide to understanding, coding, and applying best practices for MDS 3.0 Item D0100.

What is MDS Item D0100?

Explanation: MDS Item D0100 focuses on determining whether a mood interview using the Patient Health Questionnaire (PHQ) should be conducted for the resident. The PHQ interview is part of Section D, which addresses the mood of the resident. This item is crucial as it helps to establish whether the resident has the capacity and willingness to participate in the interview, which in turn influences the care plan related to their mood and overall well-being.

Guidelines for Coding MDS Item D0100

Coding Instructions: To code MDS Item D0100, assess the resident's ability to participate in the PHQ interview. This item is binary, with the following options:

• 0 - No: The resident is either unable or unwilling to participate in the interview. This might be due to cognitive impairment, lack of communication ability, or refusal to engage.
• 1 - Yes: The resident is capable and willing to participate in the mood interview.

Example Scenario: Consider a resident who has mild cognitive impairment but is generally able to understand and respond to questions. During the assessment, the resident demonstrates the ability to answer questions clearly and consents to the interview. In this case, code D0100 as 1 - Yes. If the resident were unable to comprehend the questions or refused to participate, the correct code would be 0 - No.

Best Practices for Accurate Coding

Documentation: Ensure thorough documentation of the resident's cognitive and communicative abilities. Notes should clearly state the reasons for either conducting or not conducting the PHQ interview.

Communication: Foster open communication among interdisciplinary team members, particularly between nursing staff and those responsible for conducting mood assessments. This ensures that any decision regarding the PHQ interview is well-informed and documented.

Training: Provide ongoing education and training to staff involved in MDS coding, emphasizing the importance of accurate assessments of residents' mood and their ability to participate in interviews.

Conclusion

Summary: Accurately coding MDS Item D0100 is essential in identifying and addressing the mood-related needs of long-term care residents. By following the guidelines and best practices outlined in this article, healthcare professionals can ensure that they provide the highest standard of care to their residents, addressing their mental health needs effectively.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

This guide is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Page D-2.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item D0100: "PHQ - Should Resident Mood Interview Be Conducted?" was originally based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. 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.