understanding and coding MDS Item H0100C, Appliances: Ostomy

MDS Item H0100C – Appliances: Ostomy

Introduction

Ostomies play a crucial role in residents' care plans, especially for those with conditions that impact normal elimination. Proper documentation of ostomy use ensures that care teams provide appropriate interventions and monitor potential complications. MDS Item H0100C assesses whether a resident has an ostomy for urinary or bowel elimination during the past seven days.

What is MDS Item H0100C?

MDS Item H0100C is used to document whether a resident has any type of ostomy, including urostomy, ileostomy, or colostomy, for the management of bowel or urinary output. Accurate coding of this item ensures that the resident receives necessary care and that risks related to appliance use, such as skin breakdown, are minimized.

Guidelines for Coding H0100C

• Code 1: If the resident has used an ostomy, such as a urostomy, ileostomy, or colostomy, in the past seven days.
• Code 0: If no ostomy was used during the observation period.

Instructions:

• Ensure the ostomy is documented in the resident’s medical records.
• Exclude feeding ostomies (e.g., gastrostomy) from this section.

Example Scenario:

Resident D has a colostomy for bowel management. Code 1 for ostomy.

Best Practices for Accurate Coding

• Documentation: Review the resident’s medical history and notes to confirm the presence and use of an ostomy.
• Communication: Work with nurses and caregivers to ensure that ostomy care is provided consistently and documented.
• Training: Ensure all relevant staff are trained in ostomy care, including skin protection around the stoma.

Conclusion

Accurately coding MDS Item H0100C ensures that residents with ostomies receive the appropriate care and monitoring, reducing the risk of complications and promoting their well-being.

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

Reference:

CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page H-2.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item H0100C 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.