understanding and coding MDS Item H0200A, Urinary Toileting Program: Has Been Attempted

MDS Item H0200A – Urinary Toileting Program: Has Been Attempted

Introduction

Urinary incontinence management is a critical aspect of resident care in long-term facilities. MDS Item H0200A focuses on whether a resident has undergone a trial of a urinary toileting program. Accurate documentation is key to assessing the effectiveness of incontinence interventions and improving the quality of life for residents.

What is MDS Item H0200A?

MDS Item H0200A captures whether a urinary toileting program trial has been attempted. A toileting program includes scheduled toileting, prompted voiding, and bladder training based on the resident’s unique voiding patterns. This item ensures that facilities are proactive in managing urinary incontinence through structured programs.

Guidelines for Coding H0200A

• Code 0: No, if the resident did not undergo a trial of a urinary toileting program.
• Code 1: Yes, if the resident has undergone a trial of a urinary toileting program.
• Code 9: Unable to determine, if records do not confirm a trial program.

Instructions:

• Review the resident’s medical records to confirm the presence of a trial urinary toileting program.
• Only code 1 if there has been an organized, documented program for urinary incontinence.

Example Scenario:

Resident A, experiencing urinary incontinence, was placed on a toileting program trial for 7 days. Based on this assessment, code 1 for H0200A.

Best Practices for Accurate Coding

• Documentation: Ensure proper documentation exists, showing a structured, resident-specific toileting program was attempted.
• Communication: Collaborate with staff to ensure accurate communication of the program’s goals and schedule.
• Training: Train staff to differentiate between casual assistance with toileting and formal toileting programs.

Conclusion

Coding MDS Item H0200A helps ensure that facilities are actively working to improve incontinence outcomes through individualized toileting programs. Accurate documentation is crucial to effective urinary management.

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-7.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item H0200A 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.