understanding and coding MDS Item H0500, Bowel Toileting Program Being Used

MDS Item H0500 – Bowel Toileting Program Being Used

Introduction

Bowel incontinence management is a key aspect of care in long-term care facilities. MDS Item H0500 assesses whether a resident is actively participating in a bowel toileting program. These programs help reduce bowel incontinence episodes by providing structured, scheduled toileting based on individual needs, promoting dignity and comfort for residents.

What is MDS Item H0500?

MDS Item H0500 identifies whether a resident is currently enrolled in a bowel toileting program. Such programs typically involve scheduled toileting, prompted bowel movements, and other interventions aimed at improving continence and quality of life.

Guidelines for Coding H0500

• Code 0: No, if the resident is not currently on a bowel toileting program.
• Code 1: Yes, if the resident is actively participating in a bowel toileting program during the seven-day observation period.

Instructions:

• Review the resident’s care plan and daily notes to confirm if they are part of a structured bowel toileting program.
• Ensure that the program is formalized and followed consistently, not just casual assistance with toileting.

Example Scenario:

Resident D has been following a bowel toileting program for the past week, with scheduled times for toileting attempts each morning and evening. Code 1 for H0500 to reflect the ongoing program.

Best Practices for Accurate Coding

• Documentation: Ensure that the resident’s participation in the bowel toileting program is properly documented, including schedules and results.
• Communication: All caregivers should be aware of the bowel toileting program and document its effectiveness daily.
• Training: Educate staff on the importance of consistency in toileting programs and how to record progress or challenges in the resident’s chart.

Conclusion

MDS Item H0500 ensures that a bowel toileting program is properly documented and followed, helping to manage bowel incontinence and improve residents’ quality of life. Accurately coding this item supports individualized care plans and fosters better outcomes for residents dealing with bowel management issues.

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-13.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item H0500 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.