Understanding and Coding MDS 3.0 Item I3900: Hip Fracture

MDS 3.0 Item I3900: Hip Fracture

Introduction

Purpose:
Hip fractures are a significant concern for elderly residents, often leading to reduced mobility and a prolonged recovery period. MDS Item I3900 tracks residents who have sustained a hip fracture, allowing care teams to implement proper monitoring and care plans, including rehabilitation and fall prevention.

What is MDS Item I3900?

Explanation:
MDS Item I3900 captures any hip fracture that relates to the resident's current status, treatments, or monitoring. This includes subcapital fractures, fractures of the trochanter, and femoral neck fractures. Documenting these fractures helps care providers address mobility challenges and implement rehabilitation strategies.

Guidelines for Coding MDS Item I3900

Coding Instructions:

• Code this item if the resident has sustained a hip fracture that is actively monitored or treated.
• The fracture must be confirmed by a healthcare provider and may include those related to a fall or other trauma.
  For instance, if a resident fell and fractured their hip within the last assessment period and is receiving treatment, MDS Item I3900 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure medical records include X-rays, physician notes, and any treatment plans relating to the hip fracture. Document rehabilitation or mobility interventions.

Communication:

• Maintain open communication between nursing staff, physical therapists, and physicians to ensure coordinated care for residents with hip fractures.

Training:

• Provide staff with ongoing training on fall prevention strategies and rehabilitation techniques for residents recovering from hip fractures.

Conclusion

Summary:
Accurate coding of MDS Item I3900 ensures that hip fractures are properly documented and addressed in the care plan. Early intervention and rehabilitation can improve mobility and reduce the risk of further injury.

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, Pages I-11.

Disclaimer

This guide for MDS 3.0 Item I3900 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.