V0100: Items From the Most Recent Prior OBRA or Scheduled

V0100: Items From the Most Recent Prior OBRA or Scheduled

PPS Assessment

Item Rationale

The items in V0100 are used to determine whether to trigger several of the CAAs that compare a resident’s current status with their prior status. The values of these items are derived from a prior OBRA or scheduled PPS assessment that was performed since the most recent admission of any kind (i.e., since the most recent entry or reentry), if one is available. Items V0100A, B, C, D, E and F are skipped on the first assessment (OBRA or PPS) following the most recent admission of any kind (i.e., when A0310E = 1, Yes). Complete these items only if a prior assessment has been completed since the most recent admission of any kind to the facility (i.e., when A0310E = 0, No) and if the prior assessment is an OBRA or a scheduled PPS assessment. If such an assessment is available, the values of V0100A, B, C, D, E, and F should be copied from the corresponding items on that prior assessment.

Coding Instructions for V0100A, Prior Assessment Federal OBRA Reason for Assessment (A0310A Value from Prior Assessment)

Record in V0100A the value for A0310A (Federal OBRA Reason for Assessment) from the most recent prior OBRA or scheduled PPS assessment, if one is available (see “Item Rationale,” above, for details). One of the available values (01 through 06 or 99) must be selected.

Coding Instructions for V0100B, Prior Assessment PPS Reason for Assessment (A0310B Value from Prior Assessment)

Record in V0100B the value for A0310B (PPS Assessment) from the most recent prior OBRA or scheduled PPS assessment, if one is available (see “Item Rationale,” above, for details). One of the available values (01 or 08 or 99) must be selected.

Note: The values for V0100A and V0100B cannot both be 99, indicating that the prior assessment is neither an OBRA nor a PPS assessment. If the value of V0100A is 99 (None of the above), then the value for V0100B must be 01 or 08, indicating a PPS assessment. If the value of V0100B is 99 (None of the above), then the value for V0100A must be 01 through 06, indicating an OBRA assessment.

Coding Instructions for V0100C, Prior Assessment Reference Date (A2300 Value from Prior Assessment)

Record in V0100C the value of A2300 (Assessment Reference Date) from the most recent prior OBRA or scheduled PPS assessment, if one is available (see “Item Rationale,” above, for details).

Coding Instructions for V0100D, Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score (C0500 Value from Prior Assessment)

Record in V0100D, the value for C0500 Mental Status (BIMS) Summary Score from the most recent prior OBRA or scheduled PPS assessment, if one is available (see “Item Rationale,” above, for details). This item will be compared with the corresponding item on the current assessment to evaluate resident improvement or decline in the Delirium care area.

Coding Instructions for V0100E, Prior Assessment Resident Mood Interview (PHQ-2 to 9^©) Total Severity Score (D0160 Value from Prior Assessment)

Record in V0100E the value of D0160 (Resident Mood Interview [PHQ-2 to 9^©] Total Severity Score) from the most recent prior OBRA or scheduled PPS assessment, if one is available (see “Item Rationale,” above, for details). This item will be compared with the corresponding item on the current assessment to evaluate resident decline in the Mood State care area.

Coding Instructions for V0100F, Prior Assessment Staff Assessment of Resident Mood (PHQ-9-OV^©) Total Severity Score (D0600 Value from Prior Assessment)

Record in V0100F the value for item D0600 (Staff Assessment of Resident Mood [PHQ- 9-OV^©] Total Severity Score) from the most recent prior OBRA or scheduled PPS assessment, if one is available (see “Item Rationale,” above, for details). This item will be compared with the corresponding item on the current assessment to evaluate resident decline in the Mood State care area.