0
Yes
if the resident indicates that in the past 12 months, a lack of reliable
transportation kept them from medical appointments, meetings, work or from getting
things needed for daily living.
DiraChart MDS item reference
A1255Section Av1.20.1Manual page A-25
Transportation
Transportation item has been derived from the national PRAPARE® social drivers of health assessment tool (2016), which was
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
No
if the resident indicates that in the past 12 months, a lack of reliable
transportation has not kept them from medical appointments, meetings, work, or from
getting things needed for daily living.
7
Resident declines to respond
if the resident declines to respond.
— When the resident declines to respond, do not code based on other resources (family,
significant other, or legally authorized representative or medical records).
8
Resident unable to respond
if the resident is unable to respond and no other resources (family, significant other, or legally authorized representative or medical
records) provided the necessary information.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Ask the resident, “In the past 12 months, has lack of reliable transportation kept you from
medical appointments, meetings, work or from getting things needed for daily living?”
2. Ask the resident to select the response that most closely corresponds to the resident’s
transportation status from the list in A1255.
3. If the resident declines to respond, code 7, Resident declines to respond, and do not code
based on other resources (family, significant other, or legally authorized representative or
medical records).
4. If the resident is unable to respond, the assessor may ask a family member, significant other,
and/or guardian/legally authorized representative.
5. Only use medical record documentation to code A1255, Transportation if the resident is
unable to respond and no family member, significant other, and/or guardian/legally
authorized representative provides a response for this item.
A1255: Transportation (cont.)
Coding Instructions
•
Code 0, Yes: if the resident indicates that in the past 12 months, a lack of reliable
transportation kept them from medical appointments, meetings, work or from getting
things needed for daily living.
•
Code 1, No: if the resident indicates that in the past 12 months, a lack of reliable
transportation has not kept them from medical appointments, meetings, work, or from
getting things needed for daily living.
•
Code 7, Resident declines to respond: if the resident declines to respond.
— When the resident declines to respond, do not code based on other resources (family,
significant other, or legally authorized representative or medical records).
•
Code 8, Resident unable to respond: if the resident is unable to respond and no
other resources (family, significant other, or legally authorized representative or medical
records) provided the necessary information.
Coding Tips
•
A dash (–) value is a valid response for this item; however, CMS expects dash use to be a
rare occurrence.
•
If the resident is unable to respond and the response is determined via family, significant
other, or legally authorized representative input or medical records, select the response
that applies.
•
This item is only collected for residents whose episode of care is less than 366 days (i.e.,
A2300 minus A1900 is less than 366 days).
A1255: Transportation (cont.)
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
7 relationships4 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Nursing Home Subsets
Swing Bed Subsets
Program and Policy Use
Item Subset Required Use ISC Skip Patterns
Official CMS source
Verify in the CMS Source
Open the mapped manual or item-set location without losing your place on this item page.
Reference details
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