DiraChart MDS item reference
D0500H1Section Dv1.20.1Manual page D-12
PHQ staff: slow, fidgety, restless - presence
This item is referenced against CMS MDS source materials. Verify coding against the current CMS RAI Manual, item set instructions, and facility documentation before submission.
Quick codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
D0500. Staff Assessment of Resident Mood (PHQ-9-OV*)
Do not conduct if Resident Mood Interview (D0150—D0160) was completed
Over the last 2 weeks, did the resident have any of the following problems or behaviors?
If symptom is present, enter 1 (yes) in column 1, Symptom Presence.
Then move to column 2, Symptom Frequency, and indicate symptom frequency.
1. Symptom Presence 2. Symptom Frequency
0. No (enter 0 in column 2) 0. Never or 1 day
1. Yes (enter 0-3 in column 2) 1. 2-6 days (several days)
2. 7-11 days (half or more of the days)
3. 12-14 days (nearly every day)
Enter Scores in Boxes —1,,5ymptom 7 eymptom
A. Little interest or pleasure in doing things [ | [ |
B. Feeling or appearing down, depressed, or hopeless [ | [ |
C. Trouble falling or staying asleep, or sleeping too much [ | [ |
D. Feeling tired or having little energy [ | [ |
E. Poor appetite or overeating [ | [ |
F. Indicating that they feel bad about self, are a failure, or have let self or family down [ | [ |
G. Trouble concentrating on things, such as reading the newspaper or watching television [ | [ |
H. Moving or speaking so slowly that other people have noticed. [ | [ |
Or the opposite - being so fidgety or restless that they have been moving around a lot more than usual
|. | States that life isn’t worth living, wishes for death, or attempts to harm self [ | [ |
J. Being short-tempered, easily annoyed [ | [ |
Item-specific instructionsCoding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
RAI Manual v1.20.1Steps for Assessment
Conduct the interviews during the 7-day look-back period based on the ARD.
1. Interview staff from all shifts who know the resident best. Conduct the staff interview in a
location that protects resident privacy.
2. Many of the same administration techniques outlined above for the PHQ-2 to 9© Resident
Mood Interview and Interviewing Tips & Techniques can be followed when staff are
interviewed.
3. Encourage staff to report symptom frequency, even if the staff believes the symptom to be
unrelated to depression.
4. Explore unclear responses, focusing the discussion on the specific symptom listed on the
assessment rather than expanding into a lengthy clinical evaluation.
5. If frequency cannot be determined by staff interview because the resident has been in the
facility for less than 2 weeks, talk to family or significant other and review transfer records to
inform the selection of a frequency code.
D0500: Staff Assessment of Resident Mood (PHQ-9-OV©) (cont.)
Manual page D-12RAI Manual v1.20.1Coding Instructions
for Column 1. Symptom Presence
•
Code 0, no: if symptoms listed are not present. Enter 0 in Column 2, Symptom
Frequency.
•
Code 1, yes: if symptoms listed are present. Enter 0, 1, 2, or 3 in Column 2,
Symptom Frequency.
Coding Instructions for Column 2. Symptom Frequency
•
Code 0, never or 1 day: if staff indicate that the resident has never or has
experienced the symptom on only 1 day.
•
Code 1, 2-6 days (several days): if staff indicate that the resident has experienced
the symptom for 2-6 days.
•
Code 2, 7-11 days (half or more of the days): if staff indicate that the resident
has experienced the symptom for 7-11 days.
•
Code 3, 12-14 days (nearly every day): if staff indicate that the resident has
experienced the symptom for 12-14 days.
Manual page D-12RAI Manual v1.20.1Coding Tips
and Special Populations
•
Ask the staff member being interviewed to select how often over the past 2 weeks the
symptom occurred. Use the descriptive and/or numeric categories on the form (e.g.,
“nearly every day” or 3 = 12-14 days) to select a frequency response.
•
If you separated a longer item into its component parts, select the highest frequency
rating that is reported.
•
If the staff member has difficulty selecting between two frequency responses, code for the
higher frequency.
•
If the resident has been in the facility for less than 2 weeks, also talk to the family or
significant other and review transfer records to inform selection of the frequency code.
Manual page D-12 MDS item matrixAssessment Applicability
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