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DiraChart MDS item reference
E0600ASection Ev1.20.1Manual page E-10
Behavioral symptoms put others at risk for injury
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 coding
Answer Codes
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Response format: Coded response
1
yes
Manual page E-10Item-specific instructions
Coding Guidance
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Steps for Assessment
1. Consider the previous review of the clinical record, staff interviews across all shifts and
disciplines, interviews with others who had close interactions with the resident and previous
observations of the behaviors identified in E0200 for the 7-day look-back period.
2. To code E0600, determine if the behaviors identified put others at significant risk of physical
illness or injury, intruded on their privacy or activities, and/or interfered with their care or
living environments.
Coding Instructions
for E0600A. Did Any of the Identified Symptom(s)
Put Others at Significant Risk for Physical Injury?
•
Code 0, no: if none of the identified behavioral symptom(s) placed staff, visitors, or
other residents at significant risk for physical injury.
•
Code 1, yes: if any of the identified behavioral symptom(s) placed staff, visitors, or
other residents at significant risk for physical injury.
Coding Instructions for E0600B. Did Any of the Identified Symptom(s)
Significantly Intrude on the Privacy or Activity of Others?
•
Code 0, no: if none of the identified behavioral symptom(s) significantly intruded on
the privacy or activity of others.
•
Code 1, yes: if any of the identified behavioral symptom(s) kept other residents from
enjoying privacy or engaging in informal activities (not organized or run by staff).
Includes coming in uninvited, invading, or forcing oneself on others’ private activities.
E0600: Impact on Others (cont.)
Coding Instructions for E0600C. Did Any of the Identified Symptom(s)
Significantly Disrupt Care or the Living Environment?
•
Code 0, no: if none of the identified behavioral symptom(s) significantly disrupted
delivery of care or the living environment.
•
Code 1, yes: if any of the identified behavioral symptom(s) created a climate of
excessive noise or interfered with the receipt of care or participation in organized
activities by other residents.
Coding Tips
and Special Populations
•
For E0600A, code based on whether the behavior placed others at significant risk for
physical injury. Physical injury is trauma that results in pain or other distressing physical
symptoms, impaired organ function, physical disability or other adverse consequences,
regardless of the need for medical, surgical, nursing, or rehabilitative intervention.
•
For E0600B, code based on whether the behavior violates other residents’ privacy or
interrupts other residents’ performance of activities of daily living or limits engagement
in or enjoyment of informal social or recreational activities to such an extent that it
causes the other residents to experience distress (e.g., displeasure or annoyance) or
inconvenience, whether or not the other residents complain.
•
For E0600C, code based on whether the behavior interferes with staff ability to deliver
care or conduct organized activities, interrupts receipt of care or participation in
organized activities by other residents, and/or causes other residents to experience
distress or adverse consequences.
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