0
None
if the resident did not repeat any of the 3 words on the first attempt.
DiraChart MDS item reference
C0200Section Cv1.20.1Manual page C-3
Repetition of Three Words
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
One
if the resident repeated only 1 of the 3 words on the first attempt.
2
Two
if the resident repeated only 2 of the 3 words on the first attempt.
3
Three
if the resident repeated all 3 words on the first attempt.
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
: Basic Interview Instructions for BIMS (C0200–
C0500)
1. Refer to Appendix D for a review of basic approaches to effective interviewing techniques.
2. Interview any resident not screened out by Should Brief Interview for Mental Status Be
Conducted? (Item C0100).
3. Conduct the interview in a private setting, if possible.
4. Be sure the resident can hear you.
•
Residents with hearing impairment should be tested using their usual communication
devices/techniques, as applicable.
•
Try an external assistive device (headphones or hearing amplifier) if you have any doubt
about hearing ability.
•
Minimize background noise.
C0200–C0500: Brief Interview for Mental Status (BIMS) (cont.)
5. Sit so that the resident can see your face. Minimize glare by directing light sources away
from the resident’s face.
6. Give an introduction before starting the interview.
Suggested language: “I would like to ask you some questions. We ask everyone these same
questions. This will help us provide you with better care. Some of the questions may seem
very easy, while others may be more difficult.”
7. If the resident expresses concern that you are testing their memory, they may be more
comfortable if you reply: “We ask these questions of everyone so we can make sure that our
care will meet your needs.”
8. Directly ask the resident each item in C0200 through C0400 at one sitting and in the order
provided.
9. If the resident chooses not to answer a particular item, accept their refusal and move on to the
next questions. For C0200 through C0400, code refusals as incorrect/no answer or could not
recall.
Coding Instructions
See coding instructions for individual items.
Manual page C-3Coding Tips
•
If the interviewer is unable to articulate or pronounce
any cognitive interview items clearly, for any reason
(e.g., accent or speech impairment), have a different
staff member conduct the BIMS.
•
Rules for stopping the BIMS before it is complete:
— Stop the interview after completing (C0300C) “Day
of the Week” if:
1. all responses up to this point have been
nonsensical (i.e., any response that is unrelated,
incomprehensible, or incoherent; not
informative with respect to the item being
rated), OR
2. there has been no verbal or written response to any of the questions up to this
point, OR
3. there has been no verbal or written response to some questions up to this point
and for all others, the resident has given a nonsensical response.
DEFINITION
COMPLETE INTERVIEW
The BIMS is considered
complete if the resident
attempted and provided
relevant answers to at least
four of the questions
included in C0200–
C0400C. Relevant answers
do not have to be correct
but do need to be related to
the question that was
asked.
C0200–C0500: Brief Interview for Mental Status (BIMS) (cont.)
•
If the interview is stopped, do the following:
1. Code (—), dash in C0400A, C0400B, and C0400C.
2. Code 99 in the BIMS Summary Score (C0500), and if the assessment being
completed is a stand-alone Part A PPS Discharge, continue to C1310. Signs and
Symptoms of Delirium. Otherwise, proceed to step 3.
3. Code 1, yes in C0600, Should the Staff Assessment for Mental Status be
Conducted?
4. Complete the Staff Assessment for Mental Status.
•
If all responses to C0200, C0300A, C0300B, and
C0300C are coded 0 because answers are incorrect,
continue interview.
•
When staff identify that the resident’s primary method
of communication is in written format, the BIMS can be
administered in writing. The administration of the
BIMS in writing should be limited to only this
circumstance.
•
See Appendix E for details regarding how to administer
the BIMS in writing.
•
Code 0 is used to represent three types of responses: incorrect answers (unless the item
itself provides an alternative response code), nonsensical responses, and questions the
resident chooses not to answer (or “refusals”). Since 0s resulting from these three
situations are treated differently when coding the BIMS Summary Score in C0500, the
interviewer may find it valuable to track the reason for each 0 response to aid in
accurately calculating the summary score.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
20 relationships7 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
Shared NH/SB Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
Item Subset Required Use ISC Skip Patterns
APU Item Admission (A0310B = 01)
MDS Item Matrix v1.20.1 v4
APU Item Discharge (A0310H = 1)
MDS Item Matrix v1.20.1 v4
QRP PPS 5 Day Admission (A0310B = 01)
MDS Item Matrix v1.20.1 v4
QRP PPS DC (A0310H = 1)
MDS Item Matrix v1.20.1 v4
PDPM (A0310B = 01 or 08)
MDS Item Matrix v1.20.1 v4
Official CMS source
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