0
No
if symptoms listed are not present. Enter 0 in Column 2, Symptom
Frequency.
DiraChart MDS item reference
D0500Section Dv1.20.1Manual page D-12
Staff Assessment of Resident Mood (PHQ-9-OV©)
* Copyright © Pfizer Inc. All rights reserved. Reproduced with permission.
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Instruction / group heading
1
Yes
if symptoms listed are present. Enter 0, 1, 2, or 3 in Column 2,
Symptom Frequency.
2
7-11 days (half or more of the days)
if staff indicate that the resident has experienced the symptom for 7-11 days.
3
12-14 days (nearly every day)
if staff indicate that the resident has experienced the symptom for 12-14 days.
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
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.)
Coding 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.
Coding 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.
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