0
No
if the resident is not currently on a toileting program targeted specifically
at managing bowel continence.
DiraChart MDS item reference
H0500Section Hv1.20.1Manual page H-13
Bowel Toileting Program
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Yes
if the resident is currently on a toileting program targeted specifically at
managing bowel continence.
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. Review the medical record for evidence of a bowel toileting program being used to manage
bowel incontinence during the 7-day look-back period.
2. Look for documentation in the medical record showing that the following three requirements
have been met:
•
implementation of an individualized, resident-specific bowel toileting program based on
an assessment of the resident’s unique bowel pattern;
•
evidence that the individualized program was communicated to staff and the resident (as
appropriate) verbally and through a care plan, flow records, verbal and a written report;
and
•
notations of the resident’s response to the toileting program and subsequent evaluations,
as needed.
H0500: Bowel Toileting Program (cont.)
Coding Instructions
•
Code 0, no: if the resident is not currently on a toileting program targeted specifically
at managing bowel continence.
•
Code 1, yes: if the resident is currently on a toileting program targeted specifically at
managing bowel continence.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
10 relationships6 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
Program and Policy Use
Item Subset Required Use ISC Skip Patterns
Official CMS source
Verify in the CMS Source
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Reference details
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