RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

RESOURCE UTILIZATION GROUPS (RUG III)BENEFITS OF RUG REPORT• Comparing resident profile, resource requirements and utilization• Trending resource intensity over time to validate workloadRESOURCE UTILIZATION GROUPS RUG-IIIUpon completion of the RAI-MDS 2.0 assessment, residents are grouped into one of the 7 major groups based ontheir clinical and diagnostic characteristics and resource utilization:• Special Rehabilitation• Extensive Services• Special Care• Clinically Complex• Impaired Cognition• Behaviourial Problems• Reduced Physical FunctioningSPECIAL REHABILITATIONResident needs therapy services to qualify• Based on types and minutes of 3 therapies - OT, PT, and SLP• Amount of Nursing Rehabilitation• ADL Score 4 -18EXTENSIVE SERVICESResident receives one or more of the following:• K5a (Parenteral / IV) is checked• P1ac (IV Medications) is checked• P1ai (Suctioning) is checked• P1aj (Tracheotomy) is checked• P1al (Ventilators) is checked• ADL Score 7-18SPECIAL CAREThe resident has one or more conditions coded such as:• Quadriplegia, Cerebral Palsy or Multiple Sclerosis• Radiation• Feeding tube and Aphasia• Fever with one of either dehydration, vomiting, weight loss, pneumonia or feeding tube• Surgical wounds, open lesions and skin treatments• Ulcers and Skin Treatments• Respiratory therapy• Septicemia• ADL Score 7-18CLINICALLY COMPLEX• The resident has one or more conditions coded such as:• Coma; diabetes and injections and MD orders >= 2For Information: 416.327.7625 11ltchrai@ontario.ca11