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

• Hemiplegia, pneumonia, septicemia, dehydration, internal bleeding, tube feeding or burns• Infections of foot, open lesions on foot, and foot dressings• Chemotherapy, dialysis, oxygen or transfusions• End stage disease• Physician visits>= 1day and order changes >= 4 OR• Physician visits >= 2 and order changes >= 2• ADL Score 4 -18• Indicators of depression, anxiety, sad moodIMPAIRED COGNITION• The Cognitive Performance Scale >= 3• Nursing Rehabilitation/Restorative Care activities (at least 2) coded for15 mins/day for 6 days. This includesP3a-j (Nursing rehabilitation/restorative care) and H3a and/or H3b (toileting plan and bladder retraining)• ADL score 4 -10BEHAVIOUR PROBLEMS• One of the following conditions are coded: wandering, verbally abusive, physically abusive, sociallyinappropriate, resists care, delusions or hallucinations• Nursing Rehabilitation/Restorative Care activities (at least 2) coded for15 mins/day for 6 days. Includes P3a-jand H3a and/or H3b (toileting plan and bladder retraining)• ADL score 4 - 10REDUCED PHYSICAL FUNCTION• Nursing Rehabilitation/Restorative Care activities (at least 2) coded for 15 mins/day for 6 days. Includes P3a-jand H3a and/or H3b (Toileting plan and bladder retraining)• ADL score 4 -18RUG-III CASE MIX INDEX (CMI)• A CMI is a value reflecting the daily relative weight of resources used by a resident within each RUG-III groupcompared to a base resource level (average)• RUG-III CMI is not a dollar value• It establishes the relative weights for residents within each RUG-III group• The CMI values are derived so that the “average resident” has a CMI value of 1• It can then be determined how much more or less than the average a resident may costRUG-III CMI• A CMI of 1.2 for a resident indicates that this resident requires approximately 20% more resources than theaverage resident• A CMI of 0.9 indicates that this resident requires approximately 10% less resources than the average residentFor Information: 416.327.7625 12ltchrai@ontario.ca12