Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Level of functional independence (RUG-ADL score) |
METEOR identifier: | 730829 |
Registration status: | Health!, Standard 23/12/2020 |
Definition: | A person's level of functional independence to carry out activities of daily living safely and autonomously, as represented by a Resource Utilisation Groups-Activities of Daily Living (RUG-ADL) score-based code. |
Data Element Concept: | Person—level of functional independence |
Value Domain: | Resource Utilisation Groups–Activities of Daily Living score code N |
Collection and usage attributes | |||||||||||
Guide for use: | The Resource Utilisation Groups –Activities of Daily Living (RUG-ADL) is an assessment tool that assesses a person's motor function for activities of daily living for the following four items:
Values 1, 3, 4 and 5 are valid for items 1, 2 and 3. Values 1, 2 and 3 are valid for item 4. CODE 1 Independent or supervision only Tasks/transfers are performed independently or with prompting from carer. No hands-on assistance is required and may be undertaken independently with the use of a device. Specifically for the activity Eating, value 1 refers to the ability to cut, chew and swallow food, independently or with supervision, once meal has been presented in the customary fashion. CODE 2 Limited assistance Refers to the act of assistance without manual handling. It is used for the activity Eating and is not eligible for other activities. CODE 3 Limited physical assistance or Extensive assistance/total dependence/tube fed For activities Bed mobility, Toileting, and Transfer value 3 refers to the act of assistance requiring manual handling (hence the inclusion of 'physical' in the title). For the activity Eating, value 3 refers to more significant assistance with feeding either through physical assistance or the use of medical assistance. CODE 4 Other than two persons physical assist For activities Bed mobility, Toileting and Transfers value 4 refers to the use of a device for assistance and may require the additional assistance of only one other person. For the activity Bed mobility value 4 refers to use of a hoist or other assisting device to readjust position in bed and physical assist pressure relief. For the activity Toileting value 4 refers to the use of a catheter, uridome or urinal, or a colostomy, bedpan or commode chair, or insertion of enema or suppository. For the activity Transfer value 4 requires the use of a device for any of the transfers performed in the day or night. Value 4 is not eligible for the activity Eating. CODE 5 Two or more persons physical assist Refers to the requirement of two assistants to perform any step of the task/transfer. Value 5 is not eligible for the activity Eating. Scores are summed for the four ADL items: bed mobility, toileting, transfer and eating. A total RUG-ADL scores ranges from a minimum 4 and maximum 18. CODE 8 Unknown This code should be used for Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) values that are missing or recorded in the RUG-ADL tool as '7 - Unable to rate' and '9 - Not stated/missing'. |
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Source and reference attributes | |
Submitting organisation: | Independent Hospital Pricing Authority |
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Data element attributes | |
Source and reference attributes | |
Submitting organisation: | Independent Hospital Pricing Authority |
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Reference documents: | Fries BE, Schneider DP, Foley WJ, Gavazzi M, Burke R & Cornelius E 1994. Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Medical Care 32(7):668–685. |
Relational attributes | |
Related metadata references: | Supersedes Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N Health!, Superseded 23/12/2020 See also Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] Health!, Superseded 18/12/2019 See also Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] Health!, Standard 18/12/2019 Tasmanian Health, Standard 06/05/2020 |
Implementation in Data Set Specifications: | Activity based funding: Mental health care NBEDS 2021–22 Health!, Superseded 17/12/2021 Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Conditional obligation: Reporting of the RUG-ADL at the commencement of a mental health phase of care is mandatory for admitted and residential patients. Reporting of the RUG-ADL is not mandatory if mental health phase of care is reported as Assessment Only. Reporting of the RUG-ADL should only be reported for patients aged 65 years and over. Activity based funding: Mental health care NBEDS 2022–23 Health!, Standard 17/12/2021 Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 Conditional obligation: Reporting of the RUG-ADL at the commencement of a mental health phase of care is mandatory for admitted and residential patients. Reporting of the RUG-ADL is not mandatory if the response to Episode of care—clinical assessment only indicator, yes/no/not stated/inadequately described, code N is CODE 1 'Yes'. Reporting of the RUG-ADL should only be reported for patients aged 65 years and over. |