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Self-Care Assessment items Cheat Sheet (DRAFT) by [deleted]

Self-Care Assessment items

This is a draft cheat sheet. It is a work in progress and is not finished yet.


The Assessment Based Functional Outcome Quality Measure for Mobility and Self-Care is calculated from the admission Mobility and Self-Care scores using the admission and discharge codes, with some additional criteria. This measure requires risk-a­djusted data for the Review and Correct Reports since it estimates the percent of residents who meet or exceed an expected discharge self-care score.

Self-Care Assessment items

1. Eating
2. Oral Hygiene
3. Toileting Hygiene
4. Shower­/Bathe Self
5. Upper Body Dressing
6. Lower Body Dressing
7. Putting on/taking off Footwear
The Self-Care Assessment items used for Admission Self-Care Score Calcul­ations are:

Sum the Scores of the admission self-care items

Scores can range from 7 to 42, with a higher score indicating greater indepe­ndence.

Calculate the discharge Self-Care score using the discharge Self-Care score items and valid codes, for the same self-care areas as the admission items.

A resident is excluded if any of the following are true:

1. Resident has an incomplete stay:
Length of stay is less than 3 days: Discharge Date – Admission Date is less than 3 days.
Resident discharged against medical advice (AMA).
Resident died while in facility.
Medical Emergency: Patient’s discharge destin­ation: Short-term General Hospital, Long-Term Care Hospital (LTCH), Inpatient Psychi­atric Facility, Critical Access Hospital
Patents discharged directly to another IRF: Another Inpatient Rehabi­lit­ation Facility.

2. The resident is indepe­ndent with all self-care and/or mobility activities at the time of admission.

Selfcare Wheel