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Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termLevel of functional independence (RUG-ADL score)
METEOR identifier:Help on this term446318
Registration status:Help on this term
  • Health, Superseded 25/01/2018
  • Independent Hospital Pricing Authority, Qualified 23/11/2015
Definition:Help on this term

A person's level of functional independence, as represented by a RUG-ADL score-based code.

Functional independence is the ability to carry out activities of daily living safely and autonomously.

Data Element Concept:Person—level of functional independence

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Supplementary values:Help on this term
ValueMeaning
1Independent or supervision only
2Limited assistance
3Limited physical assistance or Extensive assistance/total dependence/tube fed
4Other than two persons physical assist
5Two or more person physical assist

Collection and usage attributes

Guide for use:Help on this term

The Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) is a four item scale measuring a person's motor function for activities of daily living including:

  • Bed mobility
  • Toileting
  • Transfers
  • Eating

For bed mobility, toileting and transfers, valid values are:

1 - Independent or supervision only

3 - Limited physical assistance

4 - Other than two persons physical assist

5 - Two or more person physical assist

Note: a score of 2 is not valid.

 

For eating, valid values are:

1 - Independent or supervision only

2 - Limited assistance

3 - Extensive assistance/total dependence/tube fed

Note: a score of 4 or 5 is not valid.

Scores are summed for the four ADL variables: bed mobility, toilet use, transfer and eating. A total RUG-ADL scores ranges from a minimum 4 and maximum 18.

Source and reference attributes

Submitting organisation:Help on this termIndependent Hospital Pricing Authority

Data element attributes

Source and reference attributes

Submitting organisation:Help on this termIndependent Hospital Pricing Authority
Reference documents:Help on this termFries BE, Schneider DP et al 1994, 'Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III)' Medical Care, vol. 32, pp. 668-685.

Relational attributes

Related metadata references:Help on this term
Has been superseded by Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N
  • Health, Superseded 17/01/2020
Implementation in Data Set Specifications:Help on this term
All attributes +

Activity based funding: Mental health care DSS 2016-17
Independent Hospital Pricing Authority, Superseded 28/02/2017

DSS specific attributes +

Implementation start date: 01/07/2016

Implementation end date: 30/06/2017

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.


Activity based funding: Mental health care NBEDS 2017-18
Health, Superseded 25/01/2018

DSS specific attributes +

Implementation start date: 01/07/2017

Implementation end date: 30/06/2018

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.


Admitted patient mental health care cluster
Independent Hospital Pricing Authority, Standard 15/10/2014

DSS specific attributes +

Conditional obligation:

Reporting of the RUG-ADL at admission is mandatory for admitted patients in psychiatric hospitals or designated psychiatric units in acute hospitals. Reporting is optional for admitted patients in non-designated hospitals or units.

Admitted subacute and non-acute hospital care DSS 2014-15
Health, Superseded 13/11/2014

DSS specific attributes +

Implementation start date: 01/07/2014

Implementation end date: 30/06/2015

Conditional obligation:

Only the Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) scores at admission are required to be reported for maintenance care episodes.

RUG-ADL scores at palliative care phase start should be reported for all palliative care phases.

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 3, Palliative care; or
  • Code 6, Maintenance care.

Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No.

Not required to be reported for patients aged 16 years and under at admission.

DSS specific information:

For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as 3 Palliative care, the RUG-ADL scores must be reported for each palliative care phase if the episode of admitted patient care had more than one phase.


Residential patient mental health care cluster
Independent Hospital Pricing Authority, Standard 15/10/2014

DSS specific attributes +

Conditional obligation:

Reporting of the RUG-ADL at admission is mandatory for residential mental health care services that are included in the General list of in-scope public hospital services, which have been developed under the National Health Reform Agreement (2011). Reporting is optional for episodes of residential mental health care provided by government-funded, non-government operated services.

The RUG-ADL should only be reported for patients aged 65 years and over.


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