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: | 748505 |
Registration status: | Health, Standard 09/12/2022 |
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 attributes | |
Identifying and definitional attributes | |
Data element concept: | Person—level of functional independence |
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METEOR identifier: | 680996 |
Registration status: | Health, Standard 25/01/2018 Tasmanian Health, Standard 19/01/2018 |
Definition: | A person's level of functional independence to carry out activities of daily living safely and autonomously. |
Object class: | Person |
Property: | Level of functional independence |
Source and reference attributes | |
Submitting organisation: | Independent Hospital Pricing Authority |
Value domain attributes | |
Identifying and definitional attributes | |
Value domain: | Resource Utilisation Groups–Activities of Daily Living total score code N |
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METEOR identifier: | 748503 |
Registration status: | Health, Standard 09/12/2022 |
Definition: | A code set representing an individual's need for assistance with four activities of daily living. |
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 7 Unable to rate (insufficient information) This code should be used when the assessor does not have enough information to provide a rating. CODE 9 Not stated/missing This code should be used where no rating has been provided or the rating provided is indecipherable. |
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Source and reference attributes | |
Submitting organisation: | Australian Institute of Health and Welfare |
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Data element attributes | |||||||||||||||||||||||||||||||||||||||||||||||
Source and reference attributes | |||||||||||||||||||||||||||||||||||||||||||||||
Submitting organisation: | Australian Institute of Health and Welfare | ||||||||||||||||||||||||||||||||||||||||||||||
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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 09/12/2022 See also Collection occasion—survey version, mental health code XX[XXX] Health, Standard 09/12/2022 See also Resource Utilisation Groups–Activities of Daily Living total score code N[N] Health, Standard 20/12/2022 | ||||||||||||||||||||||||||||||||||||||||||||||
Implementation in Data Set Specifications: | Activity based funding: Mental health care NBEDS 2023–24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 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. Activity based funding: Mental health care NBEDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 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. National Outcomes and Casemix Collection NBEDS 2023-24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 Conditional obligation: In the National Outcomes and Casemix Collection (NOCC) NBEDS, this data element should be collected where: Setting: inpatient and residential Occasion: admission and review Age group: older persons For more information on setting, occasion, or age groups, see the NOCC collection protocol (Australian Mental Health Outcomes and Classifications Network, 2022). DSS specific information: For use in the NOCC, the following labels apply: RUG-ADL item numbers 1, 2 & 3
RUG-ADL item number 4
National Outcomes and Casemix Collection NBEDS 2024-25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 Conditional obligation: In the National Outcomes and Casemix Collection (NOCC) NBEDS, this data element should be collected where: Setting: inpatient and residential Occasion: admission and review Age group: older persons For more information on setting, occasion, or age groups, see the NOCC collection protocol (Australian Mental Health Outcomes and Classifications Network, 2022). DSS specific information: For use in the NOCC, the following labels apply: RUG-ADL item numbers 1, 2 & 3
RUG-ADL item number 4
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