Rug Iii Categories

The rug iii classification system uses these three variables to describe nursing home residents for the purposes of determining case mix.

Rug iii categories. Fy 2001 snf pps proposed rule april 1 2000. The table describes a resident s clinical characteristics the levels of assistance used in performing adls and. Client assessment data is sorted into categories and groups based on a client s clinical characteristics. Showing a significant improvement in the assignment of rug categories at the facility level compared to our 2001 report.

Cp ms quadriplegia each must have an adl. Special care adl ssc ssb ssa 7 14 15 16 17 18. Abt associates report 2000 the goal of this study was to review the rug iii classification system with particular emphasis on the care needs of medically complex medicare beneficiaries and the variation in non therapy ancillary services within rug iii categories. Major rug categories of rugs rug 34 rug 44 rug 53 rehabilitation extensive services 9 1 rehabilitation services 14 1 2 extensive services 3 1 2 3 rehabilitation services 4 2 special care 3 3 3 4 clinically complex 6 4 4 5 impaired cognition 4 5 5 6 behavioral 4 6 6 7 reduced physical functions 10 7 7 8 hierarchical level.

Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of dressing radiation therapy while a resident or dialysis while a resident. Rehabilitation category 14 rug iii groups extensive care 3 rug iii groups. Resource utilization group iii home care rug iii hc the resource utilization groups iii home care rug iii hc is. These changes are 1 mds item j5c end stage disease has been dropped as a qualifier for the clinically complex groups and 2 the adl break point between the 34 group model raa and rab rehabilitation groups has been modified to an upper value.

Cms commented that. Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category. Special care 3 categories at least one of the following conditions must be present. Table 1 shows the mutually exclusive layered categories of the rug iii classification system.

The rug iii methodology using the mds 2 0 assessment data and case mix index cmi values assigns each continuing care assessments to one of 44 resource utilization groups. Rug based on 108 items on an assessment of the resident known as the minimum data set mds. Each of the 44 rug iii groups belong to one of seven categories. There were two changes to the rug iii classification logic with version 5 12 from version 5 11.

A grouping methodology that is used to categorize clients in community care organizations in canada.