AQUIP What You Need to Know!

2. AQUIPWhat You Need to Know! • Glenda McLamb, Senior Associate, CAP Support • Deanna Britt, CAP/DA Review Associate • Steve Bailey, Programmer II

3. What is a RUG? A Resource Utilization Group is referred to as a RUG. RUGs are used to classify nursing facility residents into groups. Classification is based on a person’s physical functioning, disease diagnoses, health conditions and treatments received.

4. Variables used in the RUG calculation can be found in the “Downloads” section of the AQUIP website. https://www2.mrnc.org/AQUIP

5. How Did RUGs Originate? Nursing Reform Law of the Omnibus Budget Reconciliation Act

6. How do I know my client’s RUG score is correct? Accurate data entry

7. Section C, Cognitive Status Comatose Short Term Memory Cognitive Skills for Daily Decision Making Time Awake

8. Section D, Mood & Behavior Patterns Indicators of Depression, Anxiety, Sad Mood Behavioral Symptoms

9. Section E, Communication/Hearing Patterns Making Self Understood

10. Section G, Disease Diagnoses Aphasia Cerebral Palsy Diabetes Mellitus Hemiplegia/hemiparesis Multiple Sclerosis Quadriplegia

11. Section G, Infections Pneumonia Septicemia

12. Section H, Health Conditions Dehydrated Delusions Fever Hallucinations Internal Bleeding Vomiting

13. Section I, Medications Injections

14. Section J, Oral/Nutritional Status Weight Loss Parenteral/IV Feeding Tube Parenteral or Enteral Caloric/Fluid Intake

15. Section K, Continence Appliances and Programs Any Scheduled Toileting Plan Bladder Retraining Program

16. Section L, Skin Conditions Ulcers Type of Ulcer (pressure)

17. Section L, Skin Condition Other Skin Problems or Lesions Burns Open lesions/sores Surgical wounds

18. Section L, Skin Condition Pressure relieving device for chair/bed Turning/repositioning program Nutrition or hydration intervention to manage skin problems Ulcer care Surgical wound care

19. Section L, Skin Condition Application of dressings with or without topical meds (other than to feet) Application of ointments/medications (other than to feet)

20. Section L, Skin ConditionFoot Problems and Care Open lesions of the foot Infection of the foot Application of dressings with or without topical medications

21. Section M, Special Treatments and Procedures Therapies Occupational Therapy Physical Therapy Respiratory Therapy Speech-language pathology and audiology services

22. Section M, Special Treatments and Procedures Special Care Chemotherapy, Dialysis, IV Medication, Oxygen Therapy, Radiation, Suctioning, Tracheostomy care, Transfusions, and Ventilator or respirator

23. Section M, Special Treatments and Procedures Nursing Rehabilitation/Restorative Care Physician Visits Physician Orders

24. Section M, Nursing Rehabilitation and Restorative • Measurable goals/objectives and interventions • Evidence of periodic evaluation by a licensed nurse • Nurse Aides/In Home Aides/ trained in the techniques

25. Rehab/Restorative Example • Client Centered – Yes, decreased mobility • Intervention – PROM 5 x wk for 15 min x 4 wk • Goal/objectives – Amb indep through out house • Timeline – 4 wks • Evaluation end of 4 wks • Documented in client record

26. Section M, Nursing Rehabilitation and Restorative • Client Centered • Interventions • Measurable goals/objectives • Timeline • Periodic evaluation by Licensed Nurse • Documentation

27. Section N, Physical Functioning/Structural Problems Bed Mobility Eating Toilet use Transfer

28. Plan of Care Cost Summary Data Entry Accuracy

29. Enteral Formula 5 cases (24 cans) per month 5 x 24 = 120 cans (237 cal/can) 237 by 100 cal = 2.37 units/can 120 cans x 2.37U = 284.4 U/M 284.4 U x .63 = 179.17

30. Insulin Syringes 1 box (100) Insulin syringes q 2 M 1 U = $31.47 1 U divided by 2 M = .5 U/M .5 U/M x $31.47 = $15.74