MDS Alert

Coding Instructions for Isolation at O0100M

Here's what CMS says to do.

The RAI User's Manual provides the following instructions for O0100M, isolation or quarantine for active infectious disease (does not include standard body/fluid precautions):

"Code only when the resident requires strict isolation or quarantine alone in a separate room because of active infection (i.e., symptomatic and/or have a positive test and are in the contagious stage) with a communicable disease, in an attempt to prevent spread of illness. Do not code this item if the resident only has a history of infectious disease (e.g., MRSA or C-Diff with no active symptoms), but facility policy requires cohorting of similar infectious disease conditions. Do not code this item if the 'isolation' primarily consists of body/fluid precautions, because these types of precautions apply to everyone.

"Additional information related to types of precautions: Transmission-Based Precautions must be considered regarding the type and clinical presentation related to the specific communicable disease. The three types of transmission-based precautions are contact, droplet, and airborne. More information related to the types of transmission-based precautions can be found in the 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings www.cdc.gov/ncidod/dhqp/pdf/guidelines/Isolation2007.pdf."

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