Determining Steven’s QI Code for BIMS Assessment in an IRF

QUESTION

n Tuesday, January 1, 2019, Steven was admitted to an IRF after having bilateral knee replacements. During the nursing admission assessment process, a nurse performed the BIMS with Steven. Q1 The nurse said to Steven, “I am going to say three words for you to remember. Please repeat the words after I have said all three. The words are ‘sock,’ ‘blue,’ and ‘bed.’ Now tell me the three words.” Steven replied, “Sock, blue, and bed.” What is Steven’s QI code for item C0200, Number of words repeated after first attempt?

ANSWER

Determining Steven’s QI Code for BIMS Assessment in an IRF

Introduction

In healthcare, the assessment of cognitive function is crucial for providing appropriate care and support to patients, especially after procedures like bilateral knee replacements. One commonly used tool for this purpose is the Brief Interview for Mental Status (BIMS). This essay discusses Steven’s response to the BIMS assessment question and determines his QI code for item C0200, “Number of words repeated after first attempt.”

Steven’s BIMS Assessment

During the nursing admission assessment process on January 1, 2019, Steven was administered the BIMS by a nurse. As part of this assessment, the nurse presented Steven with three words, “sock,” “blue,” and “bed,” and asked him to repeat the words after they had been stated. Steven correctly repeated all three words, indicating his cognitive function at that moment.

Determining the QI Code for C0200

In the BIMS assessment, the QI code for item C0200, “Number of words repeated after first attempt,” is determined based on the patient’s response. There are three possible QI codes for this item:

1. Code 0 – All words recalled correctly: This code is assigned when the patient repeats all three words correctly after the first attempt, as Steven did in this case. His response of “Sock, blue, and bed” matches this code.

2. Code 1 – One or two words recalled correctly: This code is used when the patient repeats one or two words correctly after the first attempt.

3. Code 2 – No words recalled correctly: Code 2 is assigned when the patient is unable to recall any of the three words correctly after the first attempt.

In Steven’s case, since he correctly repeated all three words after the first attempt, the appropriate QI code for item C0200 would be **Code 0 – All words recalled correctly.**

Conclusion

The Brief Interview for Mental Status (BIMS) is a valuable tool for assessing cognitive function in healthcare settings, and it provides QI codes to categorize a patient’s responses. In Steven’s case, he successfully repeated all three words presented to him during the BIMS assessment, resulting in a QI code of 0 for item C0200, indicating that he correctly recalled all the words after the first attempt. This assessment helps healthcare professionals gauge a patient’s cognitive status and tailor care accordingly, particularly in the context of rehabilitation after bilateral knee replacements.