Medicare Post-Acute Care: Quality Measurement Final Report. APPENDIX G. Barthel Conversion Codes

Table of Contents

Barthel Index Replicated Using the MDS 2.0 (10/94n)

Barthel Index Replicated Using the MDS PAC (Draft 8)

Barthel Index Replicated Using the OASIS (Draft B1)

Barthel Index Replicated Using the MDS 2.0 (10/94n)
ADL Barthel Item Barthel Score MDS 2.0 Variable MDS 2.0
Feeding #1 10 - independent
5 - some help
0 - dependent
G1HA 0
1,2
3,4
Transfer #2 15 - independent
10 - minimal assist or SBA
5 - moderate/maximum assist
0 - dependent
G1BA 0,1
2
3
4
Grooming #3 5 - independent
0 - assist
G1JA 0,1
2,3,4
Toileting #4 10 - independent
5 - some help
0 - assist
G1IA 0,1
2
3,4
Bathing #5 5 - independent
0 - assist
G2A 0,1
2,3,4
Walking #6 15 - independent for 50 yards
10 - min assist for 50 yards
5 - independent in wheelchair
0 - dependent
G1DA 0
1,2
3,4,8 and G5b=1
3,4,8 and G5b=0
Stairs #7 10 - independent
5 - help or supervision
0 - dependent
NOT ASSESSED
NOT ASSESSED
NOT ASSESSED
Dressing #8 10 - independent
5 - some help
0 - dependent
G1GA 0,1
2
3,4
Bowel Continence #9 10 - independent
5 - help w/suppository
0 - dependent
H1A 0
1,2
3,4
Bladder Continence #10 10 - independent
5 - occastional incontinence/some assistance
0 - dependent
H1B 0
1,2
3,4

NOTES

ADL Self-Performance (#1 Feeding, #2 Transfer, #3 Grooming, #4 Toileting, #6 Walking, #7 Stairs, #8 Dressing)

0 - independent
1 - supervision
2 - limited assistance
3 - extensive assistance
4 - total dependence
8 - activity did not occur

Bathing Self-Performance (#5 Bathing)

0 - independent
1 - supervision oversight help only
2 - physical help limited to transfer only
3 - physical help in part of bathing activity
4 - total dependence
8 - activity did not occur

Continence Self-Performance (#9 Bowel Continence, #10 Bladder Continence)

0 - continent
1 - usually continent
2 - occasionally incontinent
3 - frequently incontinent
4 - incontinent

Barthel Index Replicated Using the MDS PAC (Draft 8)
ADL Barthel Item Barthel Score MDS PAC Variable MDS PAC
Feeding #1 10 - independent
5 - some help
0 - dependent
E1h 0,1
2,3
4,5,6
Transfer #2 15 - independent
10 - minimal assist or SBA
5 - moderate/maximum assist
0 - dependent
E1b 0
1,2,3
4,5
6
Grooming #3 5 - independent
0 - assist
E1k 0
1,2,3,4,5,6
Toileting #4 10 - independent
5 - some help
0 - assist
E1i/E1j 0
1,2,3
4,5,6
Bathing #5 5 - independent
0 - assist
E1l 0
1,2,3,4,5,6
Walking #6 15 - independent for 50 yards
10 - min assist for 50 yards
5 - independent in wheelchair
0 - dependent
E1d 0
1,2,3
NA
4,5,6
Stairs #7 10 - independent
5 - help or supervision
0 - dependent
E3d 0
1,2,3,4
5,6
Dressing #8 10 - independent
5 - some help
0 - dependent
E1e 0
1,2,3
4,5,6
Bowel Continence #9 10 - independent
5 - help w/suppository
0 - dependent
F2 0
2,3
4,5
Bladder Continence #10 10 - independent
5 - occastional incontinence/some assistance
0 - dependent
F1 0
2,3
4,5

NOTES

3 Day ADL Self-Performance (#1 Feeding, #2 Transfer, #3 Grooming, #4 Toileting, #5 Bathing, #6 Walking, #7 Stairs, #8 Dressing)

0 - independent
1 - set up help only
2 - supervision
3 - limited assistance
4 - extensive assistance, with all episodes involving a 1 person physical assist
5 - extensive assistance with at least one episode involving a 2+ person physical assist
6 - total dependence
8 - activity did not occur

Capacity to Perform Instrumental Activities of Daily Living (#7 Stairs)

0 - independent
1 - set up help only
2 - supervision
3 - limited assistance
4 - moderate assistance
5 - maximum assistance
6 - total dependence

Bowel Continence (#9 Bowel Continence)

0 - continent
1 - continent with ostomy (NA)
2 - usually continent
3 - occasionally incontinent
4 - frequently incontinent
5 - incontinent
8 - did not occur

Bladder Continence (#10 Bladder Continence)

0 - continent
1 - continent with catheter (NA)
2 - usually continent
3 - occasionally incontinent
4 - frequently incontinent
5 - incontinent
8 - did not occur

Barthel Index Replicated Using the OASIS (Draft B1)
ADL Barthel Item Barthel Score OASIS Variable OASIS
Feeding #1 10 - independent
5 - some help
0 - dependent
M0710 0
1
2,3,4,5
Transfer #2 15 - independent
10 - minimal assist or SBA
5 - moderate/maximum assist
0 - dependent
M0690 0
1
2,3
4,5
Grooming #3 5 - independent
0 - assist
M0640 0
1,2,3
Toileting #4 10 - independent
5 - some help
0 - assist
M0680 0
NA
4
Bathing #5 5 - independent
0 - assist
M0670 0,1
2,3,4,5
Walking #6 15 - independent for 50 yards
10 - min assist for 50 yards
5 - independent in wheelchair
0 - dependent
M0700 0,1
2
3
4,5
Stairs #7 10 - independent
5 - help or supervision
0 - dependent
M0700

0
1
2,3,4,5

Dressing #8 10 - independent
5 - some help
0 - dependent
M0650/
M0660
0
1,2
3
Bowel Continence #9 10 - independent
5 - help w/suppository
0 - dependent
M0540 0
1,2
3,4,5
Bladder Continence #10 10 - independent
5 - occastional incontinence/some assistance
0 - dependent
M0520 0
NA
1