e) The Determination of Need
assessment scale includes the 6 ADLs and 9 IADLs identified. Each function is
scored in 2 parts: Part A - Level of Impairment, and Part B - Unmet Need for
Care.
1) Part A- Level of Impairment, of the
Determination of Need assessment tool measures the ability of the participant
to perform each ADL and IADL function. A scoring range of zero through 3
indicates the degree of impairment of the participant in the performance of
ADLs and IADLs.
A) A score of zero for any
function indicates that the participant performs or can perform all essential
components of the activity, with or without an existing assistive device, such
that:
i) no significant impairment of
function remains;
ii) activity is
not required by the participant (routine health and special health
only);
iii) the participant may
benefit from but does not require supervision or physical assistance.
B) A score of 1 for any function
indicates that the participant performs or can perform most essential
components of the activity, with or without an existing assistive device, but
some impairment of function remains such that the participant requires some
supervision or physical assistance to accomplish some or all components of the
activity. This includes the participant who:
i) experiences minor, intermittent fatigue in
performing the activity;
ii) takes
longer time to accomplish than an unimpaired person requires; or
iii) must perform the activity more
frequently than an unimpaired person.
C) A score of 2 for any function indicates
that the participant cannot perform most of the essential components of the
activity, even with an existing assistive device, and requires a great deal of
assistance or supervision to accomplish the activity. This includes the
participant who:
i) experiences frequent
fatigue in performing the activity;
ii) takes an excessive amount of time to
perform the activity; or
iii) must
perform the activity much more frequently than an unimpaired person.
D) A score of 3 for any function
indicates that the participant cannot perform the activity and requires someone
to perform the task, although the participant may be able to assist in small
ways, or requires constant supervision.
2) Part B, Unmet Need for Care, of the
Determination of Need assessment tool measures the need of the participant for
assistance/performance/supervision for each ADL and IADL function that is not
being met by non-CCP resources in the community (e.g., family, friends, local
services).
A) A score of zero for any function
indicates that there is no impairment, or that the participant's need for
assistance is met to the extent that the participant is at no risk to health or
safety if additional assistance is not acquired, or that additional assistance
will not benefit the participant, or that the participant's needs are being met
by non-CCP resources and, therefore, the participant has no need for
assistance.
B) A score of 1 for any
function indicates that the participant's need for assistance is met most of
the time, but the participant's health and safety are at minimal risk if
additional assistance is not acquired.
C) A score of 2 for any function indicates
that the participant's need for assistance is not met most of the time, and the
participant's health and safety are at moderate risk if additional assistance
is not acquired.
D) A score of 3
for any function indicates that the participant's need for assistance is
rarely, or never, met and the participant's health and safety are at severe
risk, which would require acute medical intervention, if additional assistance
is not acquired.