The residential algorithm uses the following chart to calculate your mid-frequency critical support time score:
Qualifying Scores from Supports Intensity Scale (per WAC 388-828-4200 through 388-828-4320 ) | |||||
SIS Activity | If your type of support is: | And your frequency of support score is: | And your daily support time score is: | Then your critical task hours = | Enter one time for each SIS activity |
A2: Bathing and taking care of personal hygiene and grooming needs* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
A3: Using the toilet | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
4 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
A4: Dressing* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
A5: Preparing food | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
4 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
A6: Eating food* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
A8: Housekeeping and cleaning | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
A9: Using currently prescribed equipment or treatment* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
B2: Participating in recreation/leisure activities in community | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
4 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
B7: Interacting with community members | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
4 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
E1: Taking medications* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
E2: Ambulating and moving about* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
E3: Avoiding health and safety hazards* | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 or more | 0 | |||
4 | 0 or more | 0 | |||
G3: Protecting self from exploitation | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |||
2 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
3 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
4 | 0 | 0 | |||
1 | .25 | ||||
2 | 1 | ||||
3 | 3 | ||||
4 | 5 | ||||
Mid-frequency critical support time score = | Sum of all times entered | ||||
*Daily support activities that have less than daily support needs are added into the mid-frequency critical support time score. |
Wash. Admin. Code § 388-828-9670
08-15-091, recodified as § 388-828-9670, filed 7/17/08, effective 7/17/08. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. 08-12-037, § 388-828-10320, filed 5/30/08, effective 7/1/08.