GG0100. Prior Functioning: Everyday Activities

Step-by-Step Coding Guide for GG0100: Prior Functioning: Everyday Activities

Objective: To accurately code the resident's usual ability with everyday activities before the current illness, exacerbation, or injury.

Key Points:

1. Understand the Purpose of GG0100:

   • GG0100 captures a resident's ability to perform everyday activities prior to the current illness, exacerbation, or injury.
   • It sets a baseline for measuring changes in the resident's functional status and planning appropriate care.

2. Review the Resident's History:

   • Begin by reviewing the resident's medical records, therapy notes, and any available documentation that describes the resident's usual ability in activities such as self-care and mobility before the current condition.

3. Consult with Interdisciplinary Team (IDT):

   • Discuss the resident's prior functional status with the IDT, including nurses, therapists, and family members who may provide insights into the resident’s usual abilities.

4. Coding Instructions for GG0100:

   • GG0100A, Self-Care: Code based on the resident's usual ability with bathing, dressing, using the toilet, and eating.
   • GG0100B, Indoor Mobility (Ambulation): Consider the resident's ability to move around indoors, including walking and navigating a wheelchair.
   • GG0100C, Stairs: Reflect on the resident's ability to manage stairs.
   • GG0100D, Functional Cognition: Assess the resident's usual decision-making ability regarding daily life activities.

5. Coding Options:

   • 3 - Independent: The resident completed the activities by themselves with no assistance.
   • 2 - Needed some help: The resident needed partial assistance or supervision to perform the activities.
   • 1 - Dependent: The resident was fully dependent on someone else to perform the activities.
   • 8 - Unknown: The resident's usual ability is not known.
   • 9 - Not applicable: The activity did not apply to the resident before the current illness, exacerbation, or injury.

6. Documenting the Assessment:

   • Record the selected codes in the resident’s MDS assessment. Ensure documentation reflects the assessments and discussions that contributed to the coding decisions.

7. Verification and Finalization:

   • Review the coded sections with the IDT to verify accuracy. Adjust any codes as necessary based on additional information or clarification.

8. Submit the MDS Assessment:

   • Once coding is verified and the assessment is complete, submit the MDS as per facility protocol.

The Step-by-Step Coding Guide for item GG0100 in MDS 3.0 Section GG is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.