Step-by-Step Coding Guide for GG0170: Mobility (3-Day Assessment Period) - Admission

Introduction to GG0170: Mobility

• Objective: Introduce the significance of GG0170: Mobility, focusing on evaluating a resident's need for assistance with mobility tasks during the 3-day assessment period for admission.
• Key Points: GG0170 assesses the resident's ability to perform specific mobility activities. Coding accuracy is crucial for care planning and determining the appropriate level of assistance.

Understanding the Components

• Objective: Break down the components of GG0170: Mobility.
• Key Points:
  • GG0170 includes several mobility tasks, such as rolling left and right, sitting to lying, lying to sitting on the side of the bed, sit to stand, chair/bed-to-chair transfer, toilet transfer, car transfer, walk 10 feet, walking 50 feet with two turns, walking 150 feet, and does the resident use a wheelchair/scooter.

The Assessment Process

• Objective: Outline the process of assessing GG0170: Mobility.
• Key Points:
  • Perform assessments based on direct observation during the 3-day assessment period.
  • Collaborate with interdisciplinary team members who have observed or assisted the resident.
  • Document resident's usual performance for each activity over the entire 3-day period.

Coding and Documentation

• Objective: Teach accurate coding and documentation for GG0170: Mobility.
• Key Points:
  • Use a 6-point scale (independent, needed some help, dependent, activity did not occur, resident refused, not applicable) and code 07, 09, 10, 88 as applicable.
  • Document the resident’s most dependent level of performance for each activity.
  • For residents who use a wheelchair, assess and code mobility as applicable.

Common Errors and Best Practices

• Objective: Highlight common errors and provide best practices.
• Key Points:
  • Common errors include incorrect use of the coding scale or not considering all 3 days.
  • Best practice includes ensuring accurate observation and documentation, and collaboration among staff.

Practical Applications

• Objective: Apply knowledge through practical examples.
• Key Points:
  • Case studies or scenarios could involve assessing and coding mobility for residents with varying levels of ability.
  • Interactive exercises or role-playing can reinforce learning.

Resources for Further Learning

• Objective: Direct learners to additional resources.
• Key Points:
  • CMS’s RAI Version 3.0 Manual, training modules, and webinars.
  • Professional development courses focusing on geriatric mobility assessment.

Q&A and Interactive Session

• Objective: Clarify doubts and answer specific questions.
• Interactive Discussion: Engage with participants to address their queries about coding GG0170: Mobility.

The Step-by-Step Coding Guide for item GGO170 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. 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.