Step-by-Step Coding Guide for Item Set GG0170K1: Walk 150 Feet (Admission Performance)

1. Review of Medical Records

Objective: Assess the resident's capability to walk 150 feet at the time of admission by comprehensively reviewing their medical records.

• Examine therapy evaluations, nursing assessments, and physician notes focusing on mobility, use of assistive devices, and any conditions affecting the resident's ability to walk.
• Document any pre-admission mobility status or baseline functionality to compare and track progress.

2. Understanding Definitions

• Walk 150 Feet: Evaluates the resident's ability to walk a distance of 150 feet in a corridor or similar space, potentially with the use of assistive devices.
• Admission Performance: Refers to the resident's performance of the task at or around the time of admission to the facility.

3. Coding Instructions

• Code 06 - Independent: The resident walks 150 feet without any human assistance, although they may use an assistive device.
• Code 05 - Set-up or clean-up assistance: Requires assistance only before or after the task (not during).
• Code 04 - Supervision or touching assistance: Needs verbal cues, supervision, or light touch assistance.
• Code 03 - Partial/moderate assistance: Helper does less than half the effort.
• Code 02 - Substantial/maximal assistance: Helper does more than half the effort.
• Code 01 - Dependent: The resident does not participate in walking; helper does all the work.
• Code 07 - Resident refused: The resident refused to perform the walk.
• Code 09 - Not applicable: The resident is not capable of walking.
• Code 88 - Not attempted due to medical condition or safety concerns: Walking 150 feet is contraindicated.

4. Coding Tips

• Always ensure the path is clear and safe for the resident to walk the required distance.
• Assess the resident's use of any personal or facility-provided assistive devices during the walk.
• Observe and note any signs of fatigue, shortness of breath, or discomfort.

5. Documentation

• Clearly document the assessment outcome, including any assistive devices used and the level of assistance provided.
• Record observations about the resident's gait, speed, endurance, and any verbal cues provided.
• Note any reasons for not completing the task as outlined.

6. Common Errors to Avoid

• Mistaking the use of an assistive device as a need for physical assistance.
• Failing to document the resident's refusal or the reasons for not attempting the task due to medical concerns.
• Overlooking to reassess and document changes in the resident's capability when there is a noticeable decline or improvement.

7. Practical Application

• Utilize the findings from this assessment to tailor the resident's care plan, focusing on mobility goals and interventions.
• Share assessment outcomes with the interdisciplinary team to align on care strategies and possible referrals for physical therapy or rehabilitation services.

The Step-by-Step Coding Guide for item GG0170K1 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.