Understanding and Coding MDS 3.0 Item GG0130I3: Personal Hygiene (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0130I3: Personal Hygiene (Discharge Performance)

Introduction

Purpose:
MDS Item GG0130I3 evaluates the resident’s ability to perform personal hygiene tasks at discharge. This item helps track any improvements or declines in hygiene independence from admission to discharge, informing post-discharge care planning.

What is MDS Item GG0130I3?

Explanation:
GG0130I3 assesses the resident’s performance in tasks such as washing the face and hands, combing hair, shaving, or applying makeup, ensuring their hygiene needs are met as they transition to the next care setting.

Guidelines for Coding GG0130I3

Coding Instructions:
Code GG0130I3 based on the six-point scale, just as for admission:

• 06 (Independent)
• 05 (Setup or clean-up assistance)
• 04 (Supervision or touching assistance)
• 03 (Partial/moderate assistance)
• 02 (Substantial/maximal assistance)
• 01 (Dependent)

Example Scenario:
At discharge, Resident B is able to comb their hair and wash their hands but still needs help shaving. Code GG0130I3 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Ensure the discharge documentation reflects the resident's usual performance, based on observations made during the last three days before discharge.

Communication:

Communicate with the entire care team to ensure the resident’s hygiene abilities are accurately captured in their discharge plan.

Training:

Provide training to staff on assessing and documenting the resident’s hygiene abilities, especially as they prepare for discharge.

Conclusion

Summary:
Accurate coding of MDS Item GG0130I3 ensures a seamless transition to post-discharge care by providing a clear understanding of the resident's personal hygiene abilities at the time of discharge.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

For coding details, refer to the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-34.

Disclaimer

This guide is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Consult the latest version of the manual for any updates.