Understanding and Coding MDS 3.0 Item GG0170B1: Sit to Lying (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0170B1: Sit to Lying (Admission Performance)

Introduction

Purpose:
MDS Item GG0170B1 evaluates a resident’s ability to move from a sitting position to lying flat in bed at admission. This measure is vital for developing a care plan that addresses their mobility limitations and needs.

What is MDS Item GG0170B1?

Explanation:
GG0170B1 assesses the amount of assistance a resident needs to transition from sitting to lying. Understanding the resident’s initial ability to perform this task helps plan for necessary mobility support.

Guidelines for Coding GG0170B1

Coding Instructions:
Use the six-point scale:

• 06 (Independent): The resident can lie down without help.
• 05 (Setup or clean-up assistance): The resident can lie down, but someone sets up or cleans up.
• 04 (Supervision or touching assistance): The resident needs supervision or light physical help.
• 03 (Partial/moderate assistance): The resident completes more than half the task but needs help for the rest.
• 02 (Substantial/maximal assistance): The resident can complete less than half the task.
• 01 (Dependent): The resident is fully dependent on the helper to lie down.

Example Scenario:
Resident H requires help positioning their legs but can use their arms to lower their upper body. Code GG0170B1 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s usual performance within the first three days of admission to capture their baseline mobility.

Communication:

Ensure interdisciplinary communication to include all team members' input on the resident's mobility performance.

Training:

Provide training on how to observe and document sitting-to-lying transitions without influencing the resident's actions.

Conclusion

Summary:
Correctly coding GG0170B1 ensures the care team can address the resident’s mobility needs effectively from the beginning of their stay.

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

Reference

Consult CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-48.

Disclaimer

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