Understanding and Coding MDS 3.0 Item GG0170B3: Sit to Lying (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170B3: Sit to Lying (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170B3 evaluates the resident’s ability to move from a sitting to a lying position at discharge. This helps identify changes in mobility since admission and informs discharge planning.

What is MDS Item GG0170B3?

Explanation:
GG0170B3 assesses the amount of help a resident needs to transition from sitting to lying in bed at the time of discharge. It is important for determining the necessary level of post-discharge support.

Guidelines for Coding GG0170B3

Coding Instructions:
Use the six-point scale:

• 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:
Resident I needs help lifting their legs but can lower their upper body independently. Code GG0170B3 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Ensure documentation reflects the resident’s usual performance during the last three days before discharge.

Communication:

Coordinate with the care team to ensure an accurate representation of the resident’s mobility performance.

Training:

Provide training to ensure that staff assess and document sitting-to-lying performance consistently.

Conclusion

Summary:
Accurate coding of GG0170B3 helps ensure that the resident’s discharge plan accounts for any changes in mobility, facilitating a smooth transition to the next care setting.

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

Reference

Refer to 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 check for updates.