Understanding and Coding MDS 3.0 Item GG0170B5: Sit to Lying (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0170B5: Sit to Lying (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170B5 assesses a resident's ability to move from a sitting position to lying down during OBRA or Interim assessments. This item tracks changes in the resident’s mobility and informs care plan adjustments.

What is MDS Item GG0170B5?

Explanation:
GG0170B5 measures the level of assistance a resident requires to transition from sitting to lying in bed. This assessment ensures that any functional mobility changes during OBRA or interim assessments are captured accurately.

Guidelines for Coding GG0170B5

Coding Instructions:
Use the six-point scale:

• 06 (Independent): The resident can transition without assistance.
• 05 (Setup or clean-up assistance): The resident can perform the task but needs setup or cleanup help.
• 04 (Supervision or touching assistance): The resident needs supervision or light physical contact.
• 03 (Partial/moderate assistance): The resident completes more than half of the task independently but requires some help.
• 02 (Substantial/maximal assistance): The resident performs less than half of the task and needs significant help.
• 01 (Dependent): The resident is completely dependent on the helper to transition from sitting to lying.

Example Scenario:
Resident J requires assistance to lower their legs but can use their arms to lie down. Code GG0170B5 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s usual performance during the last three days of the OBRA or Interim assessment period.

Communication:

Ensure the interdisciplinary team shares observations regarding the resident’s mobility performance to maintain consistency in assessments.

Training:

Provide staff with training on how to assess mobility tasks objectively without influencing the resident’s movements.

Conclusion

Summary:
Accurately coding GG0170B5 ensures the resident’s care plan reflects their current functional mobility, facilitating proper care adjustments during OBRA assessments.

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 refer to the latest version for updates.