Understanding and Coding MDS 3.0 Item GG0170C3: Lying to Sitting on Bedside (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170C3: Lying to Sitting on Bedside (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170C3 assesses the resident’s ability to move from lying down to sitting on the bed at discharge. This measure tracks changes in mobility from admission to discharge and informs post-discharge care planning.

What is MDS Item GG0170C3?

Explanation:
GG0170C3 captures how much assistance a resident requires to transition from lying to sitting at discharge. This ensures that discharge plans reflect the resident’s current mobility needs.

Guidelines for Coding GG0170C3

Coding Instructions:
Code the item based on the six-point scale:

• 06 (Independent): The resident transitions independently.
• 05 (Setup or clean-up assistance): The resident performs the task after setup or clean-up assistance.
• 04 (Supervision or touching assistance): The resident requires supervision or light contact.
• 03 (Partial/moderate assistance): The resident completes more than half of the task but needs help with the rest.
• 02 (Substantial/maximal assistance): The resident completes less than half of the task.
• 01 (Dependent): The helper performs the entire task.

Example Scenario:
Resident L can push themselves up but needs help with leg movement. Code GG0170C3 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s usual performance during the last three days before discharge to provide an accurate assessment of their mobility at that time.

Communication:

Coordinate with the care team to ensure the resident’s mobility is captured consistently across different observers.

Training:

Ensure staff are trained to assess mobility transitions from lying to sitting objectively and accurately.

Conclusion

Summary:
Accurate coding of MDS Item GG0170C3 helps ensure post-discharge care is tailored to the resident’s current mobility abilities, 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-49.

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.