Understanding and Coding MDS 3.0 Item GG0170E5: Chair/Bed-to-Chair Transfer (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170E5 evaluates the resident’s ability to transfer from a bed to a chair or wheelchair during OBRA or Interim assessments. This item tracks changes in functional mobility and ensures care plans remain updated to reflect the resident’s needs.

What is MDS Item GG0170E5?

Explanation:
GG0170E5 assesses how much assistance a resident requires to transfer from a bed to a chair or wheelchair during OBRA or Interim assessments. This is crucial for capturing any changes in the resident’s mobility since their last assessment.

Guidelines for Coding GG0170E5

Coding Instructions:
Use the six-point scale to assess and code:

• 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 A needs the setup of a slide board for transfers but completes the task independently. Code GG0170E5 as 05 (Setup or clean-up assistance).

Best Practices for Accurate Coding

Documentation:

Ensure the resident’s typical performance over the last three days is captured accurately.

Communication:

Coordinate with interdisciplinary teams to maintain accurate and consistent transfer documentation.

Training:

Ensure staff are properly trained to observe and document transfers, following the six-point scale.

Conclusion

Summary:
Accurate coding of GG0170E5 helps to update care plans and ensure residents receive appropriate mobility support during OBRA or Interim 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-53​.

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.