Understanding and Coding MDS 3.0 Item GG0170O3: 12 Steps (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170O3: 12 Steps (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170O3 assesses a resident’s ability to ascend and descend 12 steps at discharge. This item is used to evaluate the resident’s progress and to plan post-discharge care, ensuring that the resident can navigate stairs safely after leaving the facility.

What is MDS Item GG0170O3?

Explanation:
GG0170O3 captures the assistance a resident needs to go up and down 12 steps at discharge. This assessment is crucial for ensuring that the resident's stair-climbing ability is accurately reflected in their discharge plan.

Guidelines for Coding GG0170O3

Coding Instructions:
Use the standard 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 Y can ascend and descend stairs but requires assistance with balance. A physical therapist supports them using a gait belt for less than half of the effort. Code GG0170O3 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s typical performance in the last three days before discharge.

Communication:

Ensure consistent observations and coding across the care team for an accurate reflection of the resident’s stair-climbing ability.

Training:

Provide training on how to assess stair mobility and code the required assistance level during discharge.

Conclusion

Summary:
Proper coding of GG0170O3 ensures that discharge plans are aligned with the resident’s mobility capabilities, promoting safe transitions after discharge.

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-63​.

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.