Understanding and Coding MDS Item GG0170SS1: Type of Wheelchair/Scooter Used (Admission Performance)

Understanding and Coding MDS Item GG0170SS1: Type of Wheelchair/Scooter Used (Admission Performance)

Introduction

Purpose:
MDS Item GG0170SS1, "Type of Wheelchair/Scooter Used (Admission Performance)," is part of the Functional Abilities and Goals section within Section GG of the MDS 3.0 assessment. This item captures information about the specific type of wheelchair or scooter a resident uses upon admission. Accurate documentation of the type of wheelchair or scooter helps the care team provide the right mobility support, ensure safety, and develop a personalized care plan that meets the resident’s unique mobility needs.

What is MDS Item GG0170SS1?

Explanation:
MDS Item GG0170SS1 is located in Section GG (Functional Abilities and Goals) in the MDS 3.0 and documents the type of wheelchair or scooter the resident typically uses. This item specifically assesses the admission performance or the device in use at the time of the resident’s admission. Understanding the type of mobility device helps the care team tailor interventions that enhance the resident’s independence and mobility within the facility.

• Definition: This item records the specific type of wheelchair or scooter (manual or motorized) the resident uses to navigate their environment at the time of admission.
• Importance: Documenting the type of wheelchair or scooter in use is critical for providing proper care and support for residents with mobility limitations. It helps caregivers understand the level of physical or motorized assistance a resident needs and supports proper positioning, safety, and comfort in the mobility device.

Guidelines for Coding MDS Item GG0170SS1

Coding Instructions:

1. Determine the Type of Wheelchair or Scooter Used by the Resident:
   Assess the type of wheelchair or scooter that the resident uses consistently as their primary mobility device at the time of admission. This includes whether the device is a manual wheelchair requiring physical effort or a motorized scooter or power wheelchair operated by the resident.

2. Types of Devices to Code in GG0170SS1:

   • Manual Wheelchair – A wheelchair operated manually by the resident or with assistance from staff.
   • Motorized Scooter – A powered mobility scooter operated by the resident, often used for those with limited upper body strength.
   • Power Wheelchair – A fully motorized wheelchair with controls accessible to the resident, providing powered mobility without physical exertion.

3. Recording the Device Type in GG0170SS1:

   • Accurately record the type of wheelchair or scooter used by the resident based on direct observation and confirmation with the resident or family members as needed.
   • In situations where the resident may use multiple devices, document the device most frequently used for primary mobility.

4. Verify with the Resident or Family if Needed:
   If the type of wheelchair or scooter in use is not immediately clear, confirm with the resident or their family to ensure accurate documentation. This can help clarify the resident’s typical preferences and needs.

Example Scenario:
Mr. Lee has a motorized scooter that he uses to move around the facility due to limited upper body strength and independence in operating manual devices. Based on this information, code Motorized Scooter in GG0170SS1, indicating his primary mobility device upon admission.

Best Practices for Accurate Coding

Observe Consistent Device Use at Admission:
Ensure that the mobility device type recorded in GG0170SS1 reflects the device the resident is using consistently at the time of admission. If the resident switches to a different device during their stay, this should be documented separately in their care plan, but GG0170SS1 reflects only the admission device.

Engage with the Care Team to Confirm Mobility Device Needs:
Coordinate with caregivers, physical therapists, and family members to confirm the type of wheelchair or scooter that best meets the resident’s needs. Consistent information from multiple sources ensures the accuracy of documentation.

Include Mobility Device Details in the Care Plan:
Document specific considerations related to the mobility device in the resident’s care plan, such as positioning, power requirements, and maintenance needs, to support their comfort and safety.

Conclusion

MDS Item GG0170SS1 is crucial for documenting the type of wheelchair or scooter a resident uses at the time of admission. By accurately recording this item, caregivers can ensure that the right mobility support is provided, enhancing resident safety, comfort, and independence. Recognizing and accommodating the type of mobility device is key to delivering person-centered care in long-term care facilities.

click here for a detailed step-by-step link for this item set

Reference

For more detailed guidelines on coding MDS Item GG0170SS1, refer to the CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Section GG, Page 3-47.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item GG0170SS1: "Type of Wheelchair/Scooter Used (Admission Performance)" was originally based on the CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.