Understanding and Coding MDS 3.0 Item GG0130F5: Upper Body Dressing (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0130F5: Upper Body Dressing (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0130F5 evaluates the resident’s upper body dressing performance during OBRA or interim assessments. These assessments track how much assistance the resident requires during their stay, helping adjust their care plan.

What is MDS Item GG0130F5?

Explanation:
GG0130F5 focuses on the resident’s ability to put on and take off upper body clothing, helping assess any improvements or regressions in functional independence. This item is assessed at specific points such as quarterly assessments or interim periods.

Guidelines for Coding GG0130F5

Coding Instructions:
Use the six-point scale to assess the resident's ability:

• 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 Z, during a quarterly assessment, is able to dress independently but needs help setting up the clothing. Code GG0130F5 as 05 (Setup or clean-up assistance).

Best Practices for Accurate Coding

Documentation:

Observe the resident over the designated assessment period, ensuring all functional tasks are recorded and any changes from previous assessments are noted.

Communication:

Ensure collaboration with the interdisciplinary team to ensure accurate assessment of dressing performance and any necessary changes in care.

Training:

Regular refresher training should be given to staff on proper coding techniques to ensure consistency across assessments.

Conclusion

Summary:
Correctly coding GG0130F5 ensures that the care plan reflects the resident’s current needs, helping to track their progress throughout their stay and make necessary adjustments.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

Consult CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-32 for specific coding guidelines.

Disclaimer

This guide is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.