Understanding and Coding MDS 3.0 Item GG0130H1: Putting on/Taking off Footwear (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0130H1: Putting on/Taking off Footwear (Admission Performance)

Introduction

Purpose:
MDS Item GG0130H1 assesses a resident’s ability to put on and take off footwear at the time of admission. This assessment helps determine the level of assistance needed for daily dressing activities.

What is MDS Item GG0130H1?

Explanation:
GG0130H1 measures how much assistance the resident needs to don and doff socks, shoes, or any lower extremity prostheses. It is an essential part of the admission evaluation for self-care.

Guidelines for Coding GG0130H1

Coding Instructions:
Use the standard six-point scale for coding based on the level of assistance required:

• 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 B can put on their shoes but needs help tying them. GG0130H1 would be coded as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s performance within the first three days of admission, noting any prosthetic devices used.

Communication:

Ensure all relevant team members share their observations on the resident’s footwear performance.

Training:

Provide training on how to observe and assess putting on and taking off footwear without impacting the resident’s performance.

Conclusion

Summary:
Coding GG0130H1 correctly ensures that the care team has an accurate understanding of the resident's abilities and can plan for appropriate support during their stay.

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

Reference

See CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-35.

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.