Understanding and Coding MDS 3.0 Item GG0130H5: Putting on/Taking off Footwear (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0130H5: Putting on/Taking off Footwear (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0130H5 evaluates a resident’s ability to put on and take off footwear during OBRA or Interim assessments. This measure tracks changes in functional ability and helps ensure the resident’s care plan reflects their current capabilities.

What is MDS Item GG0130H5?

Explanation:
This item captures the level of assistance a resident needs to don or doff socks, shoes, or orthotic devices. OBRA and Interim Performance assessments ensure that residents’ changing needs are recognized and addressed in real-time.

Guidelines for Coding GG0130H5

Coding Instructions:
Use the 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 F can put on socks but needs help tying their shoes. Code GG0130H5 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s performance during the last three days of the assessment period, ensuring consistency across all care providers.

Communication:

Interdisciplinary team discussions should ensure all parties are aware of any functional changes in the resident’s abilities.

Training:

Ensure staff understand the coding scale and the importance of consistent performance assessments.

Conclusion

Summary:
Correctly coding GG0130H5 provides accurate insights into residents’ functional changes, ensuring their care plan is updated as needed.

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-33 for detailed guidance.

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.