Understanding and Coding MDS 3.0 Item O0500D: "Bed Mobility Training: Number of Days"

Introduction

Purpose:
Bed mobility training is a vital aspect of care for residents in long-term care settings, especially for those with limited mobility or conditions that affect their ability to move safely in bed. MDS Item O0500D, "Bed Mobility Training: Number of Days," is used to document the number of days that bed mobility training was provided to the resident during the assessment period. Accurate documentation of this training ensures that residents receive the support needed to improve or maintain their ability to reposition themselves in bed, reducing the risk of pressure ulcers, falls, and other complications. This article provides detailed guidance on how to correctly code this item based on the latest MDS guidelines.

What is MDS Item O0500D?

Explanation:
MDS Item O0500D, "Bed Mobility Training: Number of Days," is part of Section O, which focuses on special treatments, procedures, and programs provided to the resident. This item specifically captures the number of days the resident received training aimed at improving or maintaining their ability to move and reposition themselves in bed during the assessment period. Bed mobility training involves teaching residents how to safely change positions in bed, such as turning from side to side, sitting up, or repositioning their legs. This training may involve physical therapy, the use of assistive devices, and instruction on techniques to enhance independence and safety.

Documenting the number of days bed mobility training was provided is crucial for tracking the resident’s progress and ensuring that appropriate interventions are in place to support their mobility and prevent complications such as pressure ulcers and contractures.

Guidelines for Coding O0500D

Coding Instructions:
To correctly code Item O0500D, follow these steps:

1. Identify Bed Mobility Training: Determine if the resident received any form of bed mobility training during the assessment period. This includes physical therapy sessions focused on improving bed mobility, training in the use of assistive devices like trapeze bars, and exercises aimed at strengthening the muscles needed for safe bed mobility.
2. Count the Number of Days: Record the total number of days that bed mobility training was provided to the resident during the 7-day look-back period. Each day a session is provided counts as one day, regardless of the duration of the session.
3. Select the Appropriate Response:
   • Enter the number of days (0 to 7) that bed mobility training was provided during the assessment period.
   • If no training was provided, enter 0.
4. Enter the Response in Item O0500D: Record the calculated number of days in Item O0500D. Ensure that the resident’s care plan includes details of the training provided and how it supports the resident’s ability to maintain bed mobility.

Example Scenario:
A resident with advanced multiple sclerosis has difficulty moving independently in bed, increasing the risk of pressure ulcers. During the 7-day look-back period, the resident participated in bed mobility training on five separate days, which included sessions with a physical therapist and instruction on using a bed ladder. The MDS Coordinator documents this by entering 5 in Item O0500D. This ensures that the resident’s care plan reflects the frequency of the training and allows for ongoing assessment of its effectiveness.

Best Practices for Accurate Coding

Documentation:
Maintain accurate records of all bed mobility training sessions, including the dates, type of training provided, and the resident’s response. This documentation should support the coding of Item O0500D and provide a clear record for tracking the resident’s progress and adjusting care plans as needed.

Interdisciplinary Communication:
Ensure effective communication among the care team regarding the resident’s bed mobility abilities and the interventions provided. Regular updates should be shared during team meetings to ensure consistency in the resident’s care and to identify any necessary adjustments to the bed mobility training plan.

Ongoing Assessment:
Regularly assess the resident’s bed mobility to determine the effectiveness of the training and make necessary adjustments to the care plan. Document any changes in the resident’s condition that may impact their ability to move safely and independently in bed.

Conclusion

Summary:
MDS Item O0500D is essential for documenting the number of days bed mobility training was provided to residents in long-term care settings. By accurately coding this item and ensuring clear documentation, healthcare professionals can monitor the effectiveness of interventions and ensure that residents receive the support they need to maintain or improve their bed mobility. Following the guidelines and best practices outlined in this article will help ensure that bed mobility training is properly managed and documented.

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

Reference

CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Refer to [Chapter 3, Page 3-151] for detailed guidelines on documenting bed mobility training and other special treatments.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item O0500D: "Bed Mobility Training: Number of Days" 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.