Understanding and Coding MDS Item GG0120A: Mobility Devices - Cane,Crutch

Understanding and Coding MDS Item GG0120A: Mobility Devices - Cane/Crutch

Introduction

Purpose:
MDS Item GG0120A, "Mobility Devices: Cane/Crutch," is part of the Mobility Devices Assessment in Section GG of the MDS 3.0 assessment. This item is used to document whether a resident uses a cane or crutch for mobility, providing valuable information on the resident’s physical needs and independence level. Proper coding of this item enables the care team to develop care plans that support safe mobility, reduce the risk of falls, and promote greater independence for the resident.

What is MDS Item GG0120A?

Explanation:
MDS Item GG0120A is included in Section GG (Functional Abilities and Goals) of the MDS 3.0, which assesses the resident’s ability to perform mobility-related tasks. This section documents the types of mobility devices the resident currently uses, with Item GG0120A specifically indicating the use of a cane or crutch.

• Definition: Item GG0120A is coded based on whether the resident uses a cane or crutch for support during mobility, either due to limited balance, strength, or other physical needs.
• Importance: Documenting the use of a cane or crutch helps caregivers understand the resident’s mobility needs and the level of assistance required. This information is essential for preventing falls, assessing functional ability, and creating a safe, supportive environment for the resident.

Guidelines for Coding MDS Item GG0120A

Coding Instructions:

1. Determine the Resident’s Current Use of a Cane or Crutch:
   Observe the resident’s mobility and consult with the care team to confirm if they use a cane or crutch as part of their daily routine. This includes use within the facility and during daily activities, whether indoors or outdoors.

2. Scoring GG0120A:

   • Code 0 (No) if the resident does not use a cane or crutch for mobility.
   • Code 1 (Yes) if the resident uses a cane or crutch to support their mobility needs.

3. Documentation Requirements:
   If coding “Yes,” document the resident’s reliance on a cane or crutch in the care plan. This ensures that all staff members are aware of and can provide assistance with mobility as needed.

4. Verify with the Resident or Family if Needed:
   If there is any uncertainty about the resident’s typical use of a cane or crutch, confirm their preference with the resident or discuss with family members for clarity.

Example Scenario:
Ms. Johnson uses a cane daily to assist with balance while walking around the facility and during outdoor activities. Based on this observation, code 1 (Yes) for GG0120A, indicating that Ms. Johnson relies on a cane for mobility.

Best Practices for Accurate Coding

Observe the Resident’s Mobility Needs Regularly:
Observe the resident’s mobility over time to determine if a cane or crutch is regularly used. Consistent use of mobility devices should be documented accurately to reflect the resident’s needs.

Consult the Full Care Team for Consistency:
Engage multiple caregivers who interact with the resident across different shifts to confirm consistent use of a cane or crutch. Consistent observations ensure accurate and clear documentation.

Provide Training on Recognizing Mobility Device Use:
Train staff to recognize the resident’s reliance on specific mobility devices and how they affect daily activities. Understanding mobility device use helps ensure accurate coding and safer mobility for the resident.

Conclusion

MDS Item GG0120A is essential for identifying a resident’s use of a cane or crutch as part of their mobility needs. By accurately documenting this item, caregivers can support safe and effective mobility plans, reduce fall risk, and encourage greater independence. Recognizing and accommodating the use of mobility devices as part of a resident’s daily routine is critical to providing safe, person-centered care in long-term care settings.

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Reference

For more detailed guidelines on coding MDS Item GG0120A, 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 3-44.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item GG0120A: "Mobility Devices - Cane/Crutch" 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.