understanding and coding MDS Item GG0130A5, Eating (OBRA/Interim Performance)

MDS Item GG0130A5 – Eating (OBRA/Interim Performance)

Introduction:

Purpose: MDS Item GG0130A5 documents a resident’s eating performance during OBRA or Interim Payment Assessments (IPA). Accurate coding of this item is vital for understanding a resident’s functional performance during their stay and adjusting care plans accordingly.

What is MDS Item GG0130A5?

Explanation: This item captures the resident's eating ability during the OBRA or interim assessment period, assessing how much assistance they require for eating and whether their condition has changed during their stay.

Guidelines for Coding GG0130A5:

Coding Instructions:

1. Medical Record Review: Review the resident’s care records during the 3-day assessment period.
2. Consultation: Discuss with staff any assistance provided for eating.
3. Observation: Observe the resident’s eating habits and the level of help needed.

Example Scenario:

• A resident feeds themselves independently with the use of adaptive utensils but needs supervision to avoid choking. GG0130A5 would be coded as 04, Supervision.

Best Practices for Accurate Coding:

• Documentation: Ensure that the performance of the resident is recorded consistently during OBRA or interim assessments.
• Communication: Coordinate with caregivers to ensure observations are accurate.
• Training: Conduct training to reinforce proper documentation and coding for OBRA and interim assessments.

Conclusion:

Accurate coding of GG0130A5 helps healthcare providers understand the resident's evolving needs during their stay, allowing for better care planning and adjustments.

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

Reference:

Please refer to CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Page GG-20​.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item GG0130A5 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.