Posted on 08.25.16 by Cindy Hudson, B.S./OTR-L, CHC
Section GG is a new section of the MDS that becomes required for skilled nursing facility PPS patients on October 1, 2016. It requires data related to patient mobility and ADL skills upon admission and discharge. At least one functional goal will also be required by this new section.
Where this came from: In an effort to connect Post-Acute Care across the care continuum, the IMPACT Act of 2014 challenged CMS to standardize patient assessment and quality measures data. CMS responded by utilizing the Continuity Assessment Record and Evaluation (CARE) Item Set, which measures functional items including mobility and self-care. Section GG includes some of the CARE Item Set assessments. The intent is to measure functional outcomes across post acute care settings.
What this means at Arbor Rehab: Section GG will include a new scoring system and a new rule for how the score should be determined. Scoring will be based on the patients “usual performance” assessed over a 3 day period. Supportive documentation of the patient’s usual performance is required in the medical chart. In order to best determine the patient's “usual” performance of a task, Arbor Rehabilitation is providing multiple resources for both our therapists and our customers. Our therapists will participate in small group interactive webinars and have a scoring sheet to share with nursing regarding patient performance. Meanwhile we will also be connecting with our customers to share goal writing tips and provide additional information to enable each facility to capture strong outcomes information.
Partnering with our customers for accurate and efficient Section GG completion is just another way Arbor Rehabilitation and Healthcare Services Inc. demonstrates a shared commitment to success!