Are You Prepared for Section GG? Tips for Success

By Kindred Rehabilitation Services tags: Medicare, IMPACT ACT, Section GG

The IMPACT Act requires that SNFs ensure completion of the MDS in order to accurately report on three new Quality Measures for Part A patients. They are:

• Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674)
• Percent of Patients or Residents with Pressure Ulcers that are New or Worsened (NQF #0678)
• Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function (NQF #2631) 

Several changes have been included in the RAI manual and will begin with the new PPS Fiscal Year beginning October 1, 2016. The manual is currently in draft form but can be accessed here.

CMS has also posted four training videos via YouTube that are free. To access these videos, click here.

One of the new Quality Measures, Application of Percent of Long-Term Care Hospital Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function, will be completed through the reporting of the new Section GG/Functional Mobility and Goals.

The items in Section GG assess the need for assistance with self-care and mobility activities. This information will be required for all Medicare Part A patients who have had a planned discharge. The items include coding for:

1) Admission performance
2) Discharge goals
3) Discharge performance

While this new section can be a bit overwhelming, a third party partner can help you implement these changes smoothly. RehabCare Senior Director of Quality, Liz Barlow, advises administrators to keep some of these key areas in mind as you prepare to roll this out to your teams:

1) Stay updated with the latest CMS updates. This will include RAI updates and final rulings on policy. The website for the RAI updates is: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html
2) Create an education plan for your facility. Make sure there is accountability for completion.
3) Define the new terminology in Section GG:

  • Understand the definition of each of the mobility and ADL areas
  • Review the new coding guidelines for Assist Levels
  • Discuss USUAL performance. This is not the best performance, and it is not the worst performance.
  • Create cheat sheets, handouts and ways to help staff learn the new section.

4) Discuss Part A patients daily to review coding for these new sections. All team members can have a part in discussing the patient’s abilities. If the patient is being seen by therapy, be sure to have a representative at these meetings.
5) Best practice should be to complete Section GG shortly after the three days ends so that information is accurate and not skewed by abilities after that time frame.
6) Prior to October 1, plan trial runs on caseload to determine the best process in your facility. This will allow for any troubleshooting on process delivery before the information is mandated.

Preparation is the key to success. If you have questions or would like to discuss how RehabCare can help your business prepare for reporting changes, email Liz Barlow at elizabeth.barlow@kindred.com.