Functional Abilities and Goals (Section GG): Discharge/End of SNF PPS Part A Stay
| Color | White |
|---|---|
| MPN | 1896P-18 |
| Brand | Briggs Health Care |
| Packaging | 100/pack |
| Size | 11In x 17In folding to 8-1/2In x 11In |
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details.
This worksheet is designed to record observation of the resident s specific functional status for self-care and mobility during the last 3 days of a skilled Part A Medicare stay. The observational data is then encoded on Section GG of the MDS 3.0.
Steps for assessment and codes are clearly identified on the front of the worksheet
Updated to include codes for Activity Not Attempted
Updated with additional Self-Care and Mobility Items
Definitions of Self-Care and Mobility feature graphical illustrations for ease of clinical identification
Updated now features the Section GG Algorithm chart
Size: 11 x 17 folding to 8-1/2 x 11 finished size
Format: 4-page booklet
Hole Punching: 5-hole top and side
Ink Color: Black
Paper: White
Packaging: 100/pack
Size: 11 x 17 folding to 8-1/2 x 11 finished size
Format: 4-page booklet
Hole Punching: 5-hole top and side
Ink Color: Black
Paper: White
Packaging: 100/pack
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