The Activities of Daily Living (ADLs) in section G of the MDS are interwoven throughout the Care Area Assessments (CAAs), Quality Measures, and reimbursement—and have been for years. Yet CMS took nurse assessment coordinators (NACs) by surprise when the draft MDS item sets released in early January 2020 revealed that section G will be removed from all OBRA and PPS assessments as of October 1, 2020. In fact, section G will only appear on the Optional State Assessment (OSA) item set.
Today, facilities must confront Section G’s future removal, an upcoming development that raises more questions than answers. Many NACs are asking how this huge change will impact the accuracy of the functional data collected, which in turn affects CAAs, care plans, Quality Measures (QMs), and possibly even Medicaid reimbursement. While we do not know how the details of how this transition will play out, we can identify how this change will impact different items and programs. We can also begin to explore how facilities can prepare for this change.
How can section GG replace section G?