Activities of Daily Living (ADL) Coding Bed Mobility & Transfer Self Performance

1. Activities of Daily Living (ADL) CodingBed Mobility & TransferSelf Performance Maureen Valvo, BSN, RN, RAC-CT Sr Quality Improvement Specialist

2. IPRO provides a full spectrum of healthcare assessment and improvement services that foster the efficient use of resources and enhance healthcare quality to achieve better patient outcomes.

3. Bed Mobility & Transfer Self Performance • A resident’s ADL self-performance may vary from day to day, shift to shift, or within shifts. • Do NOT record the type of assistance that the resident “should” be receiving according to the written plan of care. The level of assistance actually provided might be very different from what is indicated in the plan. • RECORD WHAT ACTUALLY HAPPENED.

4. Bed Mobility & Transfer Self Performance

5. MDS Rule of 3 • The MDS coordinator will code the • MDS at the most dependent level • if it occurred • 3 times in the last 7 days

6. Bed Mobility Self Performance

7. Transfer Self Performance

8. Transfer Self Performance • Sometimes May Need Partial Weight Bearing Assistance

9. Transfer Self Performance • Sometimes May Need Partial Weight Bearing Assistance

10. Bed Mobility & Transfer Self Performance • Sometimes May Need Partial Weight Bearing Assistance Lifting Legs – Transfer into or out of bed Or to position legs in bed-Bed Mobility

11. Transfer Self Performance • Sometimes May Need Partial Weight Bearing Assistance Lowering Pivoting

12. Bed Mobility & Transfer Self Performance • Sometimes May Need Partial Weight Bearing Assistance

13. Bed Mobility Self Performance • Sometimes May Need Partial Weight Bearing Assistance

14. Bed Mobility Self Performance • Sometimes May Need Partial Weight Bearing Assistance • Positioning Pillows

15. Bed Mobility & Transfer Self Performance

16. Bed Mobility & Transfer Self Performance

17. Bed Mobility & Transfer Self Performance

18. Bed Mobility & Transfer Self Performance

19. Bed Mobility & Transfer Self Performance

20. Bed Mobility & Transfer Self Performance

21. Bed Mobility & Transfer Self Performance

22. Bed Mobility & Transfer Self Performance

23. Bed Mobility & Transfer Self Performance • Think while providing care: I am • Cueing= Supervision • Guiding= Limited Assistance • Partial Weight Bearing Assistance=Extensive • AND • Take Credit for the Care you Provide • DOCUMENT

24. For more information Maureen Valvo, BSN, RN, RAC-CT (516) 326-7767 ext. 308 (mvalvo@nyqio.sdps.org) CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY 11042-1002 REGIONAL OFFICE 20 Corporate Woods Boulevard Albany, NY 12211-2370 www.ipro.org IPRO Corporate Template 8/18/11