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Slide 2 Activities of Daily Living (ADL) Coding Bed Mobility & Transfer Self Performance Maureen Valvo, BSN, RN, RAC-CT Sr Quality Improvement Specialist Slide 3 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. Slide 4 Bed Mobility & Transfer Self Performance A residents 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. 3 Slide 5 Bed Mobility & Transfer Self Performance 4 Slide 6 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 5 Slide 7 Bed Mobility Self Performance 6 Slide 8 Transfer Self Performance 7 Slide 9 Sometimes May Need Partial Weight Bearing Assistance 8 Slide 10 Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 9 Slide 11 Bed Mobility & Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 10 Lifting Legs Transfer into or out of bed Or to position legs in bed-Bed Mobility Slide 12 Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 11 Lowering Pivoting Slide 13 Bed Mobility & Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 12 Slide 14 Bed Mobility Self Performance Sometimes May Need Partial Weight Bearing Assistance 13 Slide 15 Bed Mobility Self Performance Sometimes May Need Partial Weight Bearing Assistance Positioning Pillows 14 Slide 16 Bed Mobility & Transfer Self Performance 15 Slide 17 Bed Mobility & Transfer Self Performance 16 Slide 18 Bed Mobility & Transfer Self Performance 17 Slide 19 Bed Mobility & Transfer Self Performance 18 Slide 20 Bed Mobility & Transfer Self Performance 19 Slide 21 Bed Mobility & Transfer Self Performance 20 Slide 22 Bed Mobility & Transfer Self Performance 21 Slide 23 Bed Mobility & Transfer Self Performance 22 Slide 24 Bed Mobility & Transfer Self Performance 23 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 Slide 25 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