As the October 1st transition approaches, MN nursing facilities must pivot from Section G to Section GG within the Minimum Data Set (MDS). This change isn’t just regulatory—it’s an opportunity to elevate documentation practices, team collaboration, and resident-centered care. Here’s how leaders can guide their teams through this shift with clarity and confidence.
Leadership Engagement: Building the Backbone of Change
Change begins with ownership. Appointing a transition lead and forming a multidisciplinary team—including DONs, therapy leads, IT professionals, and MDS coordinators—is essential to driving alignment and accountability.
Timeline: July–August
Key Actions:
> Assign a transition lead to oversee planning and implementation
> Form a facility-based team to address documentation, training, and EHR updates
Understanding the Differences: Section G vs. Section GG
Section GG shifts the focus toward standardized functional assessment. Documentation must reflect:
> Resident abilities across all three shifts
> Inputs from direct observation, self-reports, qualified clinicians, nursing staff, and family members
> A complete medical record by or before the ARD
> MDS coding aligned with clinical documentation
Gap Analysis: Turning Insight Into Action
A successful transition begins with knowing where your system stands. Conduct a gap analysis by comparing current Section G practices to GG requirements.
Steps:
> Assess documentation workflows and EHR compatibility
> Review MDS ARDs post–Oct 1st to plan for timely submission
> Identify training needs, system limitations, and areas for clarification
> Ensure MDS assessments submitted after Oct 1st are in XML format
Tip: Consider using late-loss ADLs for 24/7 charting and enabling GG items for function and mobility.
Staff Training: Knowledge Is Confidence
Empowering your team requires tailored, accessible education. Consider a mix of webinars, pocket tools, and scenario-based practice to build skill and confidence.
Training Topics:
> Functional scoring using the 6-point scale
> Observation periods focusing on “usual performance”
> Clarification workflows to ensure accurate documentation
> Competency testing for nurses and onboarding for new staff
EHR & Workflow Updates: Aligning Tools With Practice
Don’t forget:
> Standardize observation periods (e.g., first 3 days of stay)
> Use clarification summaries with rationale, sources, and contributors
> Revise policies to reflect the new GG expectations
Michelle Stober, RN, BSN
CEO
For more information contact
consult@srcaresolutions.net
