Froggy Jumps
Quality Indicator Items for IRF Therapy StaffOnline version
Game to play during IRF Therapy Staff meetings to assist with more consistent scoring of QI items
1
Dustin has extremely weak upper extremities due to his diagnosis of Guillain-Barré syndrome. A nursing assistant fed Dustin his entire meal. What is Dustin’s QI code for item GG0130A, Eating?
2
Cheryl has bilateral upper-extremity paresis, so her occupational therapist brushed her teeth for her. What is Cheryl’s QI code for item GG0130B, Oral hygiene?
3
Evelyn used a bedpan to void and to have a bowel movement. She adjusted her hospital gown before and after using the bedpan and a helper performed perineal hygiene afterward. What is Evelyn's QI code for item GG0130C, Toileting hygiene?
4
Sue sat down on a shower chair, adjusted water temperature, and then washed and rinsed her face and body. She needed a helper’s assistance to wash and rinse her back. Sue dried herself without help. What is Sue’s QI code for bathing?
5
Tina had a SCI and wears a TLSO when out of bed. She has poor balance and needs a nurse to help steady her while the OT puts on her TLSO for her. What is Tina's QI code for item GG0130F, Upper body dressing?
6
Tim is recovering from a TBI. He refused to walk to the closet and retrieve his clothing. After a nurse brought Tim his clothes, Tim put on his pants without any physical assistance from the nurse. What is Tim’s QI code for lower body dressing?
7
At the end of the day, Laura slipped her left shoe off by herself, but a helper had to take off Laura's right shoe and both socks. What is Laura's QI code for item GG0130H, Putting on/taking off footwear?
8
Avis needed more than touching assistance from her nurse to bend her right knee as she used a bedrail to roll onto her left side, roll onto her right side, and return to her back. What is Avis’s QI code for item GG0170A, Roll left and right?
9
Colin went from lying down in bed to sitting up at the side of the bed. A nurse cued Colin to move slowly to prevent orthostatic hypotension. What is Colin’s QI code for item GG0170C, Lying to sitting on side of bed?
10
Monica required one helper to lift her upper body and another helper to lift her legs as she went from sitting on the side of the bed to lying flat in bed. What is Monica's QI code for item GG0170B, Sit to lying?
11
Emily’s PT did not attempt any sit-to-stands with Emily during her evaluation. Emily has been a B/L above-the-knee amputee for several years and did not wear lower-limb prosthetic devices. What is Emily’s QI code for item GG0170D, Sit to stand?
12
Frank was agitated and refused to transfer out of bed and into a wheelchair or chair despite being offered several opportunities. What is Frank's QI code for item GG0170E, Chair/bed-to-chair transfer?
13
Jamie stood from his wheelchair and used a walker to position himself in front of the toilet. An occupational therapist provided steadying assistance as he sat down on the toilet. What is Jamie’s QI code for item GG0170F, Toilet transfer?
14
Due to stormy weather, Andrea's physical therapist could not assess a car transfer during her admission assessment. What is Andrea's QI code for item GG0170G, Car transfer?
15
Michaela used a quad cane to walk ten feet while a physical therapist provided trunk support and advanced Michaela’s left leg with each step. What is Michaela’s QI code for item GG0170I, Walk 10 feet?
16
Joan propelled her wheelchair thirty feet and completed two turns, but a helper had to push the wheelchair an additional twenty feet in order to complete the task. What is Joan's QI code for item GG0170R, Wheel 50 feet with two turns?
17
Using her cane from home, Anna walked outside with a PT and went up and down a curb using her cane without any additional assistance. What is Anna's QI code for item GG0170M, 1 step (curb)?
18
A helper followed closely behind Paul as he went up and down twelve stairs, with a second helper at the top of the stairs providing verbal cues and close supervision. What is Paul's QI code for item GG0170O, 12 steps?
19
Sally is recovering from a COPD exacerbation. She wheeled herself a hundred feet, became short of breath, and required a helper to wheel her the remaining fifty feet. What is Sally's QI code for item GG0170S, Wheel 150 feet?
20
Pamela used a walker and needed two helpers to walk up and down a five-foot ramp. What is Pamela's QI code for item GG0170L, Walking 10 feet on uneven surfaces?
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