{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Summary","S024 Self-Care Worksheet","S025 Mobility Worksheet","Covariate Tables"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Summary","index":0,"n_rows":29,"n_cols":2,"rows_kept":29,"cut":false,"hidden":false,"merged":[]}
[]
[]
[]
[]
[]
[null,"About this tool:"]
[null,"This spreadsheet is provided as a tool to explore the impact of the covariate values CMS uses to calculate the Expected Discharge Score for the S024 – Discharge Self-Care Score and S025 – Discharge Mobility Score Quality Measures included in the Quality Reporting Program (QRP)."]
[null,"All values entered in the S024 and S025 Worksheets in this file should be derived from a resident’s 5-Day assessment and will be used to determine the Expected Discharge Score for the corresponding stay. This Expected Discharge Score will be compared to the actual discharge scores recorded on the PPS Discharge assessment for the stay."]
[]
[null,"Helpful links:"]
[null,">> CMS SNF QRP Measures and Technical Information"]
[]
[null,">> S024 - Discharge Self-Care Score Specifications"]
[null,">> S024 - Self-Care HCC ICD-10 Crosswalk"]
[]
[null,">> S025 - Discharge Mobility Score Specifications"]
[null,">> S025 - Mobility HCC ICD-10 Crosswalk"]
[]
[null,">> Risk Adjustment Covariate Table"]
[null,">> Risk Adjustment Covariate Value Specifications"]
[]
[null,"Need help with Value-Based Purchasing (VBP)?"]
[null,"SimpleLTC analytics provide real-time, predictive insights into clinical data to help you master PDPM reimbursement, forecast Five-Star ratings, improve quality measures, and optimize Value-Based Purchasing. To schedule your free online demo, visit:"]
[null,"www.simpleltc.com/demo"]
[]
[]
[null,"SPREADSHEET LAST UPDATED: Nov. 12, 2021."]
[]
[null,"DISCLAIMER: The information on this spreadsheet is intended as a tool to facilitate the research of Quality Measures and Discharge Scores. No liability is assumed for the accuracy of the data described herein, either expressed or implied by SimpleLTC/Netsmart or its employees."]

{"sheet":"S024 Self-Care Worksheet","index":1,"n_rows":50,"n_cols":6,"rows_kept":50,"cut":false,"hidden":false,"merged":[[48,1,48,3],[49,1,49,3],[43,2,43,4],[45,1,45,3],[45,5,45,6],[47,1,47,6],[27,2,27,4],[28,2,28,3],[18,2,18,4],[19,2,19,3],[1,1,5,6],[7,1,7,3],[7,5,7,6],[8,2,8,3]]}
[]
[null,"How to Use this Tool\n\nFill in the yellow cells in column E with the appropriate responses to see the impact on the CMS Expected Discharge score."]
[]
[]
[]
[]
[null,null,null,null,"Enter Score Below ▼"]
[null,"Self-Care Admission Score¹",null,null,null,"Derived from\nGG0130A1-H1"]
[null,null,"Admission Status",null," Enter Responses Below ▼"]
[null,null,"A1600","Date of Birth",null,{"$f":"IF(E10=\"\",0,SUM('Covariate Tables'!E5:E10))","v":0}]
[null,null,"B0700-B0800","Communication Impairment",null,{"$f":"SUM('Covariate Tables'!E11:E12)","v":0}]
[null,null,"C0500","BIMS Score",null,{"$f":"SUM('Covariate Tables'!E13:E14)","v":0}]
[null,null,"H0300","Urinary Continence",null,{"$f":"'Covariate Tables'!E15","v":0}]
[null,null,"H0400","Bowel Continence",null,{"$f":"'Covariate Tables'!E16","v":0}]
[null,null,"I0020","Primary Medical Condition",null,{"$f":"IFERROR(SUM('Covariate Tables'!E2:E40)-E8,SUM('Covariate Tables'!E2:E40))","v":-1.4539}]
[null,null,"K0510A2-B2","Parenteral/IV Feeding or Tube Feeding while a resident",null,{"$f":"'Covariate Tables'!E41","v":0}]
[null,null,"M0300B1","Stage 2 pressure ulcer",null,{"$f":"'Covariate Tables'!E42","v":0}]
[null,null,"M0300C1-M0300G1","Stage 3, 4, Unstageable pressure ulcer",null,{"$f":"'Covariate Tables'!E43","v":0}]
[null,null,null,null,null,{"$f":"SUM(F10:F18)","v":-1.4539}]
[null,null,"Prior Conditions",null,"Enter Responses Below ▼"]
[null,null,"J2000","Prior Surgery",null,{"$f":"SUM('Covariate Tables'!E45)","v":0}]
[null,null,"GG0100A","Prior Functioning: Self-care",null,{"$f":"SUM('Covariate Tables'!E46:E47)","v":0}]
[null,null,"GG0100B","Prior Functioning: Indoor mobility (ambulation)",null,{"$f":"SUM('Covariate Tables'!E48:E49)","v":0}]
[null,null,"GG0110A-B","Prior Device Use: Manual Wheelchair or Motorized Wheelchair",null,{"$f":"'Covariate Tables'!E53","v":0}]
[null,null,"GG0110C","Prior Device Use: Mechanical Lift",null,{"$f":"'Covariate Tables'!E54","v":0}]
[null,null,"GG0110D","Prior Device Use: Walker",null,{"$f":"'Covariate Tables'!E55","v":0}]
[null,null,"GG0110E","Prior Device Use: Othotics/Prosthetics",null,{"$f":"'Covariate Tables'!E56","v":0}]
[null,null,null,null,null,{"$f":"SUM(F21:F27)","v":0}]
[null,null,"Hierarchical Clinical Categories²",null,"Enter Responses Below ▼"]
[null,null,"HCC8","Metastatic Cancer and Acute Leukemia",null,{"$f":"'Covariate Tables'!E59","v":0}]
[null,null,"HCC18, 19, 20","Diabetes",null,{"$f":"'Covariate Tables'!E62","v":0}]
[null,null,"HCC23","Other Significant Endocrine and Metabolic Disorders",null,{"$f":"'Covariate Tables'!E63","v":0}]
[null,null,"HCC50","Delirium and Encephalopathy",null,{"$f":"'Covariate Tables'!E64","v":0}]
[null,null,"HCC51, 52","Dementia",null,{"$f":"'Covariate Tables'!E65","v":0}]
[null,null,"HCC70, 71","Tetraplegia (excluding complete tetraplegia) and paraplegia",null,{"$f":"'Covariate Tables'!E67","v":0}]
[null,null,"HCC77","Multiple Sclerosis",null,{"$f":"'Covariate Tables'!E68","v":0}]
[null,null,"HCC78","Parkinson's and Huntington's Diseases",null,{"$f":"'Covariate Tables'!E69","v":0}]
[null,null,"HCC88","Angina Pectoris",null,{"$f":"'Covariate Tables'!E70","v":0}]
[null,null,"HCC89","Coronary Atherosclerosis/Other Chronic Ischemic Heart Disease",null,{"$f":"'Covariate Tables'!E71","v":0}]
[null,null,"HCC103, 105","Hemiplegia/Other Late Effects of CVA",null,{"$f":"'Covariate Tables'!E72","v":0}]
[null,null,"HCC134, 136","Dialysis Status, Chronic Kidney Disease, Stage 5",null,{"$f":"'Covariate Tables'!E75","v":0}]
[null,null,"HCC142","Urinary Obstruction and Retention",null,{"$f":"'Covariate Tables'!E77","v":0}]
[null,null,"HCC173, 189, 190","Amputations",null,{"$f":"'Covariate Tables'!E79","v":0}]
[null,null,null,null,null,{"$f":"SUM(F31:F43)","v":0}]
[]
[null,"Expected Discharge Score",null,null,{"$f":"E8+F19+F28+F44","v":-1.4539},"Compared to\nGG0130A3-H3"]
[]
[null,"Helpful Links:"]
[null,"1. S024 Measure Specifications and Self-Care Admission Score Calculation Methodology"]
[null,"2. HCC Group Crosswalk"]

{"sheet":"S025 Mobility Worksheet","index":2,"n_rows":53,"n_cols":6,"rows_kept":53,"cut":false,"hidden":false,"merged":[[51,1,51,3],[47,2,47,4],[49,1,49,3],[49,5,49,6],[28,2,28,4],[29,2,29,3],[18,2,18,4],[19,2,19,3],[1,1,4,6],[6,1,6,3],[6,5,6,6],[7,2,7,3]]}
[]
[null,"How to Use this Tool\n\nFill in the yellow cells in column E with the appropriate responses to see the impact on the CMS Expected Discharge score."]
[]
[]
[]
[null,null,null,null,"Enter Score Below ▼"]
[null,"Mobility Admission Score¹",null,null,null,"Derived from\nGG0130A1-H1"]
[null,null,"Admission Status",null,"Responses Below ▼"]
[null,null,"A1600","Date of Birth",null,{"$f":"IF(E9=\"\",0,SUM('Covariate Tables'!G5:G10))","v":0}]
[null,null,"B0700-B0800","Communication Impairment",null,{"$f":"SUM('Covariate Tables'!G11:G12)","v":0}]
[null,null,"C0500","BIMS Score",null,{"$f":"SUM('Covariate Tables'!G13:G14)","v":0}]
[null,null,"H0300","Urinary Continence",null,{"$f":"'Covariate Tables'!G15","v":0}]
[null,null,"H0400","Bowel Continence",null,{"$f":"'Covariate Tables'!G16","v":0}]
[null,null,"I0020","Primary Medical Condition",null,{"$f":"IFERROR(SUM('Covariate Tables'!G2:G40)-E7,SUM('Covariate Tables'!G2:G40))","v":-2.99}]
[null,null,"J1700A-C","History of Falls in last 6 months",null,{"$f":"'Covariate Tables'!G44","v":0}]
[null,null,"K0510A2-B2","Parenteral/IV Feeding or Tube Feeding while a resident",null,{"$f":"'Covariate Tables'!G41","v":0}]
[null,null,"M0300B1","Stage 2 pressure ulcer",null,{"$f":"'Covariate Tables'!G42","v":0}]
[null,null,"M0300C1-M0300G1","Stage 3, 4, Unstageable pressure ulcer",null,{"$f":"'Covariate Tables'!G43","v":0}]
[null,null,null,null,null,{"$f":"SUM(F9:F18)","v":-2.99}]
[null,null,"Prior Conditions",null,"Responses Below ▼"]
[null,null,"J2000","Prior Surgery",null,{"$f":"SUM('Covariate Tables'!G45)","v":0}]
[null,null,"GG0100B","Prior Functioning: Indoor mobility (ambulation)",null,{"$f":"SUM('Covariate Tables'!G48:G49)","v":0}]
[null,null,"GG0100C","Prior Functioning: Stairs",null,{"$f":"SUM('Covariate Tables'!G50:G51)","v":0}]
[null,null,"GG0100D","Prior Functioning: Functional cognition",null,{"$f":"SUM('Covariate Tables'!G52)","v":0}]
[null,null,"GG0110A-B","Prior Device Use: Manual Wheelchair or Motorized Wheelchair",null,{"$f":"'Covariate Tables'!G53","v":0}]
[null,null,"GG0110C","Prior Device Use: Mechanical Lift",null,{"$f":"'Covariate Tables'!G54","v":0}]
[null,null,"GG0110D","Prior Device Use: Walker",null,{"$f":"'Covariate Tables'!G55","v":0}]
[null,null,"GG0110E","Prior Device Use: Othotics/Prosthetics",null,{"$f":"'Covariate Tables'!G56","v":0}]
[null,null,null,null,null,{"$f":"SUM(F21:F28)","v":0}]
[null,null,"Hierarchical Clinical Categories²",null,"Responses Below ▼"]
[null,null,"HCC3, 4","Central Nervous System Infections",null,{"$f":"'Covariate Tables'!G57","v":0}]
[null,null,"HCC7","Other Infectious Diseases",null,{"$f":"'Covariate Tables'!G58","v":0}]
[null,null,"HCC8","Metastatic Cancer and Acute Leukemia",null,{"$f":"'Covariate Tables'!G59","v":0}]
[null,null,"HCC10","Lymphoma and Other Cancers",null,{"$f":"'Covariate Tables'!G60","v":0}]
[null,null,"HCC11, 13, 14, 15","Other Major Cancers",null,{"$f":"'Covariate Tables'!G61","v":0}]
[null,null,"HCC51, 52","Dementia",null,{"$f":"'Covariate Tables'!G65","v":0}]
[null,null,"HCC57, 58, 59, 60","Mental Health Disorders",null,{"$f":"'Covariate Tables'!G66","v":0}]
[null,null,"HCC70, 71","Tetraplegia (excluding complete tetraplegia) and paraplegia",null,{"$f":"'Covariate Tables'!G67","v":0}]
[null,null,"HCC77","Multiple Sclerosis",null,{"$f":"'Covariate Tables'!G68","v":0}]
[null,null,"HCC89","Coronary Atherosclerosis/Other Chronic Ischemic Heart Disease",null,{"$f":"'Covariate Tables'!G71","v":0}]
[null,null,"HCC103, 105","Hemiplegia/Other Late Effects of CVA",null,{"$f":"'Covariate Tables'!G72","v":0}]
[null,null,"HCC114, 115","Aspiration, Bacterial, and Other Pneumonias",null,{"$f":"'Covariate Tables'!G73","v":0}]
[null,null,"HCC119","Legally Blind",null,{"$f":"'Covariate Tables'!G74","v":0}]
[null,null,"HCC134, 136","Dialysis Status, Chronic Kidney Disease, Stage 5",null,{"$f":"'Covariate Tables'!G75","v":0}]
[null,null,"HCC137, 138, 139","Chronic Kidney Disease - Stages 1-4",null,{"$f":"'Covariate Tables'!G76","v":0}]
[null,null,"HCC171","Major Fracture, Except of Skull, Vertebrae, or Hip",null,{"$f":"'Covariate Tables'!G78","v":0}]
[null,null,"HCC173, 189, 190","Amputations",null,{"$f":"'Covariate Tables'!G79","v":0}]
[null,null,null,null,null,{"$f":"SUM(F32:F47)","v":0}]
[]
[null,"Expected Discharge Score",null,null,{"$f":"E7+F19+F29+F48","v":-2.99},"Compared to\nGG0130A3-H3"]
[]
[null,"1. S025 Measure Specifications and Mobility Admission Score Calculation Methodology"]
[null,"2. HCC Group Crosswalk"]

{"sheet":"Covariate Tables","index":3,"n_rows":79,"n_cols":7,"rows_kept":79,"cut":false,"hidden":false,"merged":[[0,3,0,4],[0,5,0,6]]}
["Covariate","S024 Covariate Value","S025 Covariate Value","S024 Worksheet Responses",null,"S025 Worksheet Responses"]
["Model Intercept",15.1045,23.253299999999999,{"$f":"IF(D3=0,0,1)","v":0},{"$f":"B2*D2","v":0},{"$f":"IF(F3=0,0,1)","v":0},{"$f":"IFERROR(C2*F2,0)","v":0}]
["Admission Score - continuous form",1.278,1.6952,{"$f":"IFERROR(VALUE('S024 Self-Care Worksheet'!E8),0)","v":0},0,{"$f":"IFERROR(VALUE('S025 Mobility Worksheet'!E7),0)","v":0},{"$f":"C3*F3","v":0}]
["Admission Score - squared form",-1.4999999999999999E-2,-1.2200000000000001E-2,{"$f":"D3^2","v":0},0,{"$f":"F3^2","v":0},{"$f":"IFERROR(C4*F4,0)","v":0}]
["<=54 years",5.3499999999999999E-2,-0.52090000000000003,{"$f":"IF(((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)<55,1,0)","v":0},0,{"$f":"IF(((TODAY()-'S025 Mobility Worksheet'!E$9)/365)<=54,1,0)","v":0},{"$f":"C5*F5","v":0}]
["55–64 years",8.4099999999999994E-2,-0.18970000000000001,{"$f":"IF(AND(((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)<65,((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)>=55),1,0)","v":0},0,{"$f":"IF(AND(((TODAY()-'S025 Mobility Worksheet'!E$9)/365)<64,((TODAY()-'S025 Mobility Worksheet'!E$9)/365)>54),1,0)","v":0},0]
["65–74 years (reference category)",0,0,{"$f":"IF(AND(((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)<75,((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)>=65),1,0)","v":0},0,{"$f":"IF(AND(((TODAY()-'S025 Mobility Worksheet'!E$9)/365)<74,((TODAY()-'S025 Mobility Worksheet'!E$9)/365)>64),1,0)","v":0},0]
["75–84 years",-0.38469999999999999,-0.64439999999999997,{"$f":"IF(AND(((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)<85,((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)>=75),1,0)","v":0},0,{"$f":"IF(AND(((TODAY()-'S025 Mobility Worksheet'!E$9)/365)<84,((TODAY()-'S025 Mobility Worksheet'!E$9)/365)>74),1,0)","v":0},0]
["85–90 years",-0.83250000000000002,-1.6103000000000001,{"$f":"IF(AND(((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)<90,((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)>=85),1,0)","v":0},0,{"$f":"IF(AND(((TODAY()-'S025 Mobility Worksheet'!E$9)/365)<90,((TODAY()-'S025 Mobility Worksheet'!E$9)/365)>844),1,0)","v":0},0]
[">90 years",-1.4539,-2.99,{"$f":"IF(((TODAY()-'S024 Self-Care Worksheet'!E$10)/365)>=90,1,0)","v":1},-1.4539,{"$f":"IF(((TODAY()-'S025 Mobility Worksheet'!E$9)/365)>90,1,0)","v":1},-2.99]
["Communication Impairment - Admission: Moderate to Severe",-1.5397000000000001,-2.3460000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E11=\"Moderate to Severe (3 or 2)\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E10=\"Moderate to Severe (3 or 2)\",1,0)","v":0},0]
["Communication Impairment - Admission: Mild","NA",-1.2976000000000001,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E10=\"Mild (1)\",1,0)","v":0},0]
["Cognitive Function: BIMS score - Admission, Moderately Impaired",-1.4395,-2.9028,{"$f":"IF('S024 Self-Care Worksheet'!E12=\"Moderately Impaired (8-12)\",1,0)","v":0},{"$f":"B13*D13","v":0},{"$f":"IF('S025 Mobility Worksheet'!E11=\"Moderately Impaired (8-12)\",1,0)","v":0},0]
["Cognitive Function: BIMS score - Admission, Severely Impaired",-2.9180999999999999,-5.3692000000000002,{"$f":"IF('S024 Self-Care Worksheet'!E12=\"Severely Impaired (<7)\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E11=\"Severely Impaired (<7)\",1,0)","v":0},0]
["Urinary Continence - Admission: Occassionally incontinent, Frequently incontinent, or Always incontinent",-0.49530000000000002,-1.0716000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E13=\"Present on Admission\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E12=\"Present on Admission\",1,0)","v":0},0]
["Bowel Continence - Admission: Occassionally incontinent, Frequently incontinent, or Always incontinent",-1.7814000000000001,-3.6120999999999999,{"$f":"IF('S024 Self-Care Worksheet'!E14=\"Present on Admission\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E13=\"Present on Admission\",1,0)","v":0},0]
["Hip and Knee Replacements (reference category)",0,0,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A17,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A17,1,0)","v":0},0]
["Stroke",-2.5903999999999998,-7.1902999999999997,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A18,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A18,1,0)","v":0},0]
["Non-Traumatic Brain Dysfunction and Traumatic Brain Dysfunction",-0.53129999999999999,-2.0112000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A19,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A19,1,0)","v":0},0]
["Non-Traumatic Spinal Cord Dysfunction",7.8600000000000003E-2,-0.55979999999999996,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A20,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A20,1,0)","v":0},0]
["Traumatic Spinal Cord Dysfunction",-6.2196999999999996,-12.621,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A21,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A21,1,0)","v":0},0]
["Progressive Neurological Conditions",-1.1614,-2.8803999999999998,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A22,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A22,1,0)","v":0},0]
["Other Neurological Conditions",-0.38579999999999998,-1.0820000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A23,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A23,1,0)","v":0},0]
["Fractures and Other Multiple Trauma",1.4529000000000001,3.8422999999999998,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A24,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A24,1,0)","v":0},0]
["Amputation",-2.1027999999999998,-8.6812000000000005,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A25,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A25,1,0)","v":0},0]
["Other Orthopedic Conditions",1.6938,1.982,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A26,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A26,1,0)","v":0},0]
["Debility, Cardiorespiratory Conditions",-0.42320000000000002,-1.2584,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A27,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A27,1,0)","v":0},0]
["Medically Complex Conditions and Other Medical Conditions",-0.51549999999999996,-1.7875000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E$15=A28,1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E$14=A28,1,0)","v":0},0]
["Interaction of admission mobility score and primary medical condition category: Hip and Knee Replacements (reference category)",0,0,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Stroke",7.2599999999999998E-2,0.1444,{"$f":"D$3*(D18*$C18)","v":0},0,{"$f":"F$3*(F18*$C18)","v":0},0]
["Interaction of admission mobility score and primary medical condition category: Non-Traumatic Brain Dysfunction and Traumatic Brain Dysfunction",5.0000000000000001E-4,2.81E-2,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Non-Traumatic Spinal Cord Dysfunction",1E-3,3.6799999999999999E-2,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Traumatic Spinal Cord Dysfunction",0.21879999999999999,0.2636,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Progressive Neurological Conditions",-4.1999999999999997E-3,1.9199999999999998E-2,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Other Neurological Conditions",1.52E-2,2.3300000000000001E-2,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Fractures and Other Multiple Trauma",-6.4799999999999996E-2,-0.11360000000000001,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Amputation",3.9699999999999999E-2,3.2300000000000002E-2,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Other Orthopedic Conditions",-6.2E-2,-5.0599999999999999E-2,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Debility, Cardiorespiratory Conditions",1.2699999999999999E-2,8.3999999999999995E-3,0,0,0,0]
["Interaction of admission mobility score and primary medical condition category: Medically Complex Conditions and Other Medical Conditions",1.3899999999999999E-2,0.03,0,0,0,0]
["Total Parenteral/IV Feeding or Tube Feeding - Admission: While a resident",-1.1055999999999999,-2.0648,{"$f":"IF('S024 Self-Care Worksheet'!E16=\"Yes\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E16=\"Yes\",1,0)","v":0},0]
["Stage 2 Pressure Ulcer - Admission, Present",-0.98609999999999998,-2.0476000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E17=\"Present on Admission\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E17=\"Present on Admission\",1,0)","v":0},0]
["Stage 3, 4 or Unstageable Pressure Ulcer/Injury - Admission, Present",-1.5998000000000001,-3.5901000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E18=\"Present on Admission\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E18=\"Present on Admission\",1,0)","v":0},0]
["History of Falls - Admission","NA",0,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E15=\"Yes\",1,0)","v":0},0]
["Prior surgery",0.59570000000000001,2.1309,{"$f":"IF('S024 Self-Care Worksheet'!E21=\"YES\",1,0)","v":0},{"$f":"B45*D45","v":0},{"$f":"IF('S025 Mobility Worksheet'!E21=\"YES\",1,0)","v":0},0]
["Prior functioning: self-care, Dependent",-2.6589,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E22=\"Dependent\",1,0)","v":0},0,"-","-"]
["Prior functioning: self-care, Some help",-1.5002,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E22=\"Some Help\",1,0)","v":0},0,"-","-"]
["Prior functioning: indoor mobility (ambulation), Dependent",-0.70630000000000004,-3.5350000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E23=\"Dependent\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E22=\"Dependent\",1,0)","v":0},{"$f":"C48*F48","v":0}]
["Prior functioning: indoor mobility (ambulation), Some help",-0.70630000000000004,-2.569,{"$f":"IF('S024 Self-Care Worksheet'!E23=\"Some Help\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E22=\"Some Help\",1,0)","v":0},0]
["Prior functioning: stairs, Dependent","NA",0,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E24=\"Dependent\",1,0)","v":0},0]
["Prior functioning: stairs, Some help","NA",0,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E23=\"Some Help\",1,0)","v":0},0]
["Prior functioning: functional cognition, Dependent","NA",-2.2732000000000001,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E24=\"Dependent\",1,0)","v":0},0]
["Prior Mobility Device Use: Manual Wheelchair or Motorized Wheelchair and/or Scooter",-1.8103,-6.3457999999999997,{"$f":"IF('S024 Self-Care Worksheet'!E24=\"Prior Use\",1,0)","v":0},{"$f":"B53*D53","v":0},{"$f":"IF('S025 Mobility Worksheet'!E25=\"Prior Use\",1,0)","v":0},0]
["Prior Mobility Device Use: Mechanical Lift",-3.0108000000000001,-6.4371,{"$f":"IF('S024 Self-Care Worksheet'!E25=\"Prior Use\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E26=\"Prior Use\",1,0)","v":0},0]
["Prior Mobility Device Use: Walker",-9.1499999999999998E-2,-1.1400999999999999,{"$f":"IF('S024 Self-Care Worksheet'!E26=\"Prior Use\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E27=\"Prior Use\",1,0)","v":0},0]
["Prior Mobility Device Use: Orthotics/Prosthetics",-0.12759999999999999,-0.86080000000000001,{"$f":"IF('S024 Self-Care Worksheet'!E27=\"Prior Use\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E28=\"Prior Use\",1,0)","v":0},0]
["Central Nervous System Infections: Bacterial, Fungal, and Parasitic Central Nervous System Infections (HCC3), Viral and Late Effects Central Nervous System Infections (HCC4)","NA",0,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E31=\"Present\",1,0)","v":0},0]
["Other Infectious Diseases (HCC7)","NA",-0.22700000000000001,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E32=\"Present\",1,0)","v":0},0]
["Metastatic Cancer and Acute Leukemia (HCC8)",-0.34599999999999997,-0.31969999999999998,{"$f":"IF('S024 Self-Care Worksheet'!E30=\"Present\",1,0)","v":0},{"$f":"B59*D59","v":0},{"$f":"IF('S025 Mobility Worksheet'!E33=\"Present\",1,0)","v":0},0]
["Lymphoma and Other Cancers (HCC10)","NA",0,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E34=\"Present\",1,0)","v":0},0]
["Other Major Cancers: Colorectal, Bladder, and Other Cancers (HCC11), Other Respiratory and Heart Neoplasms (HCC13), Other Digestive and Urinary Neoplasms (HCC14), Other Neoplasms (HCC15)","NA",-1.2817000000000001,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E35=\"Present\",1,0)","v":0},0]
["Diabetes: Diabetes with Chronic Complications (HCC18), Diabetes without Complication (HCC19), Type I Diabetes Mellitus (HCC20)",-0.1704,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E31=\"Present\",1,0)","v":0},{"$f":"B62*D62","v":0},"-","-"]
["Other Significant Endocrine and Metabolic Disorders (HCC23)",8.6599999999999996E-2,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E32=\"Present\",1,0)","v":0},0,"-","-"]
["Delirium and Encephalopathy (HCC50)",-0.30790000000000001,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E33=\"Present\",1,0)","v":0},0,"-","-"]
["Dementia: Dementia With Complications (HCC51), Dementia Without Complications (HCC52)",-0.84189999999999998,-1.2135,{"$f":"IF('S024 Self-Care Worksheet'!E34=\"Present\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E36=\"Present\",1,0)","v":0},{"$f":"C65*F65","v":0}]
["Mental Health Disorders: Schizophrenia (HCC57), Major Depressive, Bipolar, and Paranoid Disorders (HCC58), Reactive and Unspecified Psychosis (HCC59), Personality Disorders (HCC60)","NA",-0.95899999999999996,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E37=\"Present\",1,0)","v":0},0]
["Tetraplegia (excluding complete tetraplegia) (HCC70) and paraplegia (HCC71)",-2.8233999999999999,-8.5478000000000005,{"$f":"IF('S024 Self-Care Worksheet'!E35=\"Present\",1,0)","v":0},{"$f":"B67*D67","v":0},{"$f":"IF('S025 Mobility Worksheet'!E38=\"Present\",1,0)","v":0},0]
["Multiple Sclerosis (HCC77)",-1.3954,-4.1292999999999997,{"$f":"IF('S024 Self-Care Worksheet'!E36=\"Present\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E39=\"Present\",1,0)","v":0},0]
["Parkinson's and Huntington's Diseases (HCC78)",-0.79500000000000004,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E37=\"Present\",1,0)","v":0},0,"-","-"]
["Angina Pectoris (HCC88)",-0.30099999999999999,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E38=\"Present\",1,0)","v":0},0,"-","-"]
["Coronary Atherosclerosis/Other Chronic Ischemic Heart Disease (HCC89)",0.2253,0,{"$f":"IF('S024 Self-Care Worksheet'!E39=\"Present\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E40=\"Present\",1,0)","v":0},{"$f":"C71*F71","v":0}]
["Hemiplegia/Other Late Effects of CVA: Hemiplegia/Hemiparesis (HCC103), Late Effects of Cerebrovascular Disease Except Paralysis (HCC105)",-0.82030000000000003,-1.8365,{"$f":"IF('S024 Self-Care Worksheet'!E40=\"Present\",1,0)","v":0},0,{"$f":"IF('S025 Mobility Worksheet'!E41=\"Present\",1,0)","v":0},0]
["Aspiration, Bacterial, and Other Pneumonias: Aspiration and Specified Bacterial Pneumonias (HCC114), Pneumococcal Pneumonia, Empyema, Lung Abscess (HCC115)","NA",-0.3261,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E42=\"Present\",1,0)","v":0},0]
["Legally Blind (HCC119)","NA",-1.9725999999999999,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E43=\"Present\",1,0)","v":0},0]
["Dialysis Status (HCC134), Chronic Kidney Disease, Stage 5 (HCC136)",-0.77810000000000001,0,{"$f":"IF('S024 Self-Care Worksheet'!E41=\"Present\",1,0)","v":0},{"$f":"B75*D75","v":0},{"$f":"IF('S025 Mobility Worksheet'!E44=\"Present\",1,0)","v":0},0]
["Chronic Kidney Disease - Stages 1-4, Unspecified: Chronic Kidney Disease, Severe (Stage 4) (HCC137), Chronic Kidney Disease, Moderate (Stage 3) (HCC138), Chronic Kidney Disease, Mild or Unspecified (Stages 1-2 or Unspecified) (HCC139)","NA",-9.5200000000000007E-2,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E45=\"Present\",1,0)","v":0},0]
["Urinary Obstruction and Retention (HCC142)",-0.58830000000000005,"NA",{"$f":"IF('S024 Self-Care Worksheet'!E42=\"Present\",1,0)","v":0},{"$f":"B77*D77","v":0},"-","-"]
["Major Fracture, Except of Skull, Vertebrae, or Hip (HCC171)","NA",-1.6184000000000001,"-","-",{"$f":"IF('S025 Mobility Worksheet'!E46=\"Present\",1,0)","v":0},{"$f":"C78*F78","v":0}]
["Amputations:  Traumatic Amputations and Complications (HCC173), Amputation Status, Lower Limb/Amputation Complications (HCC189), Amputation Status, Upper Limb (HCC190)",-0.68479999999999996,-5.0856000000000003,{"$f":"IF('S024 Self-Care Worksheet'!E43=\"Present\",1,0)","v":0},{"$f":"B79*D79","v":0},{"$f":"IF('S025 Mobility Worksheet'!E47=\"Present\",1,0)","v":0},0]