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Falls: Screening for Future Fall Risk

Measure Information 2021 Performance Period
CMS eCQM ID CMS139v9
NQF Number Not Applicable
Description

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

Initial Population

Patients aged 65 years and older with a visit during the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients whose hospice care overlaps the measurement period.

Numerator

Patients who were screened for future fall risk at least once within the measurement period

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Measure Steward National Committee for Quality Assurance
Quality Domain Patient Safety
Measure Scoring Proportion measure
Measure Type Process measure
Improvement Notation

A higher score indicates better quality

Guidance

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

MIPS Quality ID 318
Meaningful Measure Preventable Healthcare Harm
Telehealth Eligible Yes
Next Version
Previous Version No Version Available

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Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.

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Measure Information 2021 Performance Period 2022 Performance Period 2023 Performance Period
Title Falls: Screening for Future Fall Risk Falls: Screening for Future Fall Risk Falls: Screening for Future Fall Risk
CMS eCQM ID CMS139v9 CMS139v10 CMS139v11
NQF Number Not Applicable Not Applicable Not Applicable
Description

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

Initial Population

Patients aged 65 years and older with a visit during the measurement period

Patients aged 65 years and older with a visit during the measurement period

Patients aged 65 years and older at the start of the measurement period with a visit during the measurement period

Denominator

Equals Initial Population

Equals Initial Population

Equals Initial Population

Denominator Exclusions Exclude patients whose hospice care overlaps the measurement period. Exclude patients who are in hospice care for any part of the measurement period. Exclude patients who are in hospice care for any part of the measurement period
Numerator

Patients who were screened for future fall risk at least once within the measurement period

Patients who were screened for future fall risk at least once within the measurement period

Patients who were screened for future fall risk at least once within the measurement period

Numerator Exclusions

Not Applicable

Not Applicable

Not Applicable

Denominator Exceptions

None

None

None

Measure Steward National Committee for Quality Assurance National Committee for Quality Assurance National Committee for Quality Assurance
Quality Domain Patient Safety Patient Safety Patient Safety
Measure Scoring Proportion measure Proportion measure Proportion measure
Measure Type Process measure Process measure Process measure
Improvement Notation

A higher score indicates better quality

A higher score indicates better quality

A higher score indicates better quality

Guidance

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

MIPS Quality ID 318 318 318
Meaningful Measure Preventable Healthcare Harm Preventable Healthcare Harm Preventable Healthcare Harm
Telehealth Eligible Yes Yes Yes
Next Version CMS139v10 CMS139v11 No Version Available
Previous Version No Version Available

Release Notes

Header

  • Updated eCQM Version Number.

    Measure Section: eCQM Version Number

    Source of Change: Standards Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Added text to identify the Quality Data Model (QDM) version used in the measure specification.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Added text to indicate whether the measure is patient-based or episode-based.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Removed patient 'non-ambulatory' denominator exclusion to alleviate complications with identifying patients that are permanently 'non-ambulatory'.

    Measure Section: Denominator Exclusions

    Source of Change: ONC Project Tracking System (Jira): CQM-3813

Logic

  • Removed patient 'non-ambulatory' denominator exclusion to alleviate complications with identifying patients that are permanently 'non-ambulatory'.

    Measure Section: Denominator Exclusions

    Source of Change: ONC Project Tracking System (Jira): CQM-3813

  • Clinical Quality Language (CQL) Library version update: Updated version number of the Hospice Library (Hospice-2.2.000).

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated CQL expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

  • Removed Patient Not Ambulatory value set (2.16.840.1.113883.3.464.1003.118.11.1010) based on expert review or public feedback.

    Measure Section: Terminology

    Source of Change: ONC Project Tracking System (Jira): CQM-3813

  • Removed value set 'Ambulatory Status' (2.16.840.1.113883.3.464.1003.118.11.1219) based on expert review or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added 3 CPT codes (99315, 99316, 99318) to the Nursing Facility Visits value set (2.16.840.1.113883.3.464.1003.101.12.1012) based on updated evidence in published guidelines, published literature, or from published specialty medical society or group recommendations, to capture additional nursing facility visit encounter types.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: May 04, 2022