| Measure Information | 2021 Performance Period |
|---|---|
| CMS eCQM ID | CMS139v9 |
| NQF Number | Not Applicable |
| MIPS Quality ID | 318 |
| 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 |
| Numerator |
Patients who were screened for future fall risk at least once within the measurement period |
| Numerator Exclusions |
Not Applicable |
| Denominator |
Equals Initial Population |
| Denominator Exclusions |
Exclude patients whose hospice care overlaps the measurement period. |
| Denominator Exceptions |
None |
| Steward | National Committee for Quality Assurance |
| 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. |
| Telehealth Eligible | Yes |
| Next Version | |
| Previous Version | No Version Available |
Compare eCQM Versions
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
| Measure Information | 2021 Performance Period | 2022 Performance Period | 2023 Performance Period | 2024 Performance Period |
|---|---|---|---|---|
| Title | Falls: Screening for Future Fall Risk | Falls: Screening for Future Fall Risk | Falls: Screening for Future Fall Risk | Falls: Screening for Future Fall Risk |
| CMS eCQM ID | CMS139v9 | CMS139v10 | CMS139v11 | CMS139v12 |
| NQF Number | Not Applicable | 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 |
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 |
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 |
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 | 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 |
Patients who were screened for future fall risk at least once within the measurement period |
| Numerator Exclusions |
Not Applicable |
Not Applicable |
Not Applicable |
Not Applicable |
| Denominator Exceptions |
None |
None |
None |
None |
| Measure Steward | National Committee for Quality Assurance | National Committee for Quality Assurance | National Committee for Quality Assurance | National Committee for Quality Assurance |
| Measure Scoring | Proportion measure | Proportion measure | Proportion measure | Proportion measure |
| Measure Type | Process measure | 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 |
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 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. |
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 | 318 |
| Telehealth Eligible | Yes | Yes | Yes | Yes |
| Next Version | CMS139v10 | CMS139v11 | CMS139v12 | No Version Available |
| Previous Version | No Version Available |
Data Element Repository
Header
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Updated eCQM Version Number.
Measure Section: eCQM Version Number
Source of Change: Standards Update
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Added text to identify the Quality Data Model (QDM) version used in the measure specification.
Measure Section: Guidance
Source of Change: Standards Update
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Added text to indicate whether the measure is patient-based or episode-based.
Measure Section: Guidance
Source of Change: Standards Update
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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