Falls: Screening for Future Fall Risk

Measure Information	2022 Performance Period
CMS eCQM ID	CMS139v10
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 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
Numerator Exclusions	Not Applicable
Denominator Exceptions	None
Measure 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.
MIPS Quality ID	318
Telehealth Eligible	Yes
Next Version	CMS139v11
Previous Version	CMS139v9

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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
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 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
Telehealth Eligible	Yes	Yes	Yes
Next Version	CMS139v10	CMS139v11	No Version Available
Previous Version	No Version Available	CMS139v9	CMS139v10

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CMS139v10.html	63.37 KB
CMS139v10.zip	67.59 KB
CMS139v10-TRN.xlsx	18.52 KB

Data Element Repository

Data Elements contained within CMS139v10

Value Sets

Value Sets to be used with CMS139v10

Release Notes

CMS139v10-TRN.xlsx

Header

Updated the eCQM version number.

Measure Section: eCQM Version Number

Source of Change: Annual Update
Updated copyright.

Measure Section: Copyright

Source of Change: Annual Update
Replaced 'overlaps' or 'overlapping' in the denominator exclusions with plain language to clarify the measure intent.

Measure Section: Denominator Exclusions

Source of Change: Measure Lead

Logic

Added online assessments and telephone visits as appropriate encounters based on the increased use of telehealth servicess.

Measure Section: Initial Population

Source of Change: Measure Lead
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.

Measure Section: Multiple Sections

Source of Change: Standards Update
Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.

Measure Section: Multiple Sections

Source of Change: Standards Update
Updated Hospice CQL Library to version 3.0.000.

Measure Section: Multiple Sections

Source of Change: Measure Lead

Value Set

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

Added value set Online Assessments (2.16.840.1.113883.3.464.1003.101.12.1089) based on change in measure requirements/measure specification.

Measure Section: Terminology

Source of Change: Measure Lead
Added value set Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead