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Falls: Screening for Future Fall Risk

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Measure Information 2022 Performance Period
CMS eCQM ID CMS139v10
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 who are in hospice care for any part of 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
CMS139v11
Previous Version
CMS139v9

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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
CMS139v9
CMS139v10
CMS139v11
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Specifications
Attachment Size
CMS139v10.html 63.37 KB
CMS139v10.zip 67.59 KB
CMS139v10-TRN.xlsx 18.52 KB

Data Element Repository

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

Last Updated: Apr 24, 2023