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Falls: Screening for Future Fall Risk

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eCQMs for 2021 Performance Period

CMS2v10
CMS22v9
CMS50v9
CMS56v9
CMS66v9
CMS68v10
CMS69v9
CMS74v10
CMS75v9
CMS90v10
CMS117v9
CMS122v9
CMS124v9
CMS125v9
CMS127v9
CMS128v9
CMS129v10
CMS130v9
CMS131v9
CMS133v9
CMS134v9
CMS135v9
CMS136v10
CMS137v9
CMS138v9
CMS139v9
CMS142v9
CMS143v9
CMS144v9
CMS145v9
CMS146v9
CMS147v10
CMS149v9
CMS153v9
CMS154v9
CMS155v9
CMS156v9
CMS157v9
CMS159v9
CMS161v9
CMS165v9
CMS177v9
CMS249v3
CMS347v4
CMS349v3
CMS645v4
CMS771v2

General eCQM Information

CMS Measure ID CMS139v9
NQF Number Not Applicable
Measure 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 Statement

Equals Initial Population
Denominator Exclusions

Exclude patients whose hospice care overlaps the measurement period.
Numerator Statement

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
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.
Quality ID 318
Meaningful Measure Preventable Healthcare Harm
Telehealth Eligible Yes
Previous Version
CMS139v8
Specifications
Attachment Size
CMS139v9.html 53.54 KB
CMS139v9.zip 61.17 KB
CMS139v9-TRN.xlsx 21.92 KB

Data Element Repository

Release Notes

CMS139v9-TRN.xlsx

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: Dec 18, 2020