Falls: Screening for Future Fall Risk

eCQM / NQF #: CMS139v7 / 0101
Measure: Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period.
Numerator: Patients who were screened for future fall risk at least once within the measurement period.
Denominator: Patients aged 65 years and older with a visit during the measurement period
Denominator Exclusions: Exclude patients who were in hospice care during the measurement year. Exclude patients who were assessed to be non-ambulatory during the measurement period.
Domain: Patient Safety


In ChartMaker Clinical:
In order to qualify for this measure, the patient must be at least 65 years of age or older and have the appropriate information documented in the chart:

Required Data Elements for the Denominator: 

Required Data Elements for the Numerator: 

DENOMINATOR EXCEPTIONS:

ADDITIONAL INFORMATION:

•  The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.

Rationale - As the leading cause of both fatal and nonfatal injuries for older adults, falls are one of the most common and significant health issues facing people aged 65 years or older (Schneider, Shubert and Harmon 2010). Moreover, the rate of falls increases with age (Dykes et al. 2010). Older adults are five times more likely to be hospitalized for fall-related injuries than any other cause-related injury. It is estimated that one in every three adults over 65 will fall each year (Centers for Disease Control and Prevention 2015). In those over age 80, the rate of falls increases to fifty percent (Doherty et al. 2009). Falls are also associated with substantial cost and resource use, approaching $30,000 per fall hospitalization (Woolcott et al. 2011). Identifying at-risk patients is the most important part of management, as applying preventive measures in this vulnerable population can have a profound effect on public health (al-Aama 2011). Family physicians have a pivotal role in screening older patients for risk of falls, and applying preventive strategies for patients at risk (al-Aama 2011).