Patient Reported Falls and Plan of Care
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients (or caregivers as appropriate) with an active diagnosis of a movement disorder, multiple sclerosis, a neuromuscular disorder, dementia, or stroke who reported a fall occurred and those that fell had a plan of care for falls documented at every visit
Numerator
A. Patients (or caregivers as appropriate) that reported a fall* occurred since the last visit B. and those that fell had a plan of care^ for falls documented at every visit
*Fall: A sudden, unintentional change in position causing an individual to land at a lower level, on an object, the floor, or the ground, other than as a consequence of a sudden onset of paralysis, epileptic seizure, overwhelming external force, or overwhelming environmental hazards
^Plan of care must include: Balance, strength, or gait training OR Referral to physical or occupational therapy OR Home safety evaluation
Denominator
Patients with an active diagnosis of a movement disorder, multiple sclerosis, a neuromuscular disorder, dementia, or stroke
Exclusions
Patients diagnosed with any of the following disorders: • Syncope • Vertigo and related disorders • Restless leg syndrome • Tourette syndrome/tic disorder • Back pain • Concussion/mTBI • Cervical dystonia • Epilepsy
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Qualified Clinical Data Registry (QCDR), which is a Centers for Medicare & Medicaid Services (CMS) approved vendor for the Merit-Based Incentive Payment System (MIPS). QCDR collects clinical data from clinicians and reports this data to CMS on their behalf for purposes of MIPS.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Data not public available