Falls With Injury
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Setting-Specific Domain
Defining Attributes
Definition
This ratio measure assesses the number of inpatient hospitalisations where at least one fall with a major or moderate injury occurs among the total qualifying inpatient hospital days for patients aged 18 years and older.
Numerator
The numerator is inpatient hospitalisations where the patient has a fall that results in moderate or major injury. The diagnosis of a fall and of a moderate or major injury must not be present on admission. Examples of moderate injuries include lacerations, open wounds, dislocations, sprains, and muscle strains. Examples of major injuries include fractures, closed head injuries, and internal bleeding. The time period for data collection is during an inpatient hospitalisation, which are defined as beginning at hospital arrival including time in the emergency department or observation when the transition between these encounters (if they exist) and the inpatient encounter are within an hour or less of each other.
Denominator
Inpatient hospitalisations for patients aged 18 and older with a length of stay less than or equal to 120 days that ends during the measurement period. Inpatient hospitalisations where the patient has a fall diagnosis present on admission are excluded from the denominator. Measure observation associated with the Denominator: The total number of eligible days across all encounters which match the initial population/denominator criteria.
Exclusions
The denominator exclusion is inpatient hospitalisations where the patient has a fall diagnosis present on admission. The time period for data collection is during an inpatient hospitalisation, which is defined as beginning at hospital arrival including time in the emergency department or observation when the transition between these encounters (if they exist) and the inpatient encounter are within an hour or less of each other.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Hospitals collect EHR data using certified electronic health record technology (CEHRT). The MAT output, which includes the human readable and XML artifacts of the clinical quality language (CQL) for the measure are contained in the eCQM specifications attached. No additional tools are used for data collection for eCQMs.