Application of Percent of Residents Experiencing One or More Falls With Major Injury

Identifying Attributes

Care Settings
Home Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Home Health Quality Reporting Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Falls / Fracture / Injury

Defining Attributes

Definition

Percentage of quality episodes in which the patient experiences one or more falls with major injury (defined as bone fractures, joint dislocations, and closed-head injuries with altered consciousness, or subdural haematoma) during the home health episode.

Numerator

Number of quality episodes in which the patient experienced one or more falls that resulted in major injury during the episode of care.

Denominator

Number of home health quality episodes ending with a discharge during the reporting period, other than those covered by generic or measure-specific exclusions.

Exclusions

Episodes during which the occurrence of falls was not assessed. Episodes where the assessment indicates that a fall occurred AND the number of falls with major injury was not assessed.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Outcome and Assessment Information Set (OASIS). Entry of home health service and the last 5 days of every 60 day period beginning with the start of care date.

Frequency of Data Collection
60 days
Frequency of Data Collection in Days
60
Reporting Methods

Home Health Quality Reporting (CMS and providers) CMS Care Compare - Home health services and CMS Provider Compare (CMS, providers and publicly reported online).

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025