Home Quality Indicator Repository Plan of Care for Falls

Plan of Care for Falls

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Physician Quality Reporting System (PQRS), Centers for Medicare & Medicaid Services (CMS): Medicare Shared Savings Program (MSSP), Centers for Medicare & Medicaid Services (CMS): Physician Feedback/Quality and Resource Use Reports (QRUR), Centers for Medicare & Medicaid Services (CMS): Physician Value-Based Payment Modifier (VBM)
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Falls and Major Injuries

Defining Attributes

Definition

Percentage of patients aged 65 years and older with a history of falls who had a plan of care for falls documented within 12 months

Numerator

Patients with a plan of care for falls documented within 12 months. Plan of care must include consideration of vitamin D supplementation AND balance, strength and gait training.

Denominator

All patients aged 65 years and older seen by an eligible provider in the past year with a history of falls (history of falls is defined as 2 or more falls in the past year or any fall with injury in the past year).

Exclusions

Patients who have documentation of medical reason(s) for not screening for future fall risk, undergoing a risk-assessment or having a plan of care (e.g., patient is not ambulatory) are excluded from this measure. Exclude members who use hospice services during the measurement period.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Claims Data, Paper Patient Medical Records

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

p4qm.org/measures

Technical Specifications

p4qm.org/measures/0101

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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025

Contents

Actions

Date Modified 02 December 2025