Falls: Plan of Care
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Traditional Merit-based Incentive Payment System (MIPS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Falls and Major Injuries
Defining Attributes
Definition
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months.
Numerator
Patients with a plan of care for falls documented within 12 months
Denominator
All patients aged 65 years and older 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). Documentation of patient reported history of falls is sufficient
Exclusions
Hospice services for patient occurred any time 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
MIPS Clinical Quality Measures (CQMS)
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Traditional MIPS
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Technical Specifications
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
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Date Modified 02 December 2025