• Measure 318 (NQF #0101): Falls: Screening for Future Fall Risk


    Updated January 2018.

    Reporting Options: 

    • IRIS Registry for EHR: groups and individuals
    • EHR through your vendor (if offered): groups and individuals

    eMeasure Identifier: CMS139v6

    Measure Type: Process - High Priority

    Instructions: Percentage of patients 65 years of age and older who were screened for future falls risk during the measurement period.

    This measure is to be reported a minimum of once per reporting period for patients who were screened for future fall risk at least once within the measurement period.

    Definition: 

    Future fall risk: Patients are considered at risk for future falls if they have had 2 or more falls in the past year or any fall with injury in the past year.

    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 sudden onset of paralysis, epileptic seizure, or overwhelming external force.

    Initial Patient Population: Patients aged 65 years and older with a visit during the measurement period

    Denominator: Equals initial patient population

    Denominator exceptions: Documentation of medical reason(s) for not screening for fall risk (eg, patient is not ambulatory) 

    IRIS Registry EHR Reporting

    These are the required elements to be documented at least once a year to meet the measure performance requirements.

    • A falls-risk assessment (involving gait/balance assessment as well as vision, and not using a specific survey)

    How CMS Scores Your Performance

    • If you successfully report a measure for less than 60 percent of your patients, you will earn points based on your practice size:
      • Small practices (≤ 15 clinicians) will receive 3 points,
      • Larger practices (> 15 clinicians) will receive 1 point.
    • If you successfully report a measure for at least 60 percent of your patients, but do not report at least 20 cases, you will receive 3 points.
    • If you report this measure for at least 60 percent of applicable patients and on at least 20 patients during a reporting period, you will earn points based on the decile that corresponds to your performance rate. Not all measures offer points for every decile.
    Decile/Points EHR (including EHR–IRIS integration)
    3 9.14 – 20.16
    4 20.17 – 33.70
    5 33.71 – 48.36
    6 48.37 – 65.67
    7 65.68 – 81.76
    8 81.77 – 93.39
    9 93.40 – 98.80
    10 >=98.81