CMS 139 - Falls: Screening for Future Fall Risk

CMS139v5 (2017)

CMS139v6 (2018)

CMS139v7 (2019)

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

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

Denominator:  Equals Initial Population

Numerator: Patients who were screened for future fall risk at least once within the measurement period.

Inverse Measure:  No

Clinical Instructions

Ensure all 65+ year-old patients are screened for future fall risk, at least once within the measurement period. Use the Test and Procedures section of the encounter to order and perform the Fall Risk Screening. 

Note
Each system/database will need a Fall Risk Screening order and flowsheet created, in order to result the findings in the Tests and Procedures section of the encounter. The flowsheet must be configured with the Fall Risk Performed LOIN-C 73830-2.

While documenting the Visit encounter, record the Fall Risk Screening procedure in the Tests and Procedures section of the Visit encounter.

  • Open the Tests and Procedures section.
  • Using the autocomplete, begin typing Fall Risk Screening.
  • Click the Add to Exam button.
  • After adding the new section, open the Fall Risk Screening and document the findings and complete the questionnaire.
  • Click the Next button, or close the section.
  • Continue documenting the encounter, as needed.
  • When completed, Close and Archive the encounter.

Evidence

Initial Patient Population

Name Value Set
Encounter, Performed: Annual Wellness Visit 2.16.840.1.113883.3.526.3.1240
Encounter, Performed: Audiology Visit 2.16.840.1.113883.3.464.1003.101.12.1066
Encounter, Performed: Care Services in Long-Term Residential Facility 2.16.840.1.113883.3.464.1003.101.12.1014
Encounter, Performed: Face-to-Face Interaction 2.16.840.1.113883.3.464.1003.101.12.1048
Encounter, Performed: Home Healthcare Services 2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Nursing Facility Visit 2.16.840.1.113883.3.464.1003.101.12.1012
Encounter, Performed: Office Visit 2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Ophthalmological Services 2.16.840.1.113883.3.526.3.1285
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up 2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services-Individual Counseling 2.16.840.1.113883.3.464.1003.101.12.1026
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up 2.16.840.1.113883.3.464.1003.101.12.1023

Denominator

Equal to Initial Patient Population

Numerator

Name Value Set
Assessment, Performed: Falls Screening 2.16.840.1.113883.3.464.1003.118.12.1028

Denominator Exclusion

Name Value Set
Encounter, Performed: Encounter Inpatient 2.16.840.1.113883.3.666.5.307
Intervention, Order: Hospice care ambulatory 2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory 2.16.840.1.113762.1.4.1108.15
Assessment, Performed: Patient not ambulatory 2.16.840.1.113883.3.464.1003.118.12.1009

Source(s)

Medical Codify

Fall Risk Checklist

Fall Risk Algorithm

WebChart Documentation
Last Build: Wed, 08 Sep 2021 00:25:58 EDT Legacy Documentation