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Documentation Index

Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt

Use this file to discover all available pages before exploring further.

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Measure Details

Report the percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period.

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Measure Parameters

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Numerator

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

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Denominator

Patients aged 65 years and older at the start of the measurement period with a visit during the measurement period.

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Exclusions/Exceptions

Exclude patients who are in hospice care for any part of the measurement period.

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Elation Workflows

Elation has implemented dedicated workflows that reflect standardized requirements we do not control for certification to ensure structured and reportable tracking of measure specifications for supported electronic Clinical Quality Measures. To optimize performance per the specifications, please adhere precisely to the workflows outlined in the referenced Help Center article.

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Documenting measure requirements using a Clinical Reminder in a visit note

1Click Address in the Fall Risk Screening is due reminder at the top of the visit note draft. This reminder will automatically appear if the patient is 65 years of age or older by January 1, 2026.
2aTo immediately meet the numerator requirements by administering an assessment during the visit: Click Administer fall risk assessment. • Perform the assessment. • The Falls Assessment Document Tag will be appended to the visit note to indicate that it meets the numerator requirements.
2bTo immediately meet the numerator requirements by documenting an existing assessment for the patient: Click Document existing assessment. • Select the report, document or note that satisfies the assessment requirement. • Click Attach Item. • The Falls Assessment Document Tag will be appended to the selected record to indicate that it meets the numerator requirements.
Clicking Dismiss will dismiss the reminder and the reminder will not appear again until a new visit note draft is opened. Image

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Documenting measure requirements from an existing assessment

1Open the report, document or note that satisfies the fall assessment requirement.
2From a report - click Actions -> Edit Details. • From a visit note - click Actions -> Add or Edit Tags.
3Search for and select Falls Assessment in the document tag field.
4Click Save .
Click here for more details about Document Tags.

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Documenting exclusions/exceptions

Click + Tag at the bottom of the visit note draft and one of the following document tags for the hospice care exclusion:
  • EXCLUSION: HOSPICE CARE
  • EXCLUSION: IP DISCHARGE STATUS TO HEALTH CARE FACILITY FOR HOSPICE CARE
  • EXCLUSION: IP DISCHARGE STATUS TO HOME FOR HOSPICE CARE

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Measure Information

As the leading cause of both fatal and nonfatal injuries for older adults, falls are one of the most common and significant health issues facing people aged 65 years or older (Schneider, Shubert and Harmon, 2010). Moreover, the rate of falls increases with age (Dykes et al., 2010). Older adults are five times more likely to be hospitalized for fall-related injuries than any other cause-related injury. It is estimated that one in every three adults over 65 will fall each year (Centers for Disease Control and Prevention 2015). In those over age 80, the rate of falls increases to fifty percent (Doherty et al., 2009). Falls are also associated with substantial cost and resource use, approaching $30,000 per fall hospitalization Woolcott et al., 2011). Identifying at-risk patients is the most important part of management, as applying preventive measures in this vulnerable population can have a profound effect on public health (al-Aama, 2011). Family physicians have a pivotal role in screening older patients for risk of falls, and applying preventive strategies for patients at risk (al-Aama, 2011). Reference: Measure Information from CMS

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Screening Tools

These tools can be used to satisfy Clinical Quality Measure CMS139v14, Falls: Screening for Future Fall Risk: