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Fall Risk Management

This HEDIS Measure

The two components of this survey measure assess different facets of fall risk management.
  • Discussing Fall Risk: Medicare beneficiaries 65 and older with balance or walking problems or a fall in the past 12 months, who were seen by a practitioner in the past 12 months and who report discussing falls or problems with balance or walking with the practitioner.
  • Managing Fall Risk: Medicare beneficiaries 65 and older who had a fall or had problems with balance or walking in the past 12 months, who were seen by a practitioner in the past 12 months and who report receiving fall risk intervention from the practitioner.
  • So What?

     

    Falls are the leading cause of death by injury in people 65 and older: every year, one in three older adults fall.1 Falls can cause hip fractures and head wounds, increasing the risk of early death and inducing fear that can reduce mobility and cause depression and social isolation.2,3

    Falls are a threat to the health and independence of older adults.4 The majority of falls could be prevented through evidence-based interventions, initial discussions with practitioners about future risk of falls and practical lifestyle adjustments.

    References

      1. Bergen, G., M.R. Stevens, E.R. Burns. 2016. “Falls and fall injuries among adults aged ≥65 years—United States, 2014.” MMWR Morb Mortal Wkly Rep 65(37):993–8. https://www.cdc.gov/mmwr/volumes/65/wr/mm6537a2.htm 
      2. National Institutes of Health. 2014. “Preventing Falls.” NIH MedlinePlus the Magazine. Winter 2014 Issue: Volume 8 Number 4. https://medlineplus.gov/magazine/issues/winter14/articles/winter14pg12-13.html
      3. National Center for Injury Prevention and Control. 2015. “Preventing Falls: A Guide to Implementing Effective Community-Based Fall Prevention Programs.” Atlanta, GA: Centers for Disease Control and Prevention. https://www.cdc.gov/homeandrecreationalsafety/pdf/falls/fallpreventionguide-2015-a.pdf
      4. National Council on Aging. 2012. “Fall prevention: Fact sheet.” http://www.ncoa.org/assets/files/pdf/Fact-Sheet_Falls-Prevention.pdf 
    tables
    Fall Risk Discussion
      Commercial Medicaid Medicare
    Year HMO PPO HMO HMO PPO
    2015 35.0 32.0
    2014 34.4 31.6
    2013 33.6 31.4
    2012 33.8 31.4
    2011 32.8 30.7
    2010 32.8 31.1
    2009 31.1 30.3
    2008 31.3 30.7
    2007 29.4 28.1
    2006 27.5 26.9
    Fall Risk Intervention
      Commercial Medicaid Medicare
    Year HMO PPO HMO HMO PPO
    2015 58.6 53.4
    2014 62.0 57.4
    2013 62.2 57.0
    2012 62.0 56.8
    2011 60.2 54.6
    2010 60.1 55.3
    2009 57.7 54.7
    2008 57.8 54.6
    2007 55.8 53.4
    2006 56.0 54.2