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Falls with injury

CBE ID
0202
1.4 Project
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

All documented patient falls with an injury level of minor or greater on eligible unit types in a calendar quarter. Reported as Injury falls per 1000 Patient Days.

(Total number of injury falls / Patient days) X 1000

Measure focus is safety.
Target population is adult acute care inpatient and adult rehabilitation patients.

        • 1.14 Numerator

          Total number of patient falls of injury level minor or greater (whether or not assisted by a staff member) by eligible hospital unit during the calendar month X 1000.

          Included Populations:
          • Falls with Fall Injury Level of “minor” or greater, including assisted and repeat falls with an Injury level of minor or greater
          • Patient injury falls occurring while on an eligible reporting unit

          Target population is adult acute care inpatient and adult rehabilitation patients. Eligible unit types include adult critical care, step-down, medical, surgical, medical-surgical combined, adult rehabilitation in-patient.

        • 1.15 Denominator

          Denominator Statement: Patient days by Type of Unit during the calendar month.

          Included Populations:
          •Inpatients, short stay patients, observation patients, and same day surgery patients who receive care on eligible inpatient units for all or part of a day on the following unit types:

          •Adult critical care, step-down, medical, surgical, medical-surgical combined, and adult rehabilitation inpatient units.

          •Patients of any age on an eligible reporting unit are included in the patient day count.

        • Exclusions

          Excluded Populations: Other unit types (e.g., pediatric, psychiatric, obstetrical, etc.)

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Patient Safety Fall Cycle 2020
          Initial Endorsement
          Last Updated
          Removal Date
              • Risk Adjustment