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Hospital Harm – Falls with Injury

CBE ID
4120e
Endorsement Status
1.0 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2028
1.6 Measure Description

This ratio measure assesses the number of inpatient hospitalizations where at least one fall with a major or moderate injury occurs among the total qualifying inpatient hospital days for patients aged 18 years and older.

Measure Specs
General Information
1.7 Measure Type
1.7 Composite Measure
No
1.3 Electronic Clinical Quality Measure (eCQM)
1.8 Level of Analysis
1.9 Care Setting
1.10 Measure Rationale

N/A this is not a paired measure. 

A website URL not available; Final measure specifications for implementation will be made publicly available on CMS’ appropriate quality website, once finalized through the CBE endorsement and CMS rulemaking processes. 

1.20 Types of Data Sources
1.25 Data Source Details

Hospitals collect EHR data using certified electronic health record technology (CEHRT). The MAT output, which includes the human readable and XML artifacts of the clinical quality language (CQL) for the measure are contained in the eCQM specifications attached. No additional tools are used for data collection for eCQMs.