Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls who had a plan of care for falls documented within 12 months.
Last updated: January 15, 2026
🧮MIPS Score Simulator
Estimate only — actual CMS scoring may vary based on reporting method, data completeness, and annual rule updates.
📖Clinical Rationale
Interventions to prevent future falls should be documented for the patient with 2 or more falls or injurious falls.
📝Clinical Recommendations
The USPSTF recommends exercise or physical therapy to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. Grade: B Recommendation. The AGS 2010 Clinical Practice Guidelines Recommend: Multifactorial/Multicomponent Interventions to Address Identified Risk(s) and Prevent Falls 1. A strategy to reduce the risk of falls should include multifactorial assessment of known fall risk factors and management of the risk factors identified.
[A] 2. The components most commonly included in efficacious interventions were: a. Adaptation or modification of home environment [A] b. Withdrawal or minimization of psychoactive medications [B] c. Withdrawal or minimization of other medications [C] d. Management of postural hypotension [C] e. Management of foot problems and footwear [C] f. Exercise, particularly balance, strength, and gait training [A] 3.
All older adults who are at risk of falling should be offered an exercise program incorporating balance, gait, and strength training. Flexibility and endurance training should also be offered, but not as sole components of the program. [A] 4. Multifactorial/multicomponent intervention should include an education component complementing and addressing issues specific to the intervention being provided, tailored to individual cognitive function and language.
[C] 5. The health professional or team conducting the fall risk assessment should directly implement the interventions or should assure that the interventions are carried out by other qualified healthcare professionals.
📋Implementation Notes
This measure contains one strata defined by a single submission criteria. This measure produces a single performance rate. For the purposes of MIPS implementation, this patient-process measure is submitted a minimum of once per patient during the performance period. The most advantageous quality data code (QDC) will be used if the measure is submitted more than once.
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