[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-203371-105":59,"doc-detail-203371-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","medicare-hos-management-of-fall-risk-urinary-incontinence-and-physical-activity","Medicare HOS - Management of Fall Risk, Urinary Incontinence and Physical Activity","","HEDIS Tip Sheet outlines how Medicare Health Outcomes Survey (HOS) captures the effectiveness of care measures for fall risk management, management of urinary incontinence in older adults, and physical activity. The measures rely on patient-reported changes in physical and mental health over time and guide providers in improving care experiences. It details FRM rates for discussing and managing falls, highlights that lower scores reflect better urinary incontinence performance, and explains patient discussions and advice to support activity while reducing risks.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medicare-hos-management-of-fall-risk-urinary-incontinence-and-physical-activity/203371/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medicare-hos-management-of-fall-risk-urinary-incontinence-and-physical-activity/203371.png","ImageObject",300,407,{"name":92,"@type":93},"Evangeline","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-02","2026-09-04",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the Medicare Health Outcomes Survey (HOS) used for in these measures?","Question",{"text":112,"@type":113},"The HOS collects patient-reported information on how members’ physical and mental health perceptions have changed over time. Providers use HOS responses to improve the care experience tied to these effectiveness of care measures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is Fall Risk Management (FRM) measured?",{"text":117,"@type":113},"FRM includes two rates: discussing fall risk with a practitioner and managing fall risk, where members experienced falls or balance/walking problems, saw a practitioner, and received fall risk intervention from the current practitioner.",{"name":119,"@type":110,"acceptedAnswer":120},"Why does the urinary incontinence measure (MIU) emphasize a lower rate?",{"text":121,"@type":113},"The sheet states that a lower rate indicates better performance for this measure, which is based on whether older adults discussed treatment options after reporting urine leakage and its impact on daily activities or sleep.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},203371,1788560374,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":52},13056703019662,"https://ap-avatar.wpscdn.com/avatar/be000253a8e92610077?_k=1778726343310543188","HEDIS Tip Sheet  \nEffectiveness of Care Measures  \nMedicare HOS: Management of Fall Risk, Urinary Incontinence and Physical Activity  \nUSE THIS TIP SHEET TO REVIEW KEY DETAILS OF FALL RISK MANAGEMENT, URINARY INCONTINENCE AND PHYSICAL ACIVITY MEASURES, BEST PRACTICES AND RESOURCES  \nFall Risk Management, Management of Urinary Incontinence in Older Adults and Physical Activity in Older Adults are HEDIS Effectiveness of Care measures captured via a patient-reported survey known as the Medicare Health Outcomes Survey (HOS) .  \nThe HOS measures how a member’s perception of their health, both physical and mental, has changed over time. Providers can help patients improve their health care experience in response to HOS questions tied to these measures.  \nMeasures  \nFall Risk  \nManagement (FRM)  \nThe FRM measure determines if the member has a history of falls or problems with balance, walking, whether they discussed falls with a health care provider and their provider’s management offall risk. This measure includes two rates:  \n Discussing fall risk:  \nThe percentage of Medicare members ages 65 and older who were seen by a practitioner in the past 12 months and who discussed falls or problems with balance or walking with their current practitioner.  \n Managing fall risk:  \nThe percentage of Medicare members ages 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 received fall risk intervention from their current practitioner.  \n\n| Management of Urinary Incontinence (MIU) in Older Adults\u003Cbr>| The percentage of Medicare members ages 65 or older who reported having any urine leakage in the past six months and who discussed treatment options for their urinary incontinence with a health care provider, and reported if urine leakage made them change their daily activities or interfered with sleep.\u003Cbr>Note: A lower rate indicates better performance for this measure. |\n| --- | --- |\n\nPhysical Activity in Older Adults (PAO)  \nThe percentage of Medicare members 65 years and older who had a doctor’s visit in the past 12 months and who report that they:  \n Spoke with a doctor or other health provider about their level of exercise or physical activity.  \n Received advice to start, increase or maintain their level of exercise or physical activity.  \n(continued)  \n\n| Falls |\n| --- |\n| One in four adults ages 65 and older fall each year. Ten percent have falls resulting in non-fatal injuries that require medical services1. As a leading cause of morbidity and mortality among the elderly, the risk of falling and fall-related injuries increase with age. Injuries, such as hip fractures, are associated with restricted mobility, functional decline, inability to live independently and decreased quality of life 2.\u003Cbr>Less than 50% of older adults who fell in the previous year talk to their health care provider about it. Women are more likely than men to seek medical care for falls, discuss falls and prevention with their health care provider3 . Other risk factors that can increase falls among the elderly are:\u003Cbr> Hearing or visual impairments.\u003Cbr> Use of specific psychotropic or narcotic medications.\u003Cbr> Physical inactivity.\u003Cbr> Unsafe home environments.\u003Cbr>Health care providers should ask older patients about fall risk as a routine part of their exam and follow the Centers for Disease Control and Prevention (CDC) recommended steps to prevent falls4 .\u003Cbr>\u003Cbr>Here are three sample steps to screen for risk of falls:\u003Cbr>Step 1: Ask the patient these three questions\u003Cbr>1. Have you fallen in the past year?\u003Cbr>2. Do you feel unsteady when standing or walking?\u003Cbr>3. Do you worry about falling?\u003Cbr>Step 2: Review\u003Cbr> Review and manage medications linked to falls.\u003Cbr> Identify modifiable risk factors.\u003Cbr>Step 3: Recommend\u003Cbr> Recommend Vitamin D for improved bone, muscle and nerve health.\u003Cbr> Intervene to reduce risk factors using effective strategies. |\n\n\n| Urinary ","cbCaimwxTPKtVEVn","https://ap.wps.com/l/cbCaimwxTPKtVEVn","pdf",159438,"English","# Effectiveness of Care Measures\n## Medicare HOS Overview\n## Measures\n### Fall Risk Management (FRM)\n### Management of Urinary Incontinence (MIU) in Older Adults\n### Physical Activity in Older Adults (PAO)\n## Additional Risk Context and Screening Steps\n## Best Practices","[{\"question\":\"What is the Medicare Health Outcomes Survey (HOS) used for in these measures?\",\"answer\":\"The HOS collects patient-reported information on how members’ physical and mental health perceptions have changed over time. Providers use HOS responses to improve the care experience tied to these effectiveness of care measures.\"},{\"question\":\"How is Fall Risk Management (FRM) measured?\",\"answer\":\"FRM includes two rates: discussing fall risk with a practitioner and managing fall risk, where members experienced falls or balance/walking problems, saw a practitioner, and received fall risk intervention from the current practitioner.\"},{\"question\":\"Why does the urinary incontinence measure (MIU) emphasize a lower rate?\",\"answer\":\"The sheet states that a lower rate indicates better performance for this measure, which is based on whether older adults discussed treatment options after reporting urine leakage and its impact on daily activities or sleep.\"}]","Medicare HOS - Management of Fall Risk, Urinary Incontinence and Physical Activity | PDF"]