Measure 181: Elder Maltreatment Screen and Follow-Up Plan

This is a guide for 1.0 measure reporting. For 2.0 measure reporting, click here.

Mistreatment of older adults represents a widespread problem and elder maltreatment is being increasingly recognized as a global health issue. Screening for potential elder maltreatment provides a method of identifying those who may be at risk and provides an opportunity for interventions to be instituted to decrease further incidents, decrease or prevent harm, and improve the overall quality of life for the elderly victim and their family and/or caregiver(s).

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Who can report this measure?

PTs, OTs, and SLPs can report on this measure.

Patient Qualifications

  • Patient age (65 or older)
  • Visit type: Initial Evaluation

When do I report on this measure?

During each eligible visit within the performance period and only when an eligible procedure code is billed.

You must report Measure 181 any time an Eligible Procedure Code is billed: 

  • PT: 97161, 97162, 97163
  • OT: 97165, 97166, 97167
  • SLP: 92521, 92522, 92523

Measure Requirements

1)  Screen for Elder Maltreatment: An elder maltreatment screen should include assessment and documentation of one or more of the following components

  • physical abuse
  • emotional or psychological abuse
  • neglect (active or passive)
  • sexual abuse
  • abandonment
  • financial or material exploitation
  • unwarranted control

2)  Follow-Up Plan: Must include a documented report to state or local Adult Protective Services (APS) or the appropriate state agency (if the screen is positive for abuse).

Note: Self-neglect is a prevalent form of abuse in the elderly population. Screening for self-neglect is not included in this measure. Resources for suspected self-neglect are listed below.

Measure Specification

For more information on Measure 181, please see the Measure Specification Guide.

Reporting Measure 181 in the WebPT EMR

  1. On the Objective Tab, select the Elder Abuse Suspicion Index (EASI) link from Measure 181 in the MIPS Measure Tests section.                    
  2. The EASI appears in the Outcome Measurement Tools section.
  3. Use the Yes radio button to open the test. 
  4. Administer the test and record the result. If the EASI yields a positive result, complete the Follow-Up Plan.                                           
  5. When finished documenting, validate the selection in the MIPS tab.

MIPS Tab: Reporting Selections

In the MIPS tab, the system will automatically select the measure that best fits your documentation. Below, we’ve indicated which selections meet the performance expectations.

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