Measure 181: Elder Maltreatment Screen and Follow-Up Plan (SOAP 1.0)

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).

Note:

Quality measures must be documented in both WebPT and Keet. The data in Keet is collated and sent to CMS during the MIPS submission period, and the data in the WebPT EMR supports what is sent to CMS.
Previously, Members reporting for MIPS with WebPT selected which measures they wanted to collect data for during the setup process. This step has been eliminated. You can now select which MIPS measures to collect data for on a visit by visit basis.

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 type within the performance period.

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).

Measure Specification

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

Reporting Measure 181 in the WebPT EMR

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

Keet: Reporting Selections

In Keet, you’ll need to add this activity to the patient’s Care Plan.

Note: The data in Keet is collated and sent to CMS. The data in the WebPT EMR supports what is submitted to CMS in the event of an audit.

Use the MIPS Badge on the patient chart or the MIPS tab in the note to open Keet.
Log in to Keet.

Note: After logging in to Keet, keep the tab open to remain logged in to Keet to streamline this step while documenting on future appointments. Keet may log users out after three hours of inactivity.
In Keet, navigate to the patient’s Episode of Care that corresponds with the case in the WebPT EMR.
Click Add Activity.
Click Measure 181: Elder Maltreatment Screen and Follow-Up Plan to add to the patient’s Care Plan.
In the Care Plan, click the ellipses (...) icon in the Action column.
Click Complete.
Select the option that best describes your supporting documentation.
Click Submit.