Fall Prevention in the SNF/LTC Setting: It Takes a Village!

Fall Prevention in the SNF/LTC Setting: It Takes a Village!

Corrie Dyson, MS, CCC-SLP Clinical Excellence Coordinator Therapy Management Corporation

Fall Statistics Recap

? More than 1/3 of adults 65 and older fall each year in the United States

? Among older adults, falls are the leading cause of injury deaths.

? Falls are also the most common cause of nonfatal injuries and hospital admissions for trauma.

? About 5% of adults over 65 live in nursing homes, but nursing home residents account for about 20% of deaths from falls in this age.

Common Outcomes from Falls

? 20-30% of people who fall suffer moderate to severe injuries

? Falls are the most common cause of traumatic brain injuries (TBI).

? Most fractures among older adults are caused by falls

? 90% of all hip fractures are a result of a fall.

Paradigm Shift:

Fall Intervention to Fall Prevention

Prevention = A PROACTIVE, forwardthinking concept that promotes a fall-free environment

Intervention = A REACTIVE concept, in which we wait for an incident to occur, then intervene

Impact of Fall Prevention

Cost

Safety

Patients Family Members

Staff Surveyors

Health

Satisfaction

Key Concepts in an Effective Fall Prevention Program

? Prevention of falls and/or injury from falls ? Improved regulatory compliance ? Increased nursing-therapy communication and referral stream ? Specialized screening to capture fall risk ? Evidence-based risk identification and interventions for

patients ? Improved function for patients at risk for falling and

recovering from falls ? Improved discharge planning with patient education and re-

screening at 30 days.

Hake Experimental Design Concept: Work to Continually Improve!

Collect Data

Add in additional variables

Investigate Data

Collected

Compare Outcomes

TMC Fall Prevention

Falls with Injury

4.1

4

3.9

3.8

3.7

3.6

3.5

3.4

3.3

3.2

3.1

Falls with Injury Baseline Falls with Injury Current

QM%

QM%

Falls with Injury

119 SNFs with an Active Fall Program ? Quality Measure is: Percentage of long-stay residents experiencing one or more falls with major injury ? Average at Q2 2017- 4.058% ? Average at Q1 2018- 3.410% ? Reduction of 16.0%

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download