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Evercare Quality Improvement Awards Falls Reduction Program Susan E. Harris, CRA, ADC, LNHA Assistant Executive Director Daughters of Israel West Orange, New Jersey
Faculty Disclosures: ,[object Object]
Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Facility Demographics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QI Project  Falls Reduction Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Project Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QI Planning & Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Falls Sub-Committee ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Falls Reduction Program Issues Encountered ,[object Object],[object Object]
Tools Used to Affect Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tools Used to Affect Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Facility Expenses ,[object Object],[object Object],[object Object],[object Object],[object Object]
Resident Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Regulatory Outcomes ,[object Object],[object Object],[object Object],[object Object]
Improved Quality of Service Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enhanced Staff Performance Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Improved Organization, Management Structure and Systems Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Financial Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Closing Thoughts ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Evercare Presentation Falls

  • 1. Evercare Quality Improvement Awards Falls Reduction Program Susan E. Harris, CRA, ADC, LNHA Assistant Executive Director Daughters of Israel West Orange, New Jersey
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Editor's Notes

  1. We had 1119 falls in May 1999. According to the fall rate that we used we should have had no more than 450 falls annually. Compounding problems: 2 nd oldest population in our state Dementia population of 63% Statistically this meant that we could expect to have a higher than average number of falls Standardized Fall rate formula: total number of monthly falls divided by the total number of patient days times 1000
  2. This early tool helped us to understand where, how and why our residents were falling Other relationships with falls Psychosocial Environmental – cluttered room, overly shiny floors Patterning – when did the fall happen? Had it happened this way before? Medication usage – when was a psychotropic medication dispensed in relation to the time of the fall or same for diuretic
  3. Tracking system is reported monthly to CQI – covers by resident, by unit and fall rate by unit and the overall house fall rate
  4. Fall Rate of 4.16 is at the benchmark and meeting our goal Use a very basic rule: we should do everything reasonable to prevent a fall, do everything reasonable to prevent future falls and have the documentation do support this
  5. Prior to program the resident may have fallen multiple times before any interventions were applied
  6. Multiple interventions instead of just trying one approach at a time chair alarm, non-skid floor strips, a specific activity intervention and a toileting plan might all be applied at the same time More Insights - As we have come through this project we have learned that the best way to serve our population is to minimize “staff fall failures”. To accomplish this staff must: be properly educated on falls Have the proper tools to do their jobs Understand the importance of educating and communicating with families in regard to falls Have the skills to report a fall to the family Trained to devise and implement appropriate follow up and care plan change Complete a thorough fall investigation Document accurately and timely Make reduction of falls a priority for all staff We created an interdisciplinary approach in which all levels of staff were invested. No one intervention, one idea, or one discipline made the difference by itself.