Development of a Fall Prevention Program

 Development of a Fall Prevention Program

1. Is this a Nursing Home, SNF, Hospital, etc.? Select: Hospital
2. Name of Facility: Mount Sinai Medical Center
3. Name of Corporation: (if needed)
4. Name of Falls Program: Clinical and Community Based South Florida Falls Program
5. Intervention list:
6. Stepping On program: This program helps the elderly in society diminish their fall risk and hence enhance their quality of life
7. Otago Exercise Program (OEP): This is within the home exercise scheme provided by therapists, which entails tailored balance and strength approaches.

• Tai-Chi: Moving for Better Balance (TCMBB): This program tackles both gait and balance concerns and is a constructive method of mitigating falls among the elderly.

1. Stop Elderly Accidents, Deaths, and Injuries (STEADI) tool kit: This program entails three steps: screen patients on the likelihood of falls, evaluating flexible risk factors, and interceding to mitigate risk through various strategies
2. Chronic Disease self-management programs (CDSMP): This program is essential in influencing fall-related self-belief (Frieson et al., 2018)
3. Training list: List of some of the training that may be needed.
4. On the Stepping on program, training to be carried includes two-hour workshops by trained leaders weekly.
5. The Otago Exercise Program also entails training on tailored balance and strength for over a year.

• Tai Chi program entails an 8-form training program with integrated exercise discrepancies and a subprogram of incorporated therapeutic undertakings.

1. In Chronic Disease self-management programs, training is needed on the skills essential for coping with variations of chronic illnesses. (Frieson et al., 2018)
2. List of some of the items needed to initiate and keep the program running
3. Helmets and protective caps
4. Visible signs

• Hip Protectors

1. Low beds
2. The estimated cost of the program:

The estimated cost of establishing the Clinical and Community Based South Florida Falls Program is $ 30,600, with a projected annual cost of $ 4600 per annum. This includes the purchase of the relevant items and equipment required in the program and the workforce’s payments. Based on the analysis, the total cost incurred by the hospital concerning falls was over $100,000. After the program is implemented, the expected savings from the falls cost would be more than half the initial figure. The hospital will, therefore, be able to experience huge savings in a short period. The majority of these savings will be attributed to the prevention of hip fractures since a hip fracture’s average cost is estimated to be more than $20,000.

The cost-benefit is as follows for the Two primary intervention strategies. Stepping On has a Return of Investment (ROI) of approximately 64%, which can be translated that there is an extra 64 cents in profits for each dollar.  On the Otago Exercise Program, the Return on investment for individuals aged 65 and beyond was 36%, while those over 80 years was 127%. This moves to show that the ROI for the program is quite lucrative.

1. The Goals of the program

The program’s goals include increasing the safety of older adults in South Florida, enhancing the elderly’s physical moveableness to avert falls, fostering Mount Sinai Medical Center’s care to the aged, thus preventing falls, escalating statewide support for approaches and systems that reinforce fall prevention initiatives. Another essential goal of the program is to save costs that the hospital incurred or will incur in the future based on the falls of the older adults. A positive Returns on Investment of the hospital is the program’s final goal as this will ensure a constant flow of revenue and profits from the program.

Reference

Frieson, C. W., Tan, M. P., Ory, M. G., & Smith, M. L. (2018). Editorial: Evidence-Based Practices to Reduce Falls and Fall-Related Injuries Among Older Adults. Frontiers in Public Health, 6. https://doi.org/10.3389/fpubh.2018.00222

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