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Community Falls Prevention in Canterbury Keeping Les & Gloria upright at home

Community Falls Prevention in Canterbury Keeping Les & Gloria upright at home. Ken Stewart Canterbury DHB Falls Prevention Clinical Lead HQSC Falls Expert Advisory Group May 2013. Where were we 2 years ago?. CDHB Clinical Board recognised falls were a problem in our hospitals

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Community Falls Prevention in Canterbury Keeping Les & Gloria upright at home

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  1. Community Falls Prevention in CanterburyKeeping Les & Gloriaupright at home Ken Stewart Canterbury DHB Falls Prevention Clinical Lead HQSC Falls Expert Advisory Group May 2013

  2. Where were we 2 years ago? • CDHB Clinical Board recognised falls were a problem in our hospitals • Recognised impact of falls upon frail elderly in all settings • Hospitals –stories from RCA’s + whole system • Aged Residential Care • Community • We gathered data for falls in all of these areas • We reviewed the evidence for reducing harm from falls to match our aim of Zero Harm

  3. “Evidence-informed”interventions to prevent falls across the system • Hospitals • Real-time study- “Take 5” approach • ARC • Vitamin D • Medication Chart review • Community – RFP (4 FTE) • Modified OEP (75+ & home hazard check) • Model of care • Funding

  4. Falls Prevention in ARC • Vitamin D evidence • Collaboration between all key stakeholders Consumers Aged Residential Care Primary Care Secondary Care CDHB leadership + Planning & Funding Canterbury Clinical Network ACC Otago University School of Medicine • Set target & timeframe • Re-frame as real stories of “a better way”

  5. Community Falls Champions • Assess & screen for programme • Strength & balance exercises in own home • Home hazard check • Train to increase workforce capacity • Design to enable primary care integration • Design to foster primary-secondary care collaboration • Design a funding model to maximise quality, access and delivery of service geographically • Match service to demography • Reduce barriers to referrals – Health pathways

  6. Results • Delivered MOEP to over 2000 people since February 2012 • Demand exceeded expectations but so has the service • Vitamin D for 73% of ARC >65’s • Demand on Emergency Dept • Reduced 7.2% • Demand on acute hospital • Reduced admissions 6.9 % • Hospital capacity • 900 bed days saved in first year (most in last quarter)

  7. Prevention is better than cure • Are Falls Preventable in the Elderly? • When does prevention start? • We are responsible for the bigger picture

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