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Nova Scotia Falls Prevention Initiatives

Nova Scotia Falls Prevention Initiatives. OIPRC IP Forum March 3, 2010 Suzanne Baker. The leading causes of falls are preventable… with a coordinated prevention effort . Seniors’ Falls Facts. Falls: the most common cause of injury for seniors 3,317 hospitalizations

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Nova Scotia Falls Prevention Initiatives

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  1. Nova Scotia Falls Prevention Initiatives OIPRC IP Forum March 3, 2010 Suzanne Baker

  2. The leading causes of falls are preventable… with a coordinated prevention effort.

  3. Seniors’ Falls Facts Falls: the most common cause of injury for seniors • 3,317 hospitalizations • 61% are females • 54% of injury-related hospitalizations

  4. Seniors' Falls in Nova Scotia District Reports http://www.gov.ns.ca/hpp/publications/seniors_falls.pdf

  5. Injury Related Hospitalizations

  6. Injury Related Deaths

  7. Annual fall-related hospitalization rates by age and gender, 2000–2004

  8. Annual fall-related death rate by age and gender, 2000–2004

  9. Fall related hospital days

  10. Anatomic site of injury for falls requiring hospitalization, 2001–2004

  11. Hospital Costs for Selected Fall-related Injuries Among Seniors, B.C., 2001/2002 to 2004/2005

  12. The Economic Burden of Injury in Canada, 1998 The Economic Burden of Unintentional Injury in Canada, 2004 Economic Burden Reports

  13. Mortality Rates Due to Falls, 2004

  14. Fall Injuries: the Surface Below Deaths Hospitalizations Emergency Dept visits Treated in a physician’s office Treated at home or never treated 15

  15. Scope of the Issue • By 2016 • Anticipated fall related injuries • Fill a 523-bed hospital • Every bed • Every day

  16. Department of Health • Department of Health - Falls Risk Assessment Framework • Designed to raise the awareness of falls and falls prevention • Provide necessary information • Create individualized, practical falls assessment tools and programs • Relevance in home care, acute care, and long-term care settings • Used to build on existing falls prevention programs or to assist in developing new falls prevention programs. • http://www.gov.ns.ca/hpp/publications/FallsFramework.pdf

  17. Purpose of Strategic Framework • Get everyone focused • Establish a collaborative plan for: • policy makers and government • DHAs, continuing care sector • communities • professionals • Maximize collective ability to address seniors falls

  18. Overview of Document • Consequences of Seniors’ Falls • Human impact, costs, and Nova Scotia data highlights • Causes of Seniors Falls – Risk Factors • Biological and Medical Risk Factors • Behavioural Risk Factors • Environmental Risk Factors • Socio-economic Factors

  19. Overview of Document • Best Practice Approaches to Falls Prevention • Strategic Framework Background • Purpose • Process • Strategic Alignments

  20. Guiding Principles • Living, evolving document • Focused on risk factors • Strategies reflect community, cultural differences • Evidence-based, comprehensive • Relevant to needs, grounded in data and research • Foster collaboration • Support and build on existing efforts • Population health approach • Be adequately resourced

  21. Strong Foundation Exists • Provincial Intersectoral Falls Prevention Committee • Data Report • Community Links – Preventing Falls Together • Department of Health - Vitamin D and Falls Assessment Framework) • Department of Seniors – Strategy for Positive Aging • District Leadership – South Shore Health • Falls Prevention Conference • Health Canada, Veterans Affairs, and Public Health Agency of Canada

  22. Strategic Goals • Leadership, Infrastructure, and Partnership • Awareness and Understanding • Education • Supportive Environments • Knowledge Development and Transfer

  23. 1. Leadership, Infrastructure & Partnership GOAL: Appropriate and adequate leadership, infrastructure, and partnerships sustain all aspects of the Strategic Framework.

  24. Leadership Activities • Providing ongoing leadership and support at provincial and DHA levels • Provincial Intersectoral Falls Prevention Committee • Coordination funding • National Collaborative on Falls in Long-Term Care • Funding Preventing Falls Together • Canadian Falls Prevention Curriculum Delivery

  25. Safer Healthcare NOW! National Collaborative on Falls Prevention • Three DHA • Annapolis Valley Health • South Shore Health • South West Health • Acute Care sites • Alternative Level of Care units (# of beds) • Promoting collaboration between DHA’s while enhancing Patient Safety and Quality of Life

  26. The Home Support Exercise Program (HSEP) was developed for the frail elderly living in the community. It is comprised of 10 simple, yet progressive exercises designed to enable older adults to enhance and/or maintain their functional mobility and independence. Home Support Exercise Program (HSEP)

  27. Home Support Exercise Program (HSEP) • Evidence-based physical activity intervention for frail elderly • Canadian Centre for Activity and Aging (UWO) • Designed for home support workers • Capital Health and GASHA

  28. Provincial Intersectoral Falls Prevention Committee • Purpose:To guide and monitor the implementation of the seniors’ falls prevention strategic framework • Philosophy • Responsibilities • Composition • Highlights

  29. 2. Awareness and Understanding GOAL: Nova Scotians are aware of the issue of seniors’ falls and fall-related injuries and understand how to prevent them.

  30. Activities • Social marketing workshops to Falls Prevention Coalitions and other partners • Support for annual falls prevention week • Ongoing education and meetings with policy makers

  31. A Population Health Approach toFall Prevention in NS

  32. Community Links • Provincial, non-profit charity • Seniors issues • Member of the Group of IX • Age Friendly Communities • Community Development • Volunteerism • Members are seniors and senior serving organizations

  33. Preventing Falls Together Goal Reducing falls and fall related injuries by seniors in NS using a population health approach at regional coalitions

  34. Preventing Falls Together • Population Health Approach • Age Friendly Communities • Regional Coalitions • Tool Kit & Checklists

  35. Regional Coalition Projects • Senior Parking Spots • Grit Bags • Safe Public Spaces • Walk Abouts • Physical Activity • Conference • Municipal Election

  36. Regional Coalition Projects • Places of Worship • Hair Salons & Barber Shops • Presentations/workshops • Nightlight Partnership • Recreation Facilities • Falls Prevention Week

  37. Susan King – Provincial Coordinator Email: coordinator@preventingfallstogether.ca Telephone: (902) 539-6098 www.preventingfallstogether.ca

  38. Falls Prevention WeekNovember 23-27, 2009 Proclamations—towns and district health authorities • Foot Care Information Session - Digby • Articles on Falls in Newsletters and papers in Western NS • Don't Fall For Christmas gift list • Posters enlarged and distributed throughout Western NS • Displays in hospitals, Red Cross Office and NQ Health Center • Placemats • Taglines on emails Digby and Area CHB • Places of Worship Project in Lunenburg and parts of Queens • Falls Prevention Talks • Falls Prevention Clinic

  39. 3. Education GOAL:Seniors, care providers, organizations, and communities have the skills and knowledge to reduce the risk of falls and fall-related injuries.

  40. Activities • Canadian Falls Prevention Curriculum delivery and leadership (By the end of January more than 300 people will be certified in the CFPC) • Support for Tri-District project • Funding for Red Cross H.E.L.P. program to incorporate falls prevention within their initiative • Preventing Falls Together Toolkit • Falls Prevention Conferences

  41. Canadian Falls Prevention Curriculum • February 2008 • Participants will learn about: • nature and scope of seniors’ falls • complex causes of falls • modifiable risk factors • Identification of seniors at increased risk of falling • evidence-based risk assessment tools • best practice interventions • applying a practical program planning model to the design • implementation initiatives • evaluating the effectiveness of programs

  42. 4. Supportive Environments & Policy GOAL:Supportive environments are created and nurtured by healthy public policies that promote health and reduce the risk of falls and fall-related injuries.

  43. Activities • Canadian Falls Prevention Curriculum delivery and leadership • Funding for part-time position to facilitate coordination among districts • Provide expert advice to province and DHAs Strategy for Positive Aging

  44. Provincial Falls Prevention District Network Purpose: A forum for the DHA and IWK to collaborate on data collection… Scope: The focus of the network will be on the acute care/hospital setting.

  45. Strategy #1 • Establish a network of DHA leaders and staff • Facilitate greater collaboration and sharing of falls prevention information • Tools, policies and programs • Scope of the network includes the continuum of care

  46. Strategy #2 • Web-based central forum for the exchange

  47. Strategy #3 • Develop and recommend standardized evidence based policies • Data collection processes • Risk assessment • Intervention tools for the DHA

  48. Strategy #4 • Guidelines for evaluating existing and future tools, interventions, and policies.

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