Transcript Napa Fall Prevention Coalition

Napa Valley
Fall Prevention Coalition
StopFalls Napa Valley
Coordinated Fall Prevention
Outreach and Services
Napa Fall Prevention Coalition
The Purpose to the Coalition is to:
 Significantly reduce falls among older
adults in Napa Valley that decrease
quality of life, result in injury, nursing
home placement or death
Fall Prevention Initiative
Purpose of proposed funding is to:
Increase access to fall prevention
services and programs for older
adults throughout Napa County
particularly those with demonstrated
risk factors and underserved elderly
adults aged 75 and older
Coalition Partners
 St. Helena Hospital, Queen of the Valley Hospital, Kaiser
Permanente (representing emergency rooms, patient
education, Women’s Center and community support programs)
 Adult Day Services of Napa Valley (Adult Day Health
Care/Alzheimer’s Day Care Resource Center/Social Day
Care/Alzheimer’s Coalition/Caregiver Support & Respite)
 EMS
 Assisted Living and Skilled Nursing facilities
 The Volunteer Center: Senior Services, I&A & Referral
 Senior Committee of Non-Profit Coalition
 Transportation Planning Agency
 Senior centers
 Area Agency on Aging: representing Planning. Outreach
Coordination (Info-Van & Nutrition Educator), Long Term
Care Ombudsman, Case Management programs, & Latino Elder
Coalition
 Physicians and More …
Area Agency on Aging
Lead Agency
 501(c)3
 Planning, coordinating, and advocating for the
development of a comprehensive service delivery
system for frail elders and disabled adults age 18 and
older and supportive services for family caregivers
including Adult Day Care Programs and Alzheimer’s Day
Care Resource Centers and Congregate and Homedelivered nutrition programs and administration of
contracted programs.
 Advisory board of consumers
Why Fall Prevention?
Prevalence and Population
Target Population
• Older adults 65 and older, emphasis on
the elderly 75 and older who are at risk
and underserved, and their family
members, caregivers and providers
Falls Resulting in Hospitalization
High Ratio of Falls
• Napa City has a greater than average ratio
of falls resulting in hospitalization when
compared to hundreds of other cities.
Cost of Hospitalization from Falls
• The Mean Cost of hospitalization from a fall in
Napa in 2004 was $37,393.62
• With 453 people documented as hospitalized
due to a fall, the cost was $16,939,309.86.
•
Hospitalized fall injury data came from 2004 California Patient Discharge Data, supplied by the
California Office of Statewide Health Planning and Development in partnership with the CA Dept.
of Health Services, EPIC.
Many More Visit the Emergency
Room for Falls
It is estimated that 213,000 Californians
visit the emergency room for fall related
injuries and more than 60,000 are
hospitalized or more than 3.5 times more
people use the emergency room for falls.
Aging Population
The risk of fall injury increases
dramatically with age. The rate among
Californians over age 85 is 57 times higher
than Californians aged 20-55 years.
Residents over age 85 are the fastest
growing segment of the Napa County
population.
Napa Compared to Other Counties:
Napa County has the second highest
percentage of the total population who are 85
years and older
It has third highest percentage of the total
population of residents age 75 years and
older
Additionally, the county has a significantly
high percentage of older adults living below
poverty and living alone in the community.
Consequences of Falls
Serious Injuries from Falls
According to Studies:
– Serious injuries from falls include hip and
other fractures, head, neck and back injuries
that require significant care.
– Full recovery is unlikely for a significant
percentage of these survivors.
Costly, Long Term Impacts
 Falls that result in hospitalization also are likely
to cause placement in costly and restrictive long
term care facilities, significantly reduce post fall
activity, increase depression and anxiety, and
isolation.
 In one study, 50% of fall injuries that required
hospital admission resulted in the elderly person
being discharged to a nursing home
Preventing Falls
Falls Can Be Prevented
 Falls are most often caused by
– environmental factors,
– gait and balance disorders, and
– medical issues.
 Fall risk assessment and intervention programs
can prevent falls and injuries.
 Best practices indicate that combined
interventions are the most likely to reduce falls
risk.
Prevention Programs Work
Falls can be reduced through evidencebased prevention and intervention
services that address risk factors for falls
and mitigate secondary factors such as
home and community safety issues.
CDC supports a “multifaceted approach
with both behavioral and environmental
components.
Combined Strategies Address
Health Promotion and Intervention
 Community Awareness & Education
 Coordination Among Providers
 Provider Education & Training
 Physical Activity to Improve Balance & Mobility
 Home Safety Assessments & Modification
 Public & Institutional Policies & Procedures
 Access-Able Transportation & Communities
 Surveillance Systems
Napa Fall Prevention
Plan
Launching A Community Effort
Successful fall prevention programs involve
the whole community:
 Promoting healthy lifestyles including access to
physical activity for all ages and abilities,
 Improving community safety and walkability,
 Implementing institutional policies for falls risk
assessment,
 Creating safe home and living environments,
 Assuring post-fall interventions.
Community Partnership
The Centers for Disease Control and
Prevention supports a coordinated
approach among community-based
organizations, health care institutions, and
public agencies and communities.
Napa Fall Prevention Coalition
Strategies
1. Community education and events
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Media
Grassroots Outreach
Materials
Education and screening programs
2. Promoting physical activity to improve
balance and mobility
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Resource and referral lists
Physical activity programs for vulnerable, frail and
isolated seniors
Public Service Announcements
Did you know that thousands of seniors are
hospitalized due to falls every year?
You don’t have to be one of them!
•
Here are three things you can do to prevent
falls…
 Improve your balance with exercise and
strength training
 Have regular vision and hearing checks
 Have your doctor regularly check all the
medicines you are taking
Ask your doctor if you are risk for falling.
Stop falls. Stay independent.
Napa Fall Prevention Coalition
Strategies
3. County-wide Fall Prevention
Coordination
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Post Fall Follow-up & Assistance
Resource & Referral
Training & Education
Policies & Procedures
NAPA FALL PREVENTION COORDINATION AND ASSISTANCE PROGRAM
Hospitals (Discharge),
EMS and Healthcare
providers
Re
Gatekeepers/ I&A/
Service Providers
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Fall Prevention
Coordinator
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Self Referral
Re f
Older Adults
Caregivers and Family
Members
Community members/
Neighbors
Multifactor Fall
Risk Assessment
Re
Home
Modification
PCP
Balance and
Mobility
Program
Education
Coordination and
Follow-up
Napa Fall Prevention Coalition
Strategies
4. Home Safety Assessment and Affordable
Modification
5. Linking to other HAPI Initiatives:
 Senior Transportation & Mobility (Vouchers)
 Senior Link Information & Assistance
 Napa Institute on Aging for Caregiver and Provider
Education (Fall Prevention Training)
6. Surveillance & Data Collection