Transcript Document

South King Fire & Rescue
Fall Prevention Program:
Training Intervention
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HelpingOverview
People
• Faller Impact on SKFR Operations
• Fall Prevention Program Introduction
• Intervention
– Methods
– Goals
– Predicted Outcomes
• KC EMS One-Step-Ahead Program
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Fall Patient
HelpingFrequency
People
• 35-50% of adults 65+ fall annually nationwide
• 17% of EMS calls for fallers ages 65+ in King
County
• 13,000 older adults served by SKFR (2010)
– 86% in private homes
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2006-2010 LiftHelping
Assist Frequency
People
Year
2006 2007
Lift Assists
EMS calls
Proportion
266
10485
2.50%
286
10843
2.60%
2008
419
11634
3.60%
2009
571
10780
5.30%
2010
797
11102
7.20%
Total
2339
54844
4.30%
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Impact on Operations
(2006-2010)
Helping
People
• 86 to 250 out-of-service hours
– Cuts down time available for other non-acute calls
– Trend expected to increase
• SKFR FF time loss injuries
– 149 injury claims
– 29 from lifting patients
– 11 out of 29 from lift assist calls
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Program Mission
Statement
Helping
People
To improve faller health outcomes by identifying
repeat fallers early and increasing patient
referrals to the One-Step-Ahead program.
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SurveyPeople
Results
Helping
• Survey responders:
– Were not aware of resources to give fall patients
(60%) or referral programs (56%)
– Had not referred previous fall patients (58%) and
had not received follow-up information (38%)
• 86% of responders want to provide resources
to fall-patients
– 66% want follow-up via e-mail
41.86%
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Incident Type Codes
Currently
Used
Helping
People
9.3%
32.56%
90.7%
4.65%
4.65%
41.86%
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Methods
Helping People
1. Respond & Treat
2. Counsel
– Pamphlet resources
3. Fill out tear-away
4. FireRMS Incident Type code: 3111 (Patient
Assist)
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1. Respond
Treat
Helpingand
People
• No deviation from current fall patient
response
– Elk and Camel
– Scooching
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2.People
Counsel
Helping
Additional
Resources
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2.People
Counsel
Helping
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3. Helping
Fill out tear-away
People
Refer all fall patients, regardless of injury
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HelpingChecklist
People
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4. FireRMS
Code:
3111
Helping
People
• FireRMS:
– All non-injury fall patients to be coded under
Incident Type as 3111 (Patient Assist)
– Fall patients: anyone requiring lift assistance
• Include pre-existing conditions (diabetic neuropathy,
obesity, Parkinson’s Disease, multiple sclerosis)
• Do NOT include falls resulting from seizures
– Fall patients resulting in injury to be coded as
usual
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Additional
Notes
Helping
People
• Refer ALL fall patients
• Please complete forms accurately and
completely
• Emphasize safety and independence
• Route referral forms and any requests for
additional resources to Community Affairs
Office
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What’s
in itPeople
for me?
Helping
• Referrals to One-Step-Ahead will increase
– Intervention should decrease number of repeat
falls, but…
• Repeat fallers will continue to persist
• We can’t help everyone, but we can make a
difference
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One Step Ahead
Fall Prevention Program
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One Step Ahead Fall
Prevention Program
Program Goal:
 Reduce re-occurring falls
Keep seniors in their home– safe and independent
Program Outcome:
 2003 Bellevue FD project study showed that 58% of
participants did not have a fall after the intervention
Current program has 1,472 patients were enrolled into
the program (as of December 2014)
• 922 female (62.6%)
• 550 male (37.4%)
• 82.6% of the fallers who completed the
evaluation did not have a fall after the
intervention
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Participant Criteria
• Called 9-1-1 for a fall or at high risk
of a fall as assessed by a healthcare
professional
• 50 years or older living in King
County.
• Living independently – not residing
in assisted living facilities, nursing
home, SHAG or KC Public Housing
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Program Provides
Education about fall prevention and
home safety
• A home safety-walk through
• Free in-home safety devices
• Referral to other community
resources
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Possible Patient Issues
Patient denies falling or won’t tell anyone they
fell due to being:
• Embarrassed
• Ashamed
• Afraid of losing their independence
Patients will blame a behavior - I wasn’t
watching where I was stepping or an
environmental situation – I tripped over the
phone cord, instead of realizing it’s a health risk
factor that may have caused the fall (medication,
vision, or lack of mobility/strength)
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Questions?
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