Welcome to the December Issue
of
HIIN The Know
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This month, we focus on falls. Falls are the leading cause of fatal and nonfatal injuries among adults age 65 and older.
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The Centers for Disease Control and Prevention (CDC) data reflect over 3 million emergency department visits, 962,000 hospitalizations, and approximately 30,000 deaths in 2016 were attributed to falls.
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The economic impact of falls and fall deaths is substantial, accounting for nearly $50 billion in direct medical costs each year.
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While the statistics are compelling, the personal impact on the aging population is even more staggering. A fall in an older adult can result in loss of independence, decreased mobility, limited socialization, and fear of falling.
Given this information, key strategies in the Falls Field Guide can help you implement best practices to help keep older adults active including:
- Patient and family engagement (PFE)3,4
- Promote mobility5
- Prevent delirium6
Through your partnership with HSAG HIIN, you can ensure that
your hospital has access to falls prevention resources to support your efforts. Please reach out to your Quality Advisor to receive personalized, no-cost assistance today.
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HSAG HIIN Hospitals' Current Falls Performance
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The following infographic shows the relative improvement rate (RIR) for the HSAG HIIN hospitals reporting on the claims-based Falls with Injury measure. It is important to note, 130 hospitals have sustained a rate of zero Falls with Injury in baseline calendar year (CY) 2014 and the most recent evaluation period, quarter one (Q1) 2019. Congratulations to the 117 hospitals that have effectively improved (i.e., decreased Falls with Injury through their respective efforts and front-line engagement). For hospitals that have worsened or have not attained at least a 20 percent improvement for their Falls with Injury measure, there has been great synergy on the falls workgroup calls facilitating real-time sharing of best-practice strategies. Overall, the HSAG HIIN is demonstrating a 65.76 percent RIR, reflective of the strong work being done at each of the HSAG HIIN hospitals. Thank you for your continued hard work in falls prevention.
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Improvement Tools and Resources
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Falls Field Guide
This field guide contains valuable falls information, including the harm impact of falls, the falls measure, known improvement strategies, patient and family education strategies, and specific resources.
Click here to view the field guide.
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Hester Davis (HD) Nursing—The Science Behind Falls Management
This comprehensive, individualized falls management program includes evidence-based components of falls risk assessment, falls prevention care planning and a implementation falls toolkit.
Click here to view the program.
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National Council on Aging Preventing Falls
This website includes tools and evidence-based steps to prevent a fall, strategies to assist those with osteoarthritis to lead an active life, and success stories of older adults leading healthier lives.
Click here to view the website.
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Fall TIPS: Tailoring Intervention for Patient Safety—Patient-Centered Fall Prevention Toolkit
This toolkit links the individual risk factors to the appropriate evidence-based intervention. Visual tools are included to translate the evidence into easy-to-understand practices that engage caregivers, patients, and healthcare team
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Click here to view the toolkit.
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Hospital Elder Life Program (HELP) for Prevention
of Delirium
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The STEADI Toolkit—A Fall Prevention Resource for Healthcare Providers
The Stop Elderly Accidents, Deaths, and Injuries (STEADI) toolkit is a broad, evidence-based resource to link falls risk assessments and individualized fall interventions. It provides patient education materials and resources for community exercise or falls prevention programs.
Click here to view the toolkit.
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The Data Advantage Corner
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New HSAG HIIN Performance Dashboard
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HSAG HIIN has published newly enhanced performance dashboards for participating hospitals. The performance dashboards continue to provide hospitals with a visual representation of their hospital’s performance based on a specific set of measures selected to achieve the HIIN program goals. The newly designed performance dashboards include:
- Landing Page: Provides a description of each of the dashboards within the performance dashboards. This page also provides a navigation menu on the left-hand side of the screen to each corresponding dashboard page. By clicking on the icon, you can navigate across dashboards.
- Summary Dashboard: Designed to show information at a glance while highlighting performance across HSAG HIIN metrics for the selected hospital(s). This dashboard includes 30-day all-cause readmission stratifications, RIR for selected measures, progress on patient and family engagement, and the health equity organizational assessment (HEOA).
- Measures Dashboard: Designed to show rates at different time periods for an individual measure that is chosen for the selected hospital(s). This dashboard includes data regarding RIRs, measure rates, and the number of events needed to reduce to meet the HSAG HIIN goals.
- Tabular Dashboard: Designed to show measure-specific performance by monthly, quarterly, and yearly increments. This downloadable table includes RIRs, measure rates, and number of events for the selected hospital.
- Comparisons Dashboard: Designed to show comparisons and ranks between the selected hospitals' rates to their peer groups across many HSAG HIIN metrics.
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Upcoming Events and Education
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Glycemic Control Part I
Wednesday, January 8, 2020
10 to 11 a.m. PT
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Hospital-Acquired Pressure Injuries (HAPIs) New Year Kick Off
Wednesday, January 15, 2020
12 noon to 1 p.m. PT
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The Opioid Crisis: A Rural and Critical Access Hospital Effect and Response*
Thursday, January 16, 2020
12 noon to 1 p.m. PT
*For Critical Access and Rural Hospitals only
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San Antonio Regional Hospital: Focus on the Patient in the New Era of Opioid Prescribing
Friday, January 24, 2020
8 a.m. to 12 noon PT
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HSAG HIIN Health Equity Organizational Assessment (HEOA) Open Office Hours
Friday, January 31, 2020
9 to 10 a.m. PT
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Tell us about a best practice or noteworthy story you would like to share with the HSAG HIIN community. What you do makes a difference, so please share!
Class Is in Session! Falls University: A Key Strategy in Sustaining an Effective Falls Prevention Program
Kaweah Delta Health Care District in Central California underwent a falls prevention program redesign in 2013.
Click here
to view additional falls prevention education strategies used by Kaweah Delta Health Care District.
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References
- Centers for Disease Control and Prevention (CDC). Welcome to WISQARSTM. January 18, 2019. Available at: https://www.cdc.gov/injury/wisqars/index.html. Accessed on: November 19, 2019.
- Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical costs of fatal and nonfatal falls in older adults. J Am Geriatr Soc. 2018;66(4):693-698.
- The John A. Hartford Foundation. Age-Friendly Health Systems. Available at: https://www.johnahartford.org/age-friendly-health-systems-initiative. Accessed on: November 19, 2019.
- Institute for Healthcare Improvement (IHI). Age-Friendly Health Systems. Available at: http://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Pages/default.aspx. Accessed on: November 19, 2019.
- Barbara et al. Optimizing Function and Physical Activity in Hospitalized Older Adults to Prevent Functional Decline and Falls. Clinics in Geriatric Medicine, Volume 35, Issue 2, 237–251.
- Hospital Elder Life Program (HELP). HELP for Prevention of Delirium. Available at: https://www.hospitalelderlifeprogram.org/. Accessed on: November 19, 2019.
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