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Best Practice Intervention Package
Fall Prevention Survey Summary

  1. Which states had highest participation in the survey based on number of state agencies participating in the HHQI campaign?

    New Hampshire, Puerto Rico, Missouri, North Dakota and Wyoming

  2. Which states had 15 or more agencies participate in the survey?

    Texas, Pennsylvania, Ohio, Missouri, Florida, Illinois, New York, Indiana and Minnesota


The following questions are from the BPIP Survey on Fall Prevention and the responses are a summary from the agencies participating in the survey:
  1. How many have implemented a fall risk assessment (either as a separate risk assessment, or as part of another assessment)?
    1. 85%—already implemented
    2. 11%—in process of planning and/or implementing

  2. What types of interventions are advised for patients at high-risk for falls? (may have multiple answers)
    1. PT/OT—97%
    2. Environmental assessment and modification—93%
    3. Medication management—79%
    4. Exercise program—60%
    5. MSW—42%
    6. Nutrition/hydration education—39%
    7. Other—HHA referral, patient education; balance and memory impairment assessment

  3. How many provide information on fall prevention to patients and caregivers? 96%

  4. What types of materials are utilized for patient/caregiver fall prevention educational nformation?
    1. Create their own—66%
    2. Purchase —13%
    3. Other—QIO resources or corporate materials

  5. How are their fall prevention programs evaluated? (may have multiple answers)
    1. Incident reports—82%
    2. Adverse events—81%
    3. Fall benchmarking program—21%
    4. Vendor reports—8%

  6. How many evaluate all falls—those witnessed by agency staff and those not witnessed by agency staff? 88%

  7. How do they plan to utilize the Fall Prevention BPIP? (may have multiple answers)
    1. Utilization of one or more of the tools—79%
    2. Care (discipline) tracks—56%
    3. Leadership track—55%
    4. Poster—36%
    5. Connection pages—20%

  8. Which tools from the Fall Prevention BPIP do these agencies plan to utilize? (may have multiple answers)
    1. Patient & Caregiver Education Sheet—75%
    2. Accurately Assessing Orthostatic Hypotension Clinician Education Sheet—54%
    3. Sample Fall Risk Assessment—50%
    4. Fall Report Form—44%
    5. Timed Up and Go Screening Tool—36%

Agency Comments HHQI Team Remarks

With each of the BPIP kits, we have been able to enhance the tools we have in use—wonderful packages—need to continue this option for agencies as a resource.

The HHQI Web site ( www.homehealthquality.org ) will not be supported after the end of the campaign. However, the campaign information will be relocated to www.medqic.org for home health agencies and QIOs to continue to utilize.

We eagerly anticipate each month's best practice intervention package.

Glad to hear this! We have three remaining packages:

December: Patient Self-Management

January: Disease Management

February: Transitional Care Coordination

Staff education, education, education and then reinforcing that education...

It’s true! All interventions require countless in-services and innovative approaches to staff education!

We have found the doctors really appreciate the information on patient falls for office visit appointments so they can review the information with the patient.

Great job of communicating important information with the physician.

We are a very proactive agency. Why wait for something terrible to happen to intervene? We do quarterly screens on residents and provide valuable educational materials to help our residents, community staff and families prevent falls in their homes and throughout their daily activities.

We agree—why wait? Use the Fall Prevention Poster in the package to remind staff to "Be Proactive. Prevent Falls Before They Occur."