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Validity : 19th Apr'24 to 29th Apr'24
Preventing Patient Falls: Getting on the Right Path What every healthcare facility should know
Introduction:
- Why do You Need a Falls Program
- Falls as a Joint Commission (TJC) Sentinel Event
- Predicators for Risk for Falls
- Need to increase mobility of patients
- TJC and CMS Standards
- TJC Speak Up on Falls and video
- TJC targeted solutions
- Falls road map
- CMS Adverse events and payment issue
- AHRQ Fall assessment toolkit
- Standard of Care, Lawsuits and Claims, Case law
- Extent of Problem
- Definitions of fall
- Risk Assessment Tools: Morse, Hendrich II, STRATIFY, Johns Hopkins, Conley, Innes, Downton, Schmid, Tinetti, etc.
- Measurement of fall: Benchmarking, Comparison of falls
- Falls Research
Causes of Falls:
- Intrinsic (age, history of falls, gait and balance deficit, weakness lower extremities, four or more prescriptions, decreased visual acuity, etc.)
- Extrinsic (distracting noises, use of restraints, toilets in low position, bed in high position, time of day - increased risk at shift change, highly polished floor, poorly designed bathrooms, etc.)
Falls Assessments and Interventions:
- 3 classifications of falls; accidental, unanticipated physiological falls, anticipated physiological falls
- Intervention/Prevention Strategies
- Risk Assessment
- Fall predictors
- Assessing Individual Risk Factors: Admission
- Change in Condition after a Fall
- Instruments to Conduct Risk Assessment
- Comprehensive Fall Prevention Program
- Environmental rounds
- Responsibilities of staff
- Evaluating the Environment
- Bedrail Hazard
- How IT program reduced hospital falls by 50%
- Clinical Alarm System
- Staffing Levels
- Toileting
- Staff Education, Patient/Family Education
- Medications and fall risk
- Restraint Issues
- Get up and go test procedure
- Post Fall Assessment
- FMEA/RCA
- Monitoring a Program’s Effectiveness
- New guidelines on falls
Overview of the webinar
Falls is an important patient safety and risk management issue. Not doing this correctly can also cost hospitals a lot of money. CMS includes hospital acquired conditions (HAC) in which hospitals will not receive payment related to the adverse events for Medicare patients. One of these areas includes falls. In 2018, there is a 1% reduction in Medicare payments and will affect hospitals whose rate is in the top quartile.
Falls is the number one HAC. Patient death or serious injury associated with a fall is also one of the 29 National Quality Forum Never Events in which some states have agreed not to bill for. Falls can result in the filing of a medical malpractice case. This webinar will discuss how to comply with the Joint Commission and the CMS hospital CoP standards on falls.
Every hospital should consider having a falls team to look at this important patient safety issue. Preventing falls among patients requires a multifaceted approach. This seminar will discuss recognition, evaluation, assessment, categories of risk, policies and procedures, evidenced based literature, toileting, medication alteration, hourly rounding, post fall huddle, need to increase mobility, signage, no pass zone, safe room set up, patient education, incident reports and prevention of falls.
Preventing falls and falls related injuries is an important issue for hospitals today. Fall prevention is a crucial topic for today’s aging population. Patient falls are the leading cause of injury related deaths for patients over 65 years of age. The goal is to reduce the number of falls, severity of falls, and increase mobility. It is important that all healthcare facilities be up to date on the current evidenced based literature to reduce and prevent falls. This includes a toolkit on how to prevent falls by AHRQ and TJC 21 targeted solutions.
Falls are one of the most significant challenges for hospitals and other health care facilities. It will include information on medications that increase the fall rate and the pharmacist role in the fall program. The program will cover a study on how the IT process helped a hospital reduce falls.
Attendance is a must for anyone serving on the falls team and anyone interested in preventing and reducing the number of falls in the hospital setting. All hospitals should have a falls team and fall team member should receive current and up to date information about falls.
Who should attend?
- Fall Team Members
- Nurses
- Quality Management Coordinator
- Joint Commission Coordinator
- Regulatory Affairs Director
- Patient Safety Officer
- Chief Nursing Officer
- Chief Medical Officer or VP of Medical Staff
- Chief Operating Officer
- Pharmacist
- Risk Manager
- Hospital Legal Counsel
- Occupational or Physical Therapists
- Physicians
- VP of Medical Staff
- Nurse Managers
- Nursing Assistants
- Nurse Supervisor
- Nurse Educator
- Quality Director
- Patient Safety Officer
- Nurse Supervisors
- Joint Commission coordinator
- Compliance Officer
- Legal Counsel
- Consumer Advocate
- Department Directors
- Department Falls Champion
- Falls Clinical Nurse Specialist
- Anyone involved in preventing patient falls
Why should you attend?
- Recall that every hospital should have a falls program
- Describe that all staff should know how to define what constitutes a fall and how to measure the fall rate
- Explain that there are intrinsic and extrinsic causes of falls
- Recall that falls are one of the things CMS will not pay for on Medicare patients if they occur during hospitalization and cause serious injury or death
- Discuss that toileting and hourly rounding can reduce falls in high risk patients
- Discuss the issue of decreased mobility and how it can result in falls
- List evidenced based fall assessment tools used in inpatient and outpatient settings
Faculty - Ms.Sue Dill Calloway
Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a board member. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal, patient safety, and risk management issues and writes numerous publications.
Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other healthcare providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, emergency department patient safety and risk, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics. She is a leading expert in the country on CMS hospital CoPs issues and does over 250 educational programs per year. She was the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program.