Community Based Strategies Community Based Strategies for Falls Preventionfor Falls Prevention
Jane L. Wetzel PT, PhDDepartment of Physical Therapy
Youngstown State University
ChallengesChallenges
What is currently happening within the community to preventing falls?◦Assessment of Fall Risk◦Referrals to Address Problems◦Interventions – Resources ◦Adherence – Patient Accountability
What mechanisms can be offered to improve the process?
FALL RISK
Sensation
Vision
Musculoskeletal
Vestibular
Cutaneous Lt TouchProprioceptionTwo pt discriminationVibration Sense
CataractsGlassesDepth PerceptionGlaucomaM DegenerationPeripheral VisionVisual Acuity
Vestibular hair cell Vestibular n. fibersChange in VOR
Change in bone densityM. timing/sequencingFlexibility/ROM m. enduranceChange in postureWeakness
Whitney: APTA Balance and Postural Control Update. 2009
American Geriatric Society Recommendations for Fall American Geriatric Society Recommendations for Fall PreventionPrevention
Referrals to Address Referrals to Address ProblemsProblems
EMS – Central Ohio Trauma as modelAcute Care SettingSkilled Nursing Facility/RehabilitationOutpatient Setting
Current strategyDescribe what is happening in the
Mahoning Valley Region. Identify levels how fall prevention is
being addressed.Develop regional brochure via COTA
Support for Resource Support for Resource BrochureBrochureSue A. Morris, BA, EMT-P, CEI
EMS & Trauma Program Data Manager
Office of Research and AnalysisEMS Division, Ohio Dept. of Public SafetyPH: (614) 466-8015 (800) 233-0785 [Option #5]FAX: (614) 995-7012
Interventions and Interventions and Resources Resources What interventions are offered?Which resources are appropriate?
Develop model based on www.safercommunities.net.
Dane County Falls Task Force Terry Shea, PT, GCS, NCS
Outpatient Neuro-Rehab University of Wisconsin Rehab Clinics
Copied c Permission from Terry Shea PT,GCS, NCS
Community Partners as Community Partners as ResourcesResources
Patient AdherencePatient AdherenceWhat is the best exercise?
“The one you will do!”
Remove barriers (Cost, Difficulty)
Refer to proper level/Provider education
Education to Caregivers
Potential Policy Changes◦ Incentives◦ Penalties
Patient Incentives Patient Incentives ExampleExample The 2013 MyHealth Requirements Completion of both requirements #1 and #2 below
awards $600 individual/$1,600 family deductible credit dollars. Once items #1 and #2 are met, completion of additional healthy activities can earn you up to $400 credit dollars more (#3).
Complete or update your MyHealth Questionnaire and its included Wellness Pledge (between Dec. 1, 2011 and Nov. 14, 2012)
Complete a biometric screening (between Dec. 1, 2007 and Nov. 14, 2012)
Ability to earn up to an additional $400 deductible credit dollars by completing approved healthy activities (between Dec. 1, 2011 and Nov. 14, 2012)
Completing healthy activities earns chances into prize
drawings held throughout the year. Drawing 3: Qualify through Nov. 14
Funding StrategyFunding StrategyThe Community Foundation of the Mahoning Valley
welcomes grant applications from eligible tax-exempt organizations under Internal Revenue Service 501(c)(3). Eligible organizations must be located within the Mahoning Valley Community (Mahoning and Trumbull Counties as well as surrounding areas), or provide services which contribute to the well being of the residents of the area.
All grants from the Community Foundation of the Mahoning Valley must be consistent with one or more of the following Program Areas:
Arts, Culture, Humanities Children Education Environmental and/or Animal Related Health Human Service Public/Society Benefit Religious/Charitable Purposes Scientific Research