Data Analytics: Falls by State and Deaths Due to Falls by State

Data Analytics Falls by State and Deaths Due to Falls by State

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Bar Graphs Fig 1: fall related deaths by state 157 112 111 109 104 106102 109 8793 86 86 8580 84 82 78 686967 5669 6868 67 67 665469 69 66 5667 4743 46 4440 5340 4853 5045 43 29 28 a na ia ut da a ii ois wa k y ne tts ta uri ka ire co na io on nd ta a s nt on sin a m o rn tic ri w n Io tuc ai use eso sso ras sh exi roli Oh reg sla a ko Tex mo ngt on p r M h nn i al b Ariz alifo nec Flo Ha Illi i b c O de I h D en M Ne a m w M h Ca A Ve a sh Wis ac Mi C on K t s o H Ne rt u W C as o Rh S o M ew N N 140

124

142

total death by falls per 100,000

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Percentage of Falls By State falls by state 40.00% 35.00% 30.00% 25.00% 20.00%

percentage of falls

15.00% 10.00% 5.00% 0.00%

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a ri o n d ts ta ta io as ka hire ky n t to n ne sin so ssou ras xic rolin Oh rego slan ako Tex mo uc Mai uset n s g e t e o p r n i in c eb M en O de I h D ch Ca in M Ve ash Wis N Ham ew K sa t h M o t u r h as W N o R So M ew N N

wa

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Findings from the Graphs • Patient fall calculated as a rate • Fall rate = Number of patients who fell X 1000 occupied bed days.

• Number of patient bed days • Number of patients who fell is divided by number of patient bed days • Multiplied by 1000 to determine the rate of fall per 1000 occupied bed days.

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Suggestions to Decrease Falls in Facilities • Screening for fall risk to identify patients at greatest risk for appropriate intervention

• Interventions for fall prevention: assistive devices e.g. walkers & canes, • Assigning nurse assistants to patients • Establishing guard rails and handlebars (Maghari, 2019).

• Hourly rounding • Round-the-clock Surveillance 08/28/2023

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Impact of LOS (Length of Stay) Impact with Fall Decrease • Falls & associated injuries may extend the length of hospital stay, decreased quality of life, cause fear & anxiety

• Decrease rate of falls equals shorter LOS • Shorter LOS also means better health outcomes • Fall decrease also implies less readmissions (Dykes et al., 2020)

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How will reimbursement be affected if falls decrease

• Death or serious injury resulting from a fall considered a never event

• Centers for Medicare and Medicaid Services do not reimburse hospitals for additional costs associated with patient falls.

• Therefore, reimbursement not affected by falls decrease (Dykes et al., 2020)

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References AHRQ (2019). Falls. https://psnet.ahrq.gov/primer/falls CDC. (2018a). Deaths from older adult falls. https://www.cdc.gov/homeandrecreationalsafety/falls/data/deaths-from-falls.html CDC. (2018b). Fall reported by the state. https://www.cdc.gov/homeandrecreationalsafety/falls/fallcost/falls-by-state.html Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., ... & Bates, D. W. (2020).

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open, 3(11), e2025889-e2025889 Maghari, M. (2019). 10-step method to prevent elderly falls. Michael Maghari

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