Catalog Number : ngd1269
Title : Patient Falls
Speaker : Sue Dill

Webplay Recording Date : 8-17-2016
Webplay Price : $ 150 for two weeks viewing

Webinar Description:

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 2015, there will be a 1% reduction in Medicare payments.

Falls is the number one hospital acquired condition (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 seminar will discuss how to comply with the Joint Commission and the CMS hospital CoP standards on falls.

Target Audience:

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 and anyone involved in preventing patient falls

Webinar Objectives:

• Recall that every hospital should have a falls program
• Discuss that all staff should know how to define what constitutes as 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 evidence based fall assessment tools used in inpatient and outpatient settings

Webinar Outline:

• 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
  • 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

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.