Napa Valley Fall Prevention Coalition

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Napa Valley Fall Prevention Coalition

• StopFalls Napa Valley
• Coordinated Fall Prevention Outreach and Services

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Napa Fall Prevention Coalition

• The Purpose to the Coalition is to
• Significantly reduce falls among older adults in
  Napa Valley that decrease quality of life, result
  in injury, nursing home placement or death

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Fall Prevention Initiative

• Purpose of proposed funding is to
• Increase access to fall prevention services and
  programs for older adults throughout Napa County
  particularly those with demonstrated risk factors
  and underserved elderly adults aged 75 and older

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Coalition Partners

• St. Helena Hospital, Queen of the Valley
  Hospital, Kaiser Permanente (representing
  emergency rooms, patient education, Womens
  Center and community support programs)
• Adult Day Services of Napa Valley (Adult Day
  Health Care/Alzheimers Day Care Resource
  Center/Social Day Care/Alzheimers
  Coalition/Caregiver Support Respite)
• EMS
• Assisted Living and Skilled Nursing facilities
• The Volunteer Center Senior Services, IA
  Referral
• Senior Committee of Non-Profit Coalition
• Transportation Planning Agency
• Senior centers
• Area Agency on Aging representing Planning.
  Outreach Coordination (Info-Van Nutrition
  Educator), Long Term Care Ombudsman, Case
  Management programs, Latino Elder Coalition
• Physicians and More

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Area Agency on AgingLead Agency

• 501(c)3
• Planning, coordinating, and advocating for the
  development of a comprehensive service delivery
  system for frail elders and disabled adults age
  18 and older and supportive services for family
  caregivers including Adult Day Care Programs and
  Alzheimers Day Care Resource Centers and
  Congregate and Home-delivered nutrition programs
  and administration of contracted programs.
• Advisory board of consumers

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Why Fall Prevention?

• Prevalence and Population

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Target Population

• Older adults 65 and older, emphasis on the
  elderly 75 and older who are at risk and
  underserved, and their family members, caregivers
  and providers

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Falls Resulting in Hospitalization
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High Ratio of Falls

• Napa City has a greater than average ratio of
  falls resulting in hospitalization when compared
  to hundreds of other cities.

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Cost of Hospitalization from Falls

• The Mean Cost of hospitalization from a fall in
  Napa in 2004 was 37,393.62
• With 453 people documented as hospitalized due
  to a fall, the cost was 16,939,309.86.
• Hospitalized fall injury data came from 2004
  California Patient Discharge Data, supplied by
  the California Office of Statewide Health
  Planning and Development in partnership with the
  CA Dept. of Health Services, EPIC.

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Many More Visit the Emergency Room for Falls

• It is estimated that 213,000 Californians visit
  the emergency room for fall related injuries and
  more than 60,000 are hospitalized or more than
  3.5 times more people use the emergency room for
  falls.

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Aging Population

• The risk of fall injury increases dramatically
  with age. The rate among Californians over age 85
  is 57 times higher than Californians aged 20-55
  years.
• Residents over age 85 are the fastest growing
  segment of the Napa County population.

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Napa Compared to Other Counties

• Napa County has the second highest percentage of
  the total population who are 85 years and older
• It has third highest percentage of the total
  population of residents age 75 years and older
• Additionally, the county has a significantly high
  percentage of older adults living below poverty
  and living alone in the community.

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Consequences of Falls
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Serious Injuries from Falls

• According to Studies
• Serious injuries from falls include hip and other
  fractures, head, neck and back injuries that
  require significant care.
• Full recovery is unlikely for a significant
  percentage of these survivors.

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Costly, Long Term Impacts

• Falls that result in hospitalization also are
  likely to cause placement in costly and
  restrictive long term care facilities,
  significantly reduce post fall activity, increase
  depression and anxiety, and isolation.
• In one study, 50 of fall injuries that required
  hospital admission resulted in the elderly person
  being discharged to a nursing home

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Preventing Falls
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Falls Can Be Prevented

• Falls are most often caused by
• environmental factors,
• gait and balance disorders, and
• medical issues.
• Fall risk assessment and intervention programs
  can prevent falls and injuries.
• Best practices indicate that combined
  interventions are the most likely to reduce falls
  risk.

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Prevention Programs Work

• Falls can be reduced through evidence-based
  prevention and intervention services that address
  risk factors for falls and mitigate secondary
  factors such as home and community safety issues.
• CDC supports a multifaceted approach with both
  behavioral and environmental components.

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Combined Strategies Address Health Promotion and
Intervention

• Community Awareness Education
• Coordination Among Providers
• Provider Education Training
• Physical Activity to Improve Balance Mobility
• Home Safety Assessments Modification
• Public Institutional Policies Procedures
• Access-Able Transportation Communities
• Surveillance Systems

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Napa Fall Prevention Plan
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Launching A Community Effort

• Successful fall prevention programs involve the
  whole community
• Promoting healthy lifestyles including access to
  physical activity for all ages and abilities,
• Improving community safety and walkability,
• Implementing institutional policies for falls
  risk assessment,
• Creating safe home and living environments,
• Assuring post-fall interventions.

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Community Partnership

• The Centers for Disease Control and Prevention
  supports a coordinated approach among
  community-based organizations, health care
  institutions, and public agencies and communities.

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Napa Fall Prevention Coalition Strategies

• Community education and events
• Media
• Grassroots Outreach
• Materials
• Education and screening programs
• Promoting physical activity to improve balance
  and mobility
• Resource and referral lists
• Physical activity programs for vulnerable, frail
  and isolated seniors

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Public Service Announcements

• Did you know that thousands of seniors are
  hospitalized due to falls every year?
• You dont have to be one of them!
• Here are three things you can do to prevent
  falls
• Improve your balance with exercise and strength
  training
• Have regular vision and hearing checks
• Have your doctor regularly check all the
  medicines you are taking
• Ask your doctor if you are risk for falling.
• Stop falls. Stay independent.

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Napa Fall Prevention Coalition Strategies

• County-wide Fall Prevention Coordination
• Post Fall Follow-up Assistance
• Resource Referral
• Training Education
• Policies Procedures

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Napa Fall Prevention Coalition Strategies

• Home Safety Assessment and Affordable
  Modification
• Linking to other HAPI Initiatives
• Senior Transportation Mobility (Vouchers)
• Senior Link Information Assistance
• Napa Institute on Aging for Caregiver and
  Provider Education (Fall Prevention Training)
• Surveillance Data Collection