Executive Summary (Benchmark Assessment)

Falls Management Program

The rising number of injuries induced by falls and their impact amongst old people aged 65 and above has been an issue of growing concern thus a program should be set up to manage and prevent falls and injuries. A fall involves an event that results in the individual coming to rest accidentally on a lower level surface, for instance a floor or ground (Rubenstein, 2006). Falls in old people are preventable thereby mitigating their effects on the health of the individuals through good health practices and education. Falls induce injuries, fractures, bruises and sprains, dislocations, abrasions, as well as affecting the individuals psychologically due to the fear of falling.

The Purpose of the Program

The program will seek to address falls injury prevention for people aged 65 and above in the community, acute care and residential aged care. It will also establish a uniform approach to injury prevention in accordance with the federal and state health guidelines. The program will work to identify injury risk factors due to falls and thereby use strategies to address the risks using resources which will be monitored and evaluated on a regular basis. Healthcare practitioners will be engaged to educate, treat and monitor the program participants with regard to fall-induced injuries. Further, a time lag will be established in investing in the program and its evaluation.

The Target Population or Audience

The program will target old people of the age of 65 and above because they are most susceptible to risk of injuries due to falls. Further, less than half of the old people at the age bracket are admitted to hospitals for fractures and injuries induced by falls, while the rest need specialized care due to their condition. The program will also target healthcare givers to older people, general practitioners, community groups and businesses that promote old age healthy activities, public health research fellows, nutritionists and area health services and leisure facilities.

The Benefits of the Program or Project 

The program will seek to improve the healthy life of the participants through proactive prevention and management of falls and their effects using tests that give the participant’s overall falling risk level. Further, the program will benefit the participants in the care plan through clinical decision-making to improve their overall health. Individual mobility and function, such as strength, balance and gait will be evaluated in the program. The program will also seek to establish fall prevention and management approach across the community it will be established. Further, it will boost public, staff and participant awareness of the importance of falls prevention as well as the risks to individual safety when the awareness is not achieved.

Moreover, the program will lay the governance and health care givers’ responsibilities with regard to management and prevention of falls. Other benefits will entail continued community participation, elimination of fear of falling, health and general wellbeing, enhanced independence and productivity of the individual and the community (Rubenstein, 2006). Further, the community and health services will benefit through savings in health care, decreased demand on acute and aged care services. Partnerships will be established between the disciplines in the health sector and the community with the aim of addressing fall-induced injuries prevention. Through education, the participants will be able to lead a positive lifestyle, choose the appropriate footwear and maintain their bone and muscle strength (Rubenstein, 2006).

The Cost or Budget Justification

To mitigate the costs that arise from lengthy hospitalization due to falls, the program will have a budget of $900,000 per annum collected from health maintenance organizations, public and private state grant funders, Medicare, the state and federal health agencies as well as participant’s fees to increase the program’s sustainability. The amount will be used to buy, replace and repair exercise equipment and beds, pay administrators, healthcare givers and educators. Moreover, the amount will be used to treat fall related injuries incurred by the program participants. Building the facility will cost additional $200,000.

The Basis of the Program Evaluation

The program will be evaluated upon the process, impact and outcome. The process will be evaluated to ascertain how well it is working in terms of the number of people it caters for as well as the number of old people in the community who are not in the program (Gardner, Robertson, & Campbell, 2000). The process will also identify early problems occurring and determine how well plans, activities, procedures and materials are working so that adjustments can be made. This will maximize the success of the program. Evaluation will be done using quantitative methods, such as tracking direct who involve the old people and indirect contacts, for instance healthcare givers and adult children of the old people.

The outcome evaluation will seek to ascertain whether the program meets its goals, for instance reduction of falls, the amount of education and exercise that has improved the old people’s ability to perform their functions (Gardner et al., 2000). The outcome evaluation will be carried out on 6- month intervals and will provide evidence to be used in future budget developments. Impact evaluation will determine whether the program meets its immediate goals, such as the value of exercise and safety education has impacted the participants in terms of their fall risk factors, knowledge, beliefs and attitudes. 

Impact evaluation will allow administrators to allocate resources wisely. Evaluation will entail baseline and progress measurement. Baseline measurement will be done before the participants commence the program by assessing their behavior, attitudes and physical health while progress measurement will be done on a 2-month basis using survey to determine their progress (Gardner et al., 2000). 

 

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