The Prevention and Management of Falls in the Community: A Framework for Action for Scotland 2014/15
The aim of the Framework for Action is to support a more consistent approach to falls prevention and management and in doing so improve experiences and outcomes for older people, their families and carers; and to accelerate the pace of implementing integrated falls and fragility fracture pathways.
Measurement Plan
A suite of core improvement measures has been developed to support Partnerships, services and teams to track their progress in implementing the Framework for Action. These core measures aim to help service providers understand their local systems and the steps required to improve processes, effectiveness and outcomes of care and support.
Measurement is an essential component of quality improvement. The Framework for Action improvement measures have been designed to focus attention at key points along the Up and About pathway. Both outcome and process measures have been developed and are ready to be tested further. In the longer term, a suitable suite of measures need to be fully integrated into local service improvement work and contribute to wider performance management and reporting.
Measurement plan
| Process measures (local data) |
||||
|---|---|---|---|---|
| ID |
Measure name |
Count |
% of all people presenting or attending following a fall. |
Rate per 1000 population aged 65+ |
| P1 |
Level 1 conversations completed |
The sample: all people who have had a level 1 conversation completed (in the measurement period). |
The sample: all people presenting/attending following a fall (in the measurement period). |
The sample: all people who have had a level 1 conversation completed (in the measurement period). |
| P2 |
Referrals made for level 2 screen |
The sample: all people who have been referred for level 2 screen. (in the measurement period). |
The sample: all people presenting/attending following a fall (in the measurement period). |
The sample: all people who have had a referral made for level 2 screen. (in the measurement period). |
| P3 |
Level 2 screens completed |
The sample: all people who have had a level 2 screen completed (in the measurement period). |
The sample: all people presenting/attending following a fall (in the measurement period). |
The sample: all people who have had level 2 screen completed (in the measurement period). |
| P4 |
Individualised Falls and Fracture Prevention Action Plans agreed. |
The sample: all people who have had an individualised Falls and Fracture Prevention Action Plan agreed (in the measurement period). |
The sample: all people presenting/attending following a fall (in the measurement period). |
The sample: all people who have had an individualised Falls and Fracture Prevention Action Plan agreed (in the measurement period). |
| Outcome measures (national, NHS board area and CH(C)P level) |
||||
|---|---|---|---|---|
| ID |
Measure name |
Count |
% of all people presenting or attending following a fall. |
Rate per 1000 population aged 65+ |
| O1 |
Conveyances to hospital by the Scottish Ambulance Service (SAS) following a fall (people aged 65-74, 75-84, 85+). |
The sample: all people aged 65-74, 75-84, 85+ conveyed to hospital by the SAS following a fall (in the measurement period). |
The sample: all people aged 65-74, 75-84, 85+ presenting to the SAS following a fall (in the measurement period). |
The sample: all people 65-74, 75-84, 85+ conveyed to hospital by the SAS following a fall (in the measurement period). |
| O2 |
Emergency admissions following a fall (people aged 65-74, 75-84, 85+). |
The sample: all people aged 65-74, 75-84, 85+ with an emergency admission to hospital following a fall (in the measurement period). |
The sample: all people aged 65-74, 75-84, 85+ with an emergency admission to hospital following a fall (in the measurement period). |
|
| O3 |
Admissions with a hip fracture (people aged 65-74, 75-84, 85+). |
The sample: all people aged 65-74, 75-84, 85+ with an emergency admission to hospital with a hip fracture (in the measurement period). |
The sample: all people aged 65-74, 75-84, 85+with an emergency admission to hospital with a hip fracture (in the measurement period). |
|
Contact
Email: Susan Malcolm
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