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P003: Epidemiology Response Division

P003: Number of health care providers who have received training in the use of the STEADI fall prevention toolkit

Current Value

190

FY 2018

Definition

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Story Behind the Curve

  • Falls among older adults are preventable. The Centers for Disease Control and Prevention (CDC) developed the STEADI (Stopping Elderly Accidents, Deaths & Injuries) initiative to help healthcare providers incorporate fall prevention strategies into routine care for older adults. STEADI includes screening tools, educational materials and resources, and online trainings. NMDOH supports the training and use of STEADI to assist healthcare providers. NMDOH partners with organizations that work with older adults to reduce fear and risk of falling, hip and other lower extremity fractures, and reduce the burden of traumatic brain injury while increasing the ability to live independently.
  • The New Mexico fall-related death rate was 1.7 times greater than the U.S. rate in 2015. STEADI recommends that individuals aged 65 years and older have scheduled checks and screenings and start an exercise program.
  • For the 4th quarter FY18, the Epidemiology and Response Division Falls Prevention program achieved their milestone and is on course to achieve anticipated milestones for FY19. 
  • The Adult Falls Prevention Program will provide four STEADI trainings in FY19 to a minimum of 125 additional health care professionals trained on the use of the STEADI toolkit.

Partners

  • NMDOH
  • AARP
  • NM Adult Falls Prevention Coalition
  • NM Aging and Long-Term Services Department/Aging and Disability Resource Center
  • University of NM Health System
  • Indian Health Service
  • New Mexico State University (NMSU) Kinesiology and Dance
  • Presbyterian Health System
  • CHRISTUS St. Vincent Outpatient Services
  • NM Primary Care Association
  • NM Healthy Aging Collaborative
  • NM Injury Prevention Coalition
  • Gerald Champion Regional Medical Center (GCRMC)

What Works

Best practices include clinical assessments implemented through the use of the STEADI toolkit for adults aged 65 years and older to identify those adults who are at an increased risk for falls and offer effective strategies to reduce those risks. NMDOH supports five evidence-based falls prevention/exercise programs: STEADI, OTAGO, Tai Ji Quan: Moving for Better Balance, A Matter of Balance, and Tai Chi for Arthritis. These practices include:

  • Conducting annual screenings for strength and balance.
  • Providing annual medication reviews and management for older adults.
  • Conducting annual vision exams for older adults.
  • Providing patient counseling on home and environmental safety.
  • Providing education and referrals to older adults for physical activity classes such as A Matter of Balance, OTAGO, or Tai Chi.
  • Reviewing vitamin D supplementation as appropriate.

Strategy

  • Expand the network of instructors available state-wide for evidence-based falls prevention exercise programs. 
  • Increase the number of professionals trained on the use of the STEADI toolkit.

Action Plan

  • Q1:  Establish contracts with program vendors to ensure that the administrative actions needed to set up STEADI trainings are in place. Incomplete - Contracts were established with program vendors and are in the approval process. The administrative actions needed to set up STEADI trainings are in place to move forward on track with the programs FY19 goals and indicators.
  • Q2: One scheduled training for 65 health care professionals. Continue to expand the network of instructors available statewide for evidence-based falls prevention exercise programs. The Program will also sponsor an additional evidence-based falls prevention program, Tai Chi for Arthritis.
  • Q3: Two scheduled training for 30 health care professionals. Further expand the network of instructors available statewide for evidence-based falls prevention exercise programs.
  • Q4: One scheduled training for 30 health care professionals. Finish-up FY18 efforts to expand the network of instructors available statewide for evidence-based falls prevention exercise programs, emphasizing underserved counties.

FY18 Annual Progress Summary

The Adult Falls program is consistent in achieving its milestones. With FY18 ending and FY19 starting, the adult falls program is continually engaged in optimizing its program to be effective in addressing this burden in New Mexico.

FY19 Annual Progress Summary

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