911 and EMS data enable the state to monitor the emergency services required following a fall, although this data is not currently centralized. Aging Services Access Points (ASAPs) collect data on falls, fall risk, and other indicators that are related to fall risk. Stored in the Senior Information Management System (SIMS), this data is from assessments of older adults receiving select ASAP services. Massachusetts hospitals voluntarily and publicly report patient falls and falls with injury data on the quality and safety website PatientCareLink, at . Patient falls and related injury are reported using the Nursing Quality Forum endorsed Nurse Sensitive Care Measure 3 and patient falls with injury are reported using the Nursing Quality Forum endorsed Nurse Sensitive Care Measure 4. Falls and injuries that are Hospital Acquired Conditions (HAC) measures are reported by CMS on the Hospital Compare website. CMS calculates the HAC measure from the claims hospitals submit for Medicare beneficiaries enrolled in the traditional Service (FFS) Medicare. These measures are expected to be removed from the Hospital Compare site in late 2013. Figure 3: Fall Prevention Data Sources and Measurements Data Measurement & fall falls falls (e.g., factors fall fatal fx) of Injury applying services health Injury race, for of of injury hip of emergency charges in treatment of for; facilities sex, nonfatal serious of rate incident 911 city/town) injuries of seniors protective City (e.g., Circumstance information care age, Nature # of events and Medical of receiving, Severity Prevalence Data Source transports costs # Demographics # # # and/or Risk/ Registry of Vital limited limited Records and Statistics Medical Examiner limited Records Acute Care Hospital Claims: Inpatient, limited limited limited limited Observation Stay, Emergency Department Insurance Claims Databases: Medicare, limited limited Medicaid, Commercial MA Trauma Registry Behavioral Risk Factor limited Surveillance WISQARS, CDC Cost Module* MA Ambulance Trip Reporting System 911 Data Calls Serious Incident Reporting System: Hospitals, Ambulatory
911 and EMS data enable the state to monitor the emergency services required following a fall, although this data is not currently centralized. Aging Services Access Points (ASAPs) collect data on falls, fall risk, and other indicators that are related to fall risk. Stored in the Senior Information Management System (SIMS), this data is from assessments of older adults receiving select ASAP services. Massachusetts hospitals voluntarily and publicly report patient falls and falls with injury data on the quality and safety website PatientCareLink, at . Patient falls and related injury are reported using the Nursing Quality Forum endorsed Nurse Sensitive Care Measure 3 and patient falls with injury are reported using the Nursing Quality Forum endorsed Nurse Sensitive Care Measure 4. Falls and injuries that are Hospital Acquired Conditions (HAC) measures are reported by CMS on the Hospital Compare website. CMS calculates the HAC measure from the claims hospitals submit for Medicare beneficiaries enrolled in the traditional (FFS) Medicare. These measures are expected to be removed from the Hospital Compare site in late 2013. Figure 3: Fall Prevention Data Sources and Measurements Data Measurement Data Source Demographics (e.g., age, sex, race, city/town) # and rate of fatal and/or nonfatal fall injuries # of 911 emergency transports for falls # of serious fall events in health care facilities Severity of Injury Prevalence of falls Risk/ protective factors Circumstance information Medical charges & costs of treatment City of injury incident Nature of Injury (e.g., hip fx) # of seniors applying for; # receiving, services Registry of Vital Records and Statistics limited limited Medical Examiner Records limited Acute Care Hospital Claims: Inpatient, Observation Stay, Emergency Department limited limited limited limited Insurance Claims Databases: Medicare, Medicaid, Commercial limited limited MA Trauma Registry Behavioral Risk Factor Surveillance limited WISQARS, CDC Cost Module* MA Ambulance Trip Reporting System 911 Data Calls Serious Incident Reporting System: Hospitals, Ambulatory Service
falls-prevention-phase-1-report.docx