Falls Management & Prevention
Recorded On: 09/11/2014
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Recognizing that falls within nursing centers, constitutes a reason for high hospital admissions, suffering for residents and frequent deficiencies, the AHCA Clinical Practice Subcommittee on Falls has created a course called Falls Management and Prevention. The eight, 1 hour workshops hosted by experts from around the nation provide a wide array of insights into protecting residents from falls. The series provides great ideas and useful strategies related to sleep, environment, QAPI, workplace practices, regulatory issues, and family and leadership practices. The recorded sessions build upon each other and provide opportunity for centers to view the sessions over and over and share them with staff on different shifts. The program has a companion guide A Guide to Managing Falls Risks. Here are the workshops that compose this course:
Workshop 1: Falls Prevention and Management: Using the HATCh Model
Workshop 2: Preventing Falls by Providing a Good Night's Sleep
Workshop 3: Don't Let Falls Drop Your Survey Scores
Workshop 4: Preventing Falls through Medication Vigilance
Workshop 5: Mapping A QAPI Journey around Falls
Workshop 6: Managing Falls: A Leaders Guide
Workshop 7: Involving Families in Falls Prevention & Management
Workshop 8: Aging Safely: Environmental Modifications to Reduce Fall Risk
Meet the Team!
Holly Brown, Claire Enright, Michele Dennis, Anna Fisher, Kim Green , Morgan Hinkley, Rebecca Hollingshead, Liz Jensen, Brigetta Nethery, Tina Rein, Aisha Salaam, Barbara Sisarcick, William Thompson, Diane Vaughn*,Chair, Holly Harmon, Marguerite McLaughlin
Diane Vaughn, RN, C-DONA/LTC, LNHA
Diane has over 37 years as a RN including experience in hospitals, ICF-MR, Skilled Care, and Assisted Living. She has been a staff nurse, nurse manager, nurse educator, director of nursing , quality manager, assistant administrator, and national consultant. She is licensed as a NHA since 2003. She is a national speaker on leadership, LTC quality and nursing home regulatory issues, an accredited QIS instructor, and an endorsed parish nurse.
Liz Jensen, RN MSN, RN-BC
Clinical Director, Direct Supply
As a former nurse executive and educator with over 20 years of experience in the post-acute care setting, Liz has worked with hundreds of skilled nursing and assisted living professionals in multiple states to develop strategies and programs to improve care delivery in response to the changing needs of residents and patients. As a nurse executive, her areas of expertise include performance improvement of care delivery systems and programs, clinical education strategies and resource development. She is Board Certified in Gerontological Nursing and her nursing practice experience includes gerontological nursing, dementia care, fall risk reduction, medical/surgical nursing, rehabilitation nursing, infusion therapy and pain management.
Dr. Anna Fisher, DHA, CMDCP, CDP
Director of Quality and Education
Hillcrest Health Services
Dr. Anna Fisher, DHA, CMDCP, CDP, is a Certified Montessori Dementia Care Practitioner and Director of Quality & Education at Hillcrest Health Services and is responsible for quality and education services for assisted living, memory support, adult day services, in-patient rehabilitation, outpatient therapy, home health care, private duty, telehealth, hospice, and skilled nursing care. She is also an adjunct professor in the College of Arts and Sciences at Bellevue University.
Dr. Fisher is a Clinical Practice Committee Member, Emergency Preparedness Committee Member, and Silver Quality Award Senior Examiner for the American Health Care Association (AHCA) / National Center for Assisted Living (NCAL). Most recently, she serves as a leadership member of the Pioneer Network Artifacts 2.0 Advisory Group, Nebraska Culture Change Coalition, and the Developmental Disabilities Aging Coalition.
Sue Ann Guildermann
Director of Education, Empira
Empira, has over thirty-five years of experience providing education, leadership and consultation to non-profit and for-profit long-term care organizations. She is a Registered Nurse with a BA and MA in communication and adult education. Sue Ann has been responsible for the education of the leadership, management and direct care staff of Empira's homes and oversaw the implementation of the Restorative Sleep Vitality Program. She has taught in the School of Public Health at the University of Minnesota and recently received a Minnesota Care Providers Association award for "recognition of her outstanding leadership in educational programming."
Lyn Bentley
Senior Director of Regulatory Services
Lyn Bentley is the Senior Director of Regulatory Services for the American Health Care Association. Lyn has worked in the field of long term care for more than 25 years and with the American Health Care Association and the National Center for Assisted Living since 2001 – first as the Senior Director of Policy for the National Center for Assisted Living.For the past 9 years she has focused on nursing home laws, regulations and policies.
Holly Harmon, RN, MBA, LNHA, FACHCA
Associate Vice President, Quality & Clinical Affairs, AHCA
Holly Harmon, RN, MBA, LNHA, FACHCA brings both passion and a wealth of practical, real-world, clinical and operational experience to her role as Senior Director of Clinical Services at AHCA. Her extensive service in a wide array of settings including post-acute care, long term care, residential care, assisted living, independent living, a psychiatric hospital and occupational health have provided her with insights, knowledge, skills and innovative ideas which she exuberantly shares with others.
In addition to her vast clinical experience, Ms. Harmon has put her dynamic energy into leading the statewide Maine Culture Change Coalition/LANE as President, the Maine Partnership to Improve Dementia Care in Nursing Homes as Co-Chair, Vice-President of American College of Health Care Administrators, Maine Chapter and the Maine LANE Co-Convener for the national Advancing Excellence in America’s Nursing Homes Campaign. She also served as the Director of Quality Improvement & Regulatory Affairs at the Maine Health Care Association.
She puts her boundless energy and warm and energetic personality into training, education and presenting both, nationally and locally. She has made simplifying the complex world of long term and post-acute care policy and practice an art.
Holly Harmon, RN, MBA, LNHA, Sr. Director of Clinical Services AHCA
Diane C. Vaughn, RN, C-DONA/LTC, LNHA, VP, Clinical Services, Benedictine Health System, AHCA Chair of Clinical Practice Committee
Marguerite McLaughlin, Sr. Director of Quality Improvement, AHCA
Description: An exciting introduction to guide participants through the Falls Weeks journey, the resources, framework and concepts.
At the end of the session, the learner will be able to :
- Review the week's events as well as The Guide to Falls Management
- Distinguish between the knowledge, skill & attitude competencies to prevent falls
- Distinguish between the six domains of HATCh and the ways they support the prevention of falls
Sue Ann Guilderman, Director of Education, Empira
Description: This session lays out the importance of a healthy night's sleep in reducing falls through empirical evidence and practical implementation strategies.
At the end of the session, the learner will be able to :
- Recognize the health benefits of sleep
- Review data that supports why a full night's sleep is necessary
- Formulate ideas for implementing sleep strategies in their setting
Lyn Bentley, MSW, Sr. Director of Regulatory Services
Steve Biondi, VP External Relations for Extendicare, AHCA Chair of Survey/ Regulatory Committee
Description: This session provides insight from experts on the connection between falls and the survey process. The session offers insight from a regulatory standpoint.
At the end of the session, the learner will be able to :
- Review regulations that connect to falls
- Discover practicalimplementation strategies
- Recognize practices that will decrease exposure to falls deficiencies
- To recognize the medication regimen as a risk for safety and falls.
- To identify the timeframe when a resident is at his/her highest risk to fall after a change in in the medication regimen.
- To enhance and coordinate safety and quality improvement activities.
Anna Fisher, DHA, Health, Quality, Nursing Education Expert, Hillcrest Health Services health
Description: As we move to create QAPI environment s, it will be useful to walk through the QAPI process as it relates to falls.
At the end of the session, the learner will be able to :
- Apply the elements of QAPI and root cause analysis to address falls.
- Using case scenarios, assemble effective processes to identify and resolve individual and systemic concerns.
- Use root cause analysis to accomplish clinical goals based on individualized health and safety needs.
Holly Harmon, RN, MBA, LNHA, Sr. Director of Clinical Services AHCA
Diane C. Vaughn, RN, C-DONA/LTC, LNHA, VP, Clinical Services, Benedictine Health System
Sandy Fitzler, Senior Program Coordinator, Healthcentric Advisors
Description: This session provides insight into the practices leaders can implement to prevent falls. This includes ways to motivate, oversee and track falls. The session identifies workplace practices necessary to prevent falls.
At the end of the session, the learner will be able to :
- Contrast your current practices against best practices
- Identify practices that can be implemented to support staff's efforts in reducing falls
Diane C. Vaughn, RN, C-DONA/LTC, LNHA, VP, Clinical Services, Benedictine Health System
Description: Families play an increasingly integral role in the quality of a nursing center. Educating them on falls and bringing them into the knowledge stream will strengthen them as allies and promoters of your organization
At the end of the session, the learner will be able to :
- Develop strategies that include families in falls prevention
- Consider current levels of family engagement
- Explore practical education programs for families
Liz Jensen, RN, MSN, RN-BC, Clinical Director at Direct Supply
Description: This session will explore practical and affordable environmental modifications that are effective in reducing fall risk such as noise reduction, lighting, color and other environmental considerations. We'll also explore modifications for both skilled nursing centers and assisted living residences.
At the end of the session, the learner will be able to :
- Review how aging and illness impacts a resident's ability to safely navigate their environment.
- Compare the similarities and differences of environmental safety in a skilled nursing center versus an assisted living residence.
- Explore practical & affordable environmental modifications that have the greatest impact in reducing fall risk
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