falls prevention awareness day 2017 impact report...compendium, the 10. th. annual falls prevention...

Falls Prevention Awareness Day2017 Impact Report

10 years standing together to p event fal

s!

AcknowledgementThe National Council on Aging (NCOA) gratefully acknowledges our federal and

national partners and the state and local Falls Prevention Coalitions for participating in Falls Prevention Awareness Day (FPAD) and contributing to this report. Beyond

FPAD, we appreciate their year-round efforts to prevent falls and fall-related injuries among older adults. We are also grateful to the U.S. Administration for Community

Living/Administration for Aging for their continued support of the National Falls Prevention Resource Center and state falls prevention efforts.

National Council on Aging Falls Free® Initiative 3

Falls Prevention Awareness Day 2017 | Impact Report

Table of Contents

Executive Summary ..............................7

Facts about Falls ..................................8

NCOA’s National Falls Prevention Resource Center and Falls Free® Initiative .................................................9

Falls Prevention Awareness Day 2017: Ten Years Standing Together to Prevent Falls

National Falls Prevention Awareness Day Activities ......................................10

National Declaration by the U.S.Senate ...10Media Outreach ..........................................11National and Federal Partners ..................13

State Falls Prevention Awareness Day Activities Overview .............................15

Awareness and Education .........................16Fall Risk Screenings ...................................18Evidence-Based Programs .........................18Policy and Advocacy ...................................20Partnership Building ..................................21

Fall Prevention Coalition and State Activities ....................................24

Alaska .........................................................25Arizona ........................................................26California .....................................................29Colorado ..................................................... 31District of Columbia ...................................32Delaware .....................................................33Florida .........................................................34Georgia .......................................................36Hawaii .........................................................38Illinois ..........................................................40

Indiana ........................................................42Iowa .............................................................43Kanasas ......................................................44Kentucky .....................................................45Maine ..........................................................46Maryland ..................................................... 47Massachusetts ...........................................48Minnesota ...................................................50Mississippi .................................................. 51Missouri ......................................................52Nevada ........................................................53New Jersey ..................................................54New Mexico ................................................55New York .....................................................56New York City ..............................................57North Carolina ............................................58North Dakota ..............................................60Ohio .............................................................61Oklahoma ...................................................62Pennsylvania ..............................................63South Carolina ............................................64Tennessee ..................................................66Texas ...........................................................67Utah .............................................................69Vermont ......................................................70Virginia ........................................................ 71Washington .................................................72West Virginia ...............................................73Wisconsin ................................................... 74Wyoming ..................................................... 76

Appendix ..............................................79

Appendix A: Evidence-Based Fall Prevention Program Descriptions ................................80Appendix B: References .............................83



Dear State Falls Prevention Coalition Leaders and Partners:

I am honored and humbled to lead the Falls Free® Initiative and the National Falls Prevention Resource Center and support you in your falls prevention activities at the state and local levels. As you will read throughout this compendium, the 10th Annual Falls Prevention Awareness Day was a tremendous success. The breadth of creative and impactful activities to increase awareness and educate older adults, caregivers, health care and aging network professionals about their role in reducing falls and injuries is astounding. Your dedication to addressing this growing health care problem is truly commendable.

In addition to the annual FPAD, NCOA continues to work with national organizations, federal agencies and Falls Free® Initiative members to implement strategies and action steps of the 2015 National Falls Prevention Action Plan. The Action Plan is intended to serve as a blueprint for sustained initiatives that reduce falls and injuries among older adults.

The ultimate goal is help accomplish the Healthy People 2020 objective of reducing the rate of fall-related hospital admissions by 10 percent.

During the past year, our collaborations have included partnerships with the Fall Prevention Center of Excellence at the University of Southern California to advance the home safety action steps; the National Alliance for Caregiving to develop a Falls Prevention Conversation Guide for Caregivers; the Evidence-based Leadership Council to identify new evidence-based falls prevention programs; and the American Society of Consultant Pharmacists to educate pharmacists about their important role in reducing fall risk associated with medications. We look forward to many new partnerships in the year ahead.

The 11th Annual National Falls Prevention Awareness Day will be observed on September 22, 2018. NCOA’s Falls Free® Initiative will strive to engage all 50 states and the District of Columbia, and collaborate with additional national partners. NCOA and the Falls Free® Initiative are looking forward to a successful FPAD 2018 and year-round efforts to reduce the number of falls and fall-related injuries among older adults. As you begin planning for FPAD 2018, please feel free to reach out to us at the NCOA for assistance.

I’d like to express my appreciation to the Administration for Community Living (ACL) for their continued support of the National Falls Prevention Resource Center. Their support makes this important work possible.

Thank you so much for all you do every day to improve the lives of older adults.

Sincerely,

Kathleen A. Cameron Senior Director, Center for Healthy Aging Director, National Falls Prevention Resource Center

Kathleen Cameron

National Council on Aging Falls Free® Initiative6


FPAD: Reflections on the Development and Journey

I have had the privilege of working on National Falls Prevention Awareness Day (FPAD) since its inception in 2008. Four states had observed FPAD in 2007, but at that time, we didn’t have a national observation. The Falls Free® Awareness and Advocacy Committee that I chaired decided to run with the idea of a national FPAD observation, and the Falls Free® National Advocacy Workgroup gained bipartisan sponsorship of the first annual National Falls Prevention Awareness Day (FPAD) resolution in the U.S. Senate in 2008. We worked with NCOA’s Communications department to create press releases, fact sheets, and tools that states and local communities could use to publicize the day.

The number of states observing FPAD grew from 4 in 2007 to 11 in 2008, 22 in 2009, 36 in 2010, and more each year. The District of Columbia, local communities, and even some other countries joined with us in the observation. I am extremely proud of this accomplishment, but more importantly, of how the day has brought education and awareness to older

adults about ways to reduce their risk of falling. It’s been a fun and extremely rewarding journey, and I am excited to see what the future of FPAD will bring!

Sincerely,

Ellen C. Schneider Research Fellow University of North Carolina at Chapel Hill National Falls Prevention Resource Center, National Council on Aging

Ellen Schneider



Executive Summary

Falls are the leading cause of fatal and non-fatal injuries for older Americans. Falls threaten older adults’ safety and independence and generate enormous economic and personal costs. Many falls can be prevented through increased awareness about fall risk factors, clinical interventions such as medication adjustments, healthy

behaviors including regular physical activity that improves strength and balance, and participation in evidence-based falls prevention programs in community settings.

Since 2007, the National Council on Aging’s (NCOA) Falls Free® Initiative has led the annual Falls Prevention Awareness Day (FPAD) to raise awareness about the impact of falls among older adults, share fall prevention strategies, and advocate for the expansion of evidence-based community falls prevention programs. Through FPAD efforts, the NCOA Falls Free® Initiative and partners engage professionals, policymakers, older adults, and caregivers to reduce and prevent the number of falls and injuries among older adults.

Highlights of the first decade of FPAD activities include: • 447 million people reached through social and traditional media

• 15.2 million people reached through awareness and education campaigns

• 832,000 influencers and policymakers reached through advocacy efforts at the national, state and local levels

• 199,000 people participated in evidence-based falls prevention programs

• 79,000 people screened for falls risk factors

• 10 bipartisan resolutions in the U.S. Senate recognizing Falls Prevention Awareness Day

The 10th annual FPAD on September 22, 2017 celebrated a decade of empowering seniors with the confidence to protect themselves from fall-related injuries. National 2017 FPAD awareness and media efforts reached an estimated 87 million individuals. At the state and community level, the State Falls Prevention Coalitions members reached 1.1 million individuals through education, awareness, and advocacy efforts, as well as fall-risk screenings and fall prevention programs. The NCOA Falls Free® Initiative hopes this compendium of national and state FPAD efforts will serve as a resource to maximize FPAD 2018 impact and beyond.



Facts about Falls

Falls are the leading cause of fatal and non-fatal injuries for adults age 65+, causing severe injuries such as hip fractures, brain injuries, and death. Falls, with or without injury, also impact quality of life. Falls and fear of falling limit older adults’ social engagement, mobility, independence, and quality of life. This can result in further physical decline, depression, social isolation, and feelings of helplessness.

Falls are common• One-fourth of Americans aged 65+ falls each year1. Falling once doubles an older adult’s chances of falling again2.

• Every 11 seconds, an older adult is treated in the emergency room for a fall; every 19 minutes, an older adult dies from a fall.3

• One out of five falls causes a serious injury such as hip fractures, broken bones or head injuries. 4,5

• Each year 2.8 million older adults are treated in emergency departments for fall injuries, including over 800,000 hospitalizations and more than 27,700 deaths.6

• Over 300,000 older adults are hospitalized for hip fractures each year. More than 95% of hip fractures are caused by falling.7,8

• Falls are the most common cause of traumatic brain injuries.9

• Falls, with or without injury, impact quality of life. A growing number of older adults fear falling and, as a result, limit their activities and social engagements. This can result in physical decline, depression, social isolation, and feelings of helplessness.10

Falls are costly• The annual direct medical costs for fall injuries are $50 billion. Three-quarters (75%) of the costs are paid by the

government–funded programs Medicare and Medicaid.11

• Falls-related costs to private and other payers is 12 million per year.11

• The average hospital cost for a fall injury is over $30,000.12

• The estimated medical costs associated with fatal falls were approximately $754 million in 2015.11

Falls are preventableFalling is not an inevitable result of aging. The number of falls among older adults can be substantially reduced through fall risk screening and assessment, practical lifestyle adjustments to mitigate fall risk factors, evidence-based falls prevention programs, and clinical-community partnerships. Annual national, state and local Falls Prevention Awareness Day efforts raise awareness about how to prevent fall-related injuries among older adults.



NCOA’s National Falls Prevention Resource Center and Falls Free® Initiative

NCOA leads the National Falls Prevention Resource Center (NFPRC), which supports awareness and educational efforts about falls and promotes evidence-based falls prevention programs and strategies across the nation. The NFPRC serves as the national clearinghouse of tools, best practices, and other information on falls and falls prevention. The NFPRC is supported by Prevention and Public Health Funds from the U.S. Administration for Community Living, Administration on Aging, Department of Health and Human Services.

NCOA also leads the Falls Free® Initiative. Founded in 2005, the Falls Free® Initiative is a nationwide effort to increase advocacy, awareness, and education about falls prevention. The Falls Free® Initiative includes:

• The 2015 National Falls Prevention Action Plan: A framework for implementing an effective, sustainable approach to reduce falls among older adults over the next 5-10 years. The National Falls Prevention Action Plan is a product of key recommendations and evidence-based strategies collected during the Falls Prevention Summit, a White House Conference on Aging event held in April 2015.

• A National Coalition: Over 70 organizations charged with working toward the progress of one or more of the strategies in the National Falls Prevention Action Plan.

• Statewide Falls Prevention Coalitions: 42 statewide coalitions with a common goal of reducing older adult falls, fall-related injuries, and deaths in their communities or states. Members are engaged in disseminating proven falls prevention programs, advocating for funding, and educating older adults about how they can reduce their risk of falling.

• Annual Falls Prevention Awareness Day: A national event to raise awareness about how to prevent fall-related injuries and deaths among older adults.



Falls Prevention Awareness Day 2017: Ten Years Standing Together to Prevent Falls

The 10th annual FPAD was observed on September 22, 2016 by 42 states and the District of Columbia. FPAD events raised awareness about the personal and financial impact of falls among older adults; provided education about how to prevent falls; screened older adults for fall risks; and advocated for the expansion of funding for clinical and community-based interventions, including evidence-based fall prevention programs. These events empowered older adults and those who care for them to be active, independent, and safe in their homes and communities.

National media efforts collectively reached 87 million individuals through national, state and local press releases, Twitter, Facebook, and more. State and community events and activities reached nearly one million individuals through fall risk screenings, participation in community-based falls prevention programs, and public awareness events.

The national, state, and community narratives that follow have been enriched by a decade of creative fall prevention activities, initiatives, and partnerships. We hope you join the Falls Free® Initiative and our partners in promoting Falls Prevention Awareness Day 2018 on September 22nd, the first official day of fall.

National Falls Prevention Awareness Day ActivitiesNational Declaration by the U.S. SenateU.S. Senate Resolution 265 designated September 22, 2017 as National Falls Prevention Awareness Day to raise awareness and encourage the prevention of falls among older adults. The resolution, sponsored by Senator Collins [R-ME] and co-sponsored by Sen. Casey [D-PA] and Sen. King [I-ME], supported the following statements:

• Recognized that there are proven, cost-effective falls prevention programs and policies;

• Commended the 72 member organizations of the falls free coalition and the falls prevention coalitions in 42 states and the District of Columbia for their efforts to work together to increase education and awareness about preventing falls among older adults;

• Encouraged businesses, individuals, federal, state, and local governments, the public health community, and health care providers to work together to raise awareness of falls in an effort to reduce the incidence of falls among older adults in the united states;



• Recognized the centers for disease control and prevention for its work developing and evaluating interventions for all members of health care teams to make falls prevention a routine part of clinical care;

• Recognized the administration for community living for its work to promote access to evidence-based programs and services in communities across the united states;

• Encouraged state health departments and state units on aging, which provide significant leadership in reducing injuries and related health care costs by collaborating with organizations and individuals, to reduce falls among older adults; and

• Encouraged experts in the field of falls prevention to share their best practices so that their success can be replicated by others.

Media OutreachDigital News ReleaseThe FPAD digital news release served as a central point for partners and media outlets to report on FPAD and directly download a variety of FPAD outreach materials, such as the 6 Steps to Prevent a Fall video and falls prevention infographics. The news release generated 125 news stories about FPAD and reached an estimated 74 million people.

TwitterNCOA created the hashtag #FPAD2017 to provide a forum for people to ask questions and share fall facts, prevention tips and resources, research findings, and photos of educational events. Between August and October 2017, 6,200 Twitter accounts used the hashtag #FPAD2017 to share nearly 10,000 falls prevention-related tweets, reaching an estimated 12.5 million people.

On September 14, 2017, NCOA co-hosted a one hour educational FPAD Twitter chat with the American Occupational Therapy Association and a panel of experts from the Centers for Disease Control and Prevention Injury Center, the Administration for Community Living, and many other national, state and local organization. The chat generated 1,300 tweets by 170 participants and prompted an international conversation about tips to prevent falls and the fear of falling, home modifications, medication management techniques, and more. Notable Twitter chat participants included Senator Bernie Sanders from Vermont, Meals on Wheels of America, and Consumer Reports.

FacebookBetween August and October 2017, NCOA shared 15 Facebook posts that reached 150,000 people and generated nearly 7,000 likes, comments, and shares.

NCOA partnered with the Fall Prevention Center of Excellence at the University of Southern California Leonard Davis School of Gerontology to live stream a safety tour about navigating outdoor fall hazards. The tour demonstrated the benefits of sidewalk curb cuts, proper lighting around stairwells, and car adaptation devices that improve safety while entering and exiting a personal vehicle. The video is archived on NCOA’s Facebook page and has reached 112,000 people as of November 1, 2017.



Webpages and Annual FPAD Webinar In preparation for FPAD 2017, NCOA updated the Falls Prevention Awareness Day webpage with new tools, resources, and initiatives to help individuals plan and promote a successful FPAD campaign. New resources included an updated media toolkit, advocacy tools, resources, and a FPAD Falls Free® 10th Anniversary logo to brand FPAD promotional materials.

NCOA’s annual FPAD webinar was promoted by state and local fall prevention coalitions and many national partners. Nearly 400 individuals joined the webinar to learn about ideas, tools, and new resources to maximize their impact on FPAD and beyond.

FPAD in the News: St. Louis, Missouri

The Oasis Institute gathered a panel of experts to discuss falls prevention on St. Louis on the Air, a national public radio station. Moderator Don Marsh led the discussion with partners from the Show Me Falls Free Missouri Coalition, National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention, and Rebuilding Together St. Louis.

FPAD in the News: Fort Worth, Texas United Way of Tarrant County and partners published an online article about steppin’ grannies getting funky for fall prevention awareness day: “Funkytown got just a little bit funkier when the Steppin’ Grannies got to steppin’ at Burnett Park in celebration of 10 years of senior fall prevention.Their fantastic, flash-mob style performance proved that seniors need not let fear of falling hinder them from living life to the fullest.”

FPAD in the News: Hawaii The Hawaii Fall Prevention Coalition disseminated 360 public service announcements on four networks and one Japanese language station, coordinated three morning talk show interviews, arranged 12 showings of a 15 minute educational video on Olelo (Hawaii’s statewide public access channel), and coordinated a re-broadcast of a 30 minute prime time special, “Fall Prevention: Securing Senior Safety and Independence” co-sponsored by Kaiser Permanente.



National and Federal PartnersAdministration on Aging/Administration for Community LivingThe Administration on Aging (AoA), part of the Administration for Community Living, is the principal agency of the U.S Department of Health and Human Services designated to carry out the provisions of the Older Americans Act. The Older Americans Act promotes the well-being of older individuals by providing services and programs designed to help them live independently in their homes and communities. AoA provided support for the national FPAD 2017 campaign, including media outreach and educational resources.

Alzheimer’s Foundation of AmericaThe Alzheimer’s Foundation of America’s (AFA) mission is to provide optimal care and services to individuals living with Alzheimer’s disease and related illnesses and to their families and caregivers. AFA has grown to a network of more than 2,600 member organizations nationwide that provide direct care and services. On FPAD 2017, AFA hosted a webinar titled, “Take Action: You Have the Power to Prevent a Fall,” in which the National Falls Prevention Resource Center shared strategies for caregivers to take to prevent a fall for themselves and their loved one.

American Physical Therapy AssociationAmerican Physical Therapy Association (APTA), particularly the Academy of Geriatric Physical Therapy (AGPT), has been a long standing participant of the annual FPAD. APTA aims to prevent falls through increasing awareness among APTA members of prevention measures, including screening, assessment, and intervention skills. Both the AGPT and APTA shared falls prevention resources with members and highly encouraged participation in FPAD 2017 events and activities. In collaboration with the American Occupational Therapy Association, AGPT also updated the interdisciplinary Falls Prevention Toolkit to assist professionals in preparing and delivering an educational presentation about falls prevention.

American Occupational Therapy Association The American Occupational Therapy Association (AOTA)’s programs and activities are directed toward assuring the quality of occupational therapy services, improving consumer access to health care services, and promoting

Falls Prevention Awareness Day: National Media ReachLed by the National Council on Aging Falls Free® Initiative

August-October 2017

125 news stories reached an estimated 74 million people

260,000 peoplereached through

NCOA Facebook posts

76,246 totalvideo views

on Facebook Live

10,000 tweets

Total Reach: 87 Million People



the professional development of members. For FPAD 2017, AOTA shared fall prevention resources in national e-newsletters and encouraged AOTA members to engage in local FPAD activities and events. In collaboration with the American Physical Therapy Association, AOTA also updated the interdisciplinary Falls Prevention Toolkit to assist professionals in preparing and delivering an educational presentation about falls prevention.

American Society of Consultant PharmacistsThe American Society of Consultant Pharmacists (ASCP) is an international professional society devoted to optimal medication management and improved health outcomes for all older persons. In support of FPAD 2017, ASCP engaged their network of over 9,000 pharmacy professionals and students in serving the unique medication needs of the senior population. ASCP encouraged pharmacy professionals to utilize the ASCP/NCOA Falls Risk Reduction Toolkit, a comprehensive assessment of falls risk inducing medications and medical conditions.

Centers for Disease Control and Prevention, National Center for Injury Prevention and ControlOver the past decade the Centers for Disease Control and Prevention (CDC) has been a champion of national FPAD efforts. CDC’s STEADI (Stopping Elderly Accidents, Deaths, and Injuries) fall prevention tools and educational materials were used nationwide to conduct fall risk assessments and referrals to fall prevention programs and services. CDC’s STEADI initiative provided professionals with educational materials to share with older adults, such as the “Check for Safety: A Home Fall Prevention Checklist for Older Adults,” and the “What You Can Do to Prevent Falls” brochure.

National Alliance for CaregivingThe National Alliance for Caregiving (NAC) is a non-profit coalition of national organizations focusing on advancing family caregiving through research, innovation, and advocacy. The Alliance conducts research, does policy analysis, develops national best-practice programs, and works to increase public awareness of family caregiving issues. NAC partnered with NCOA to develop a Fall Prevention Conversation Guide for Caregivers to facilitate a conversation about fall risk factors and empower caregivers to develop a falls prevention action plan. NAC and NCOA also hosted two webinars leadings up to FPAD 2017 to educate family caregivers, older adults, and state and local professional coalitions about falls prevention strategies, resources, and efforts.

National Senior Games Association The National Senior Games Association (NSGA) is a non-profit organization dedicated to motivating active adults to lead a healthy lifestyle through education, fitness and sport. NSGA member organizations across the country shared the 6 Steps to Prevent a Fall infographic on social media and educated older adults about strategies to prevent falls.

National Reverse Mortgage Lenders Association The National Reverse Mortgage Lenders Association (NRMLA) is the national voice of the reverse mortgage industry, serving as an educational resource, policy advocate and public affairs center for lenders and related professionals. In support of Falls Prevention Awareness Day, NRMLA distributed an e-newsletter to their members with resources to educate their clients about falls prevention resources and home safety modifications.

University of Southern California Leonard Davis School of Gerontology, Fall Prevention Center of ExcellenceThe Fall Prevention Center of Excellence (FPCE) is a part of the University of Southern California Leonard Davis School of Gerontology, the first and largest school of gerontology in the world. FPCE faculty and staff have conducted applied research in home modification, universal design, and fall prevention for over 30 years. For FPAD 2017, FPCE co-produced a Facebook Live video with NCOA to educate viewers about how to safely navigate outdoor fall hazards. FPCE also released a set of home modification resources in collaboration with NCOA, including compilations of home assessments for consumers and professionals, home modification funding sources, and evidence-based programs and best practices across the country, available on FPCE’s website, www.stopfalls.org. In addition, FPCE featured activity ideas and resources on its website for FPAD 2017.



State Falls Prevention Awareness Day ActivitiesOverview The following information is based on responses to NCOA’s annual FPAD online survey of the Falls Free® Initiative State Falls Prevention Coalitions. Survey data are used to estimate the impact and reach of state FPAD efforts. Forty-two states and Washington, D.C. completed the survey. Survey respondents consisted of 39 State Falls Prevention Coalitions, the Washington, D.C. Falls Free Coalition, and two states that are in the process of developing an official coalition. Coalition leaders and state contacts were asked to collect FPAD activity information from their statewide partners and designate one person to complete the survey. Survey responses were collected from September to December 2017.

Across the states that completed the survey, nearly 850,000 individuals were reached through FPAD 2017 activities and events. Survey respondents reported the estimated number of people reached through awareness and education activities, fall risk screenings, fall prevention evidence-based programs, and advocacy efforts.

Over half of states (56%) observed falls prevention for one month, with some observations lasting for two to three months. Ten states observed falls prevention for one to three weeks, while four states observed one day of activity focused on September 22. Twenty-six states paired FPAD with other observances, such as health fairs, flu vaccination events, Senior Center Month, National Physical Therapy Month, and Go4Life Month.

State Falls Prevention CoalitionsState Falls Prevention Coalitions State Falls Prevention Coalitions Under Development Inactive State Falls Prevention Coalition

39 State Falls Prevention Coalitions, the D.C. Falls Prevention Coalition, and 2 states participated in FPAD 2017.



Awareness and EducationAll 42 states and Washington, D.C. coordinated falls prevention awareness and educational activities for older adults, caregivers, and/or professionals. Awareness outreach efforts included distribution of fall prevention information (95%), providing educational presentations/lectures/webinars (88%), and conducting fall risk assessments (79%).

States reported many creative awareness and education events and activities, including:

Alaska Senior Fall Prevention Coalition held a daily falls prevention event at Alaska Sitka Hospital during Falls Prevention Week. The Commission on Aging conducted a teleconference Power Point presentation that was broadcasted live on public television.

Arizona Falls Prevention Coalition coordinated a falls prevention segment that was featured for five days on the Morning Blend at 11:00 on KGUN-TV 9/ABC affiliate and conducted a “Light Up the Night” event with Dr. Art Mollen, Medical Correspondent for “Good Morning Arizona” on CBS 5 and 3.

Delaware Coalition for Injury Prevention coordinated an educational skit performed by Coalition members. The skit’s main character, Mr. Tripp Salot, was an older gentleman who had a fall and was visited in his home by several Coalition members who talked to him about fall prevention strategies. The skit was held in a large senior center after lunch. Informational fall prevention information was available on tables throughout the room.

Members of the Florida Falls Prevention Coalition’s Physical Therapy Association Fall Prevention Task Force provided ten lunch time presentations across the state to various chapters of the Florida Alliance for Retired Americans. A Member also co-taught a falls prevention seminar for medical students at Florida Atlantic University in Boca Raton.

Hawaii State Fall Prevention Consortium coordinated medication reviews and balance screenings at 66 partner pharmacies. Older adults were invited to the event three weeks prior via bag stuffer flyers inserted into their grocery and pharmacy bags. Pharmacists reviewed older adults’ prescriptions, over-the counter-medications, and supplements and conducted balance tests.

Indiana Falls Prevention Coalition distributed fall prevention placemats for home meal deliveries.

95%

88%

79%

76%

76%

59%

46%

Distributed falls prevention information

Provided falls prevention presentations/lectures/webinars

Conducted falls risk screening event(s)

Participated in a health fair

Outreach through social media, e.g., Facebook, Twitter

Distributed a press release



Iowa Falls Prevention Coalition posted a press release on the Iowa Department of Public Health website and live streamed a Tai Chi class on Facebook. The Iowa Department of Public Health also developed and disseminated 4,600 falls prevention awareness placemats at congregate meal sites across the state.

In Maryland, the Steady Strides: Fall Prevention and Stroke Rehabilitation Medical Institute hosted a fall prevention event for 300-500 people on September 17, 2017. The event was targeted towards young caregivers and older adults and included a children’s carnival to attract middle-aged caregivers. A group Tai Chi lesson was performed and a FPAD Proclamation from the Governor was presented. Event vendors included long-term care and physician groups, the University of Maryland Sinai Hospital, and Johns Hopkins University.

Show Me Falls Free Missouri held a falls prevention awareness event with a “Cut a Rug” station that demonstrated the variety of rugs and their relative level of safety. Missouri also coordinated a “Deprivation Station” that demonstrated the challenge of losing dexterity in one’s hands, losing vision, and filling a pill box.

The Fall Prevention for Older Adults Workgroup: New York hosted educational falls prevention events at hospitals, senior centers, and senior housing. Events included an educational event at a senior center barbeque, a medication take back event, a presentation at a congregate meal site, and a falls prevention booth at a community Harvest Festival.

New York City (NYC) Coalition partnered with the NYC Department for the Aging and a network of 140 senior centers and community organizations to: disseminate falls prevention educational and risk-screening materials; organize speakers and events to educate older adults on falls prevention in-person; host evidence-based physical activity events for preventing falls; disseminate useful free tools for preventing falls in the home, such as nightlights and pillboxes; and, participate in senior health festivals to educate older adults about falls prevention.

North Carolina Falls Prevention Coalition trained volunteer drivers to safely assist the people they are driving and increase knowledge of the safe use of assistive devices.

Ohio Older Adult Falls Prevention Coalition hosted their annual 10 Million Steps to Prevent Falls event. They invited organizations, businesses, communities, and individuals statewide to walk one mile to raise awareness about older adult falls. Ohio partnered with 52 organizations, hosted 57 events, and engaged 4,935 individual participants who walked a total of 22,000 miles, which was 56,185,883 steps. They greatly exceeded their goal of 10 million steps.

Oklahoma Fall Prevention Coalition hosted demonstrations of the Tai Chi: Moving for Better Balance program and delivered falls prevention presentations at the Oklahoma State Fair Senior Day.

Pennsylvania State Fall Prevention Coalition developed and posted falls prevention exercise videos and safety tips on the University Orthopedics Center Facebook page and hosted a flash mob falls prevention event at Thomas Jefferson University with students and community members.

Tennessee Fall Prevention Initiative printed promotional handheld fans that read “STOP falls before they stop you” , and printed a fall prevention flyer on the back of lunch menus at congregate meal sites.

The Falls Free Vermont Coalition aired a 15 minute falls prevention television segment that reached approximately 20,000 older Vermonters statewide.

In Wisconsin, the Falls Prevention Initiative coordinated efforts with the Wisconsin Institute for Healthy Aging to create a FPAD toolkit that included three sample press releases, unintentional fall data for each county and tribal aging unit, a template power point that could be used for local activities, a Stepping On program video, and a web site widget with falls prevention quiz questions.



Fall Risk ScreeningsResearch has identified several factors that place older adults at risk for falls. The most effective fall prevention efforts screen and assess for these risk factors and educate older adults about how to avoid them. Eighty-one percent (81%) of states assessed older adults for fall risk factors as part of their FPAD activities. The majority of states conducted balance assessments, medication reviews, blood pressure and/or orthostatic blood pressure checks, home safety assessments, and/or multifactorial screenings. Additional screenings included vision, hearing, osteoporosis, bone density, neuropathy, podiatric, HIV, and diabetes (glucose).

Evidence-Based ProgramsEvidence-based falls prevention programs for older adults have been proven through research to reduce falls and falls risks. Programs are available for older adults with low, moderate, and high risk for a fall. Depending on the program, workshops or sessions may focus on strength and balance exercises, fall prevention education, behavior change, cognitive restructuring, or any combination thereof. Descriptions of select evidence-based falls prevention programs can be found in Appendix A.

Nearly all states (91%) promoted or conducted an evidence-based fall prevention program as part of their FPAD efforts. The most commonly featured programs included:

• A Matter of Balance 62%• Tai Chi for Arthritis 44%• Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Toolkit 39%• Tai Ji Quan: Moving for Better Balance 36%• Stepping On 28%• Stay Active and Independent for Life (SAIL) 21%• Otago Exercise Program 18%

91%

69%

63%

60%

54%

49%

46%

Balance assessments

Medication reviews

STEADI fall risk assessment

Blood pressure and/or orthostatic blood pressure checks

Home safety assessments

Multifactorial screening (multiple risk factors screened)

Vision screening



• YMCA Moving for Better Balance 15%• Enhance Fitness 10%• Fit & Strong! 5%

Engagement of Professional StudentsThe practice of engaging students in FPAD activities offers in-kind support for host organizations and provides hands-on opportunities for students to interact with older adults and learn about falls prevention. Thirty-seven states engaged students in FPAD activities. Students from a variety of disciplines assisted with fall risk assessments, educational workshops, and fall prevention or exercise classes. The graph below shows the breadth of student disciplines engaged in FPAD 2017 activities.

Graph 1: Engagement of Professional Students



Policy and AdvocacyThirty-three states reported policy and advocacy initiatives as part of their FPAD activities. Of those that reported advocacy initiatives, seventy-one percent (71%) of states obtained a Governor’s Proclamation for FPAD, twenty-four percent (24%) conducted a falls prevention program demonstration or educational session for elected officials, and eighteen percent (18%) met with elected officials.

Policy and Advocacy Highlight: MassachusettsThe Massachusetts Falls Prevention Coalition held its 11th FPAD event at the State House on September 19, 2017 with over 150 attending. The event included a brief educational speaking program, a Tai Chi demonstration, a falls prevention resource fair, a scavenger hunt and raffle for gift cards and falls prevention items basket. Elected officials, state officials, and older adult attendees all participated in the event.

Policy and Advocacy Highlight: IowaThe Iowa State Falls Prevention Coalition a Tai Chi class at the State Capitol and livestreamed it on Facebook. About 260 individuals viewed the video.

Massachusetts Falls Prevention Coalition FPAD event

Iowa State Falls Prevention Coalition Tai Chi Class



Partnership BuildingState and local partners are an essential component of FPAD initiatives and outreach. Partnerships also contribute to the sustainability of fall prevention coalitions beyond the annual FPAD. All states reported that they partnered with multiple organizations for FPAD. The most common partnerships included:

• Senior Centers 95%

• Area Agencies on Aging 86%

• State/City Health Departments 79%

• Hospitals/Trauma Centers 76%

• Universities 69%

• Senior Housing (e.g., retirement communities, assisted living facilities) 67%

• Health Care Systems (e.g., Private, FQHC, ACO) 60%

• Emergency Medical Services/Fire Departments 50%

• Pharmacies 45%

• Rehabilitation Centers 33%

• Tribal Entities 12%• Georgia Falls Prevention Coalition partnered with the Georgia library system to extend the reach of FPAD events

and screenings.

• A church in Mississippi partnered with MSDH staff to host a “Lunch and Learn on Falls Prevention” for senior members.

State and local coalitions reported many creative partnerships. Partnership highlights are featured below.

• In Arizona, the Mesa Fire and Medical Department hosted a Home Safety Education Program (HSE) and an Older Adult Program that focused on fall prevention in the city of Mesa. HSE included visits to residents’ homes to conduct fall risk assessments and talk about fall and fire safety. Home safety modifications, such as grab bars, shower seats, bath mats, and smoke alarms, were installed as needed. Rebuilding Together supplied Mesa Fire and Medical Department with grab bars, shower seats and bath mats, while AZBurn and Red Cross supplied the smoke alarms.

Georgia Falls Prevention Coalition partnered with the Georgia library system to extend the reach of FPAD events and screenings.

In Hawaii, the state’s largest hardware chain, City Mill, distributed 1,000 bag stuffers per store advising seniors to make an appointment at participating pharmacy medication check and balance screening events. The hardware chain also hosted home safety events in-store in which home safety displays were erected to show customers available home safety items, such as grab bars and night lights.

• The Illinois Fall Prevention Coalition engaged students from Fox College Occupational Therapy Assistant Program to volunteer at the Palos Community Hospital-Health System Fall Prevention Fair. Students assisted with balance screenings using the Timed Up and Go test, instructed participants in how to get up from a fall, and provided information about home safety modifications and safe footwear. Older adults at the Fall Prevention Fair engaged in an “I-Spy” game in the “Fall Hazards Room” to identify and prevent fall hazards in the home.



• The Maryland Falls Prevention Advisory Group coordinated student volunteers to assist with fall risk assessments. Occupational therapy students from Towson University and physical therapy students from the University of Maryland provided balance and gait testing. Nursing students from Towson University provided over 40 blood pressure checks. Occupational Therapy Assistant students from the Community College of Baltimore City provided home safety information. Pharmacy students from Notre Dame School of Pharmacy provided medication safety information, blood pressure checks, and glucose screenings. Essex School of Massage students provided over 100 seated messages.

• The Minnesota Cass County State Health Improvement Program sponsored the first ever falls awareness and prevention event in Walker with 20 vendors participating in the three-hour event. Each participant received a bottle of sand for winter driving/walking.

• A church in Mississippi partnered with staff at the Mississippi Department of Health to host a “Lunch and Learn on Falls Prevention” for older adult members.

• The North Carolina Association of Pharmacists held an all-day workshop on falls prevention as part of their annual conference. Approximately 20 pharmacists attended the training. The workshop, which featured the NCOA/American Society of Consultant Pharmacists Falls Risk Reduction Tool Kit, covered topics such as falls risks, and CDC’s STEADI resources, and practiced how to conduct falls risk assessments.



Fall Prevention Coalition and

State Activities

The following pages provide highlights of FPAD 2017 activities reported by coalitions and states. These highlights showcase the dedication of those at the state and community levels to raise awareness, educate about fall prevention strategies, and refer older adults to evidence- based programs that reduce falls and fall-related injuries among older adults.



Observance Alaska celebrated Falls Prevention Awareness Month during September 2017, reaching close to 400 people through various activities and events.

Key Successes Key successes for the month long observation were encouraging seniors to sign up for an extended tai chi class and teaching nurses at local hospitals how to prevent falls.

Awareness and Education Activities Alaska conducted the following awareness and education activities:

• Provided falls prevention presentations/lectures/webinars

• Distributed falls prevention information

• Used traditional media to reach older adults and other falls prevention stakeholders

• Tia Chi classes were offered in Juneau during the month to seniors 60 and older

Fall Prevention Programs/Workshops • Tai Ji Quan: Moving for Better Balance

• Tai Chi for Arthritis

Fall Risk Screenings • Anchorage did some fall risk screenings during

senior falls week.

Advocacy Activities Alaska had a statewide Governor’s Proclamation for the month long falls prevention observance.

Sitka Hospital had daily events related to senior falls during falls prevention week. The Alaska Commission on Aging gave a PowerPoint presentation via teleconference that was live on public TV. Anchorage did a falls prevention day extravaganza on September 22nd, 2017, offering a wide variety of activities in Alaska’s largest city.

Coalition Partners• State/local health departments• Senior centers• Hospitals/Trauma centers

Student InvolvementNursing students provided educational workshops in Sitka and Anchorage.

Reported By: Lesley Thompson, Planner Alaska Commission on Aging PO Box 110693 CityJuneau, AK 99811 [email protected]

Learn more about what you can do to prevent falls across Alaska: www.alaskaaging.org.

Alaska



Observance Arizona observed Falls Prevention Awareness Month during September, 2017, reaching approximately 2,166 Arizonans through their various falls prevention activities.

Key Successes A key success was the second Annual Collaboration with Phoenix VA Health Care System where an interdisciplinary Falls Risk Assessment Clinic was delivered; 22 veterans were referred to Matter of Balance or Tai Chi classes. Another key success was the first annual “Light Up the Night” remembering those who have passed as a result of unintentional fall-related injuries, and celebrating Arizona’s community champions and partners.

Awareness and Education Activities Arizona partners wrote and distributed a press release; provided falls prevention presentations/lectures/webinars; distributed falls prevention information; conducted falls risk screening events; and raised awareness through traditional and social media.

Additional media activities included the following:

• A falls prevention segment was featured each day, Monday through Friday, on the Morning Blend at 11:00 on KGUN-TV 9

• A half-page article on falls prevention was in AZ Central, Real Estate Page under Public Housing

• A falls prevention article was featured in the Health Section of the Arizona Daily Star on Monday, September 18th

• ADHS Facebook and social media promoted falls prevention

• The Light Up the Night event promotion by Dr. Art Mollen, medical correspondent for Good Morning Arizona was featured on CBS 5 and 3.

Sun Health’s event, Stand Up to Falling Down, was held on Falls Prevention Awareness Day (September 22nd); the event featured presentations and demonstrations related to falls prevention, and each attendee received information on the upcoming A Matter of Balance program series at the Sun Health event. Partners conducted the TUG, 4-Stage Balance Test, and the

Arizona



Chair Stand Test from the CDC’s STEADI toolkit. They also provided follow-up recommendations from health coaches; over 200 people who attended the event and 93 individuals completed the fall risk screening.

The Golder Ranch Fire District hosted a week long Senior Safety Series, and the Green Valley Fire District in partnership with Valley Assistance Services hosted an event on Friday, September 22nd; they also created a section for Falls Free Pima on the Healthy Pima web site. Green Valley estimated they had about 125 people in attendance.

Mesa Fire and Medical Department has a Home Safety Education Program (HSE) and an Older Adult Program that both focus on fall prevention in the city of Mesa. HSE includes visits to residents’ homes to do fall assessments and talk about fall and fire safety in the home. Grab bars, shower seats and bath mats as well as smoke alarms are installed as needed. In 2017, HSE made close to 300 visits and spoke face-to-face with 470 residents. These visits take approximately 45 minutes. Fifteen presentations on the program to almost 1,000 people have also been made. Their Older Adult Program includes Matter of Balance classes as well as other classes on heart, diabetes and fall prevention topics. They reached about 80 residents in the city with the Matter of Balance Program. The Mesa Fire & Medical is partnering with Rebuilding Together, AZ Burn Foundation and the Red Cross. Rebuilding Together supplies the Department with the grab bars, shower seats and bath mats while AZ Burn and Red Cross supply smoke alarms.

The Northern Chapter and the Northern Arizona Council of Governments (NACOG), Area Agency on Aging Region-III FPAD events in collaboration with the Yavapai Regional Medical Center Pendleton Center consisted of vision screening provided by Northern Arizona Veteran’s Administration and auditory screening by Zounds Hearing Center of Prescott. Fall risk assessments were conducted by PTs, and blood pressure screenings by the Yavapai Regional Medical Center. Healthy food/nutrition information was provided by Rebecca Serratos, SNAP-ED, Yavapai County Cooperative Extension. There were approximately 24 participants.

The Joe C. Montoya Community & Adult Center in Flagstaff utilized Northern Arizona University students who conducted fall risk assessments. Blood pressure screenings were conducted by Angels Care Home Health, vision screenings by Flagstaff Vision, hearing screenings by Flagstaff Miracle Ear, and medication

reviews by Northern Arizona Home Health. Twenty-nine participants attended. In addition, Matter of Balance (MOB) workshops were held on 09/28/2017 at Prescott Gardens Mobile Home Park in Prescott and at the Clark Homes Low Income housing in Flagstaff.

Tai Chi for Health Institute/Master Trainer Heather Chalon, MPH, and the community of instructors participated in Fall Prevention Awareness events, showcasing evidence-based Tai Chi for Arthritis for Fall Prevention. Events will held in the following locations:

• Oro Valley - Senior Safety Series

• Golden Ranch Fire District/Southern AZ Fall Prevention Coalition, demo classes, information table

• Green Valley, September 22 - Stay Vertical event hosted by Valley Assistance Services, presentation, demo, info table ABC/KGUN9 Morning Blend TV show - Sept 22 with Pima County Department of Health/ Southern Arizona Fall Prevention Coalition

• Phoenix Sept 24 -Light up the Night, event sponsor, information distributed about Instructor Certification workshops and public classes

• Tucson, Sept 29-Oct 1, Tai Chi for Arthritis for Fall Prevention Instructor Training, University of Arizona Disabilities Resource Center.

Member partners at Banner Health have developed a community injury prevention program titled “Stay Steady Arizona” geared toward older adults. The program incorporates the use of an adult safety house that contains colorful graphics and engaging visuals for participants when discussing the different areas of the home and injury prevention techniques. The program also utilizes the CDC’s STEADI materials. The program’s participants are educated about the CDC STEADI program and receive distributed print materials to take home, such as a checklist for safety, fall risk assessment, fall prevention techniques, and chair rise exercises. In 2017, Banner Health partnered with the City of Phoenix and brought the program into many of the senior centers and community events. In 2018, Banner Health is continuing the partnership with the City of Phoenix and has developed partnerships with Tempe, Scottsdale, and Mesa. The program has also been taken into the Show Low/ Pinetop/ Lakeside region and is scheduled for Payson, Bullhead City, Lake Havasau, Parker, and Yuma in the next coming year.

The Coalition’s Tribal member-partner, the Salt River Pima Maricopa Indian Community (SRPMIC), conducted



A Matter of Balance, Yoga for Fall Prevention, and Simplified Tai Chi. The SRPMIC is collecting information for continued data-driven implementation of falls programs. They have conducted more than ten fall risk assessments to their community clients, and have reached more than 100 seniors and elders in the SRPM Indian Community by outreach education, which include falls awareness meetings through the Senior Services, Social Services, and Health and Human Services.

Fall Prevention Programs/Workshops • A Matter of Balance

• STEADI (CDC’s Stopping Elderly Accident, Death and Injuries)


Fall Risk Screenings • Balance screening• Medication reviews/screening• Multifactorial screening (multiple risk factors

screened)• Vision screening• Hearing screening• Strength testing• Head injury and TBI screening of veterans

Advocacy Activities Arizona obtained a Governor’s Proclamation and local falls prevention awareness proclamation(s).

Coalition Partners• Area Agencies on Aging (AAAs)• State/local health departments• EMS and/or fire departments• Senior centers• Hospitals/Trauma centers• Senior housing (retirement communities, assisted

living facilities, Villages, etc.)• Universities or colleges• Tribal entities

• Health care systems (Private, FQHCs, ACO, Physician Group Practice, etc.)

• Veterans Administration

Student InvolvementStudents from the disciplines listed below conducted falls risk screenings; participated in educational workshops; participated/led a falls prevention program class or exercise; or made presentations to professionals, professional associations (i.e., Professional Association of Senior Referral Specialists), Community Leaders, Senior Care, and Memory Care facilities:

• Physical Therapy (PT)

• Occupational Therapy (OT)

• Pharmacy

• Nursing

• Public Health

• Optometry/Ophthalmology

• Biomedical Engineering and Health Sciences Students

SponsorshipThe required liability insurance for the use of City Park for the Light Up the Night event was sponsored by the Tai Chi for Health Institute/Master Trainer Heather Chalon, MPH.

Significant time and in-kind contributions were made from community partners, including participation and performances by the Ms. Senior Arizona, New York pageant queens, Mrs. Arizona America 2017, and Mrs. New Mexico International pageant queens, the Phoenix Fire Department, and the Phoenix Police Department.

The Coalition is not a registered corporation with 501 c 3 status; therefore, it is unable to receive funds, sponsors and/or donations. The Coalition was able to leverage a remarkable amount of resources through contributions made possible by community partners who all are appreciated and valued.

Reported By:Dr. Babak M. Nayeri, Chairperson, DirectorArizona Department of Health Services Healthy Aging Program150 N. 18th Ave. Phoenix, AZ 85007 [email protected]

Learn more about what you can do to prevent falls across Arizona by visiting : www.azstopfalls.org.



Observance Falls prevention observances in California varied from a week (September 22-28) to the full month of September, depending on the organization/community. Approximately 88,000 people were reached during the observations.

This report for California’s Fall Prevention Day/Week/Month is not a state project but instead is a compilation of activities from coalitions across the state. It was celebrated as a week for some and continued throughout the month of September for others. Not all coalitions responded to request for information. This report covers activities conducted in coalitions in San Diego, Sacramento, Contra Costa County, Alameda County, Santa Clara County and San Mateo County. Other activities may have been done in other coalitions but were not reported to Stop Falls California.

Key Successes A key success was that Santa Clara County partnered with the city of San Jose for their large Viva Calle event and had a Tai Chi demonstration. Additionally, Contra Costa County had a resource fair and fundraiser with 250 people in attendance.

Awareness and Education Activities Falls prevention awareness and education activities in CA included the following:

• Provided falls prevention presentations/lectures/webinars

• Distributed falls prevention information

• Participated in health fairs

• Used traditional and social media to raise awareness and provide education activities. As examples of media activities, the Department of Health and local coalitions posted information on their Facebook and Twitter accounts. Also, San Diego had an article published in a local newspaper.

The STEADI Stay Independent brochure and letter were sent to local churches. Additionally, the Santa Clara County Fall Prevention Task Force partnered with the city of San Jose’s open streets event “Viva Calle” and had a Tai Chi Moving for Better Balance demonstration.



• Stepping On

• Tai Ji Quan: Moving for Better Balance

Fall Risk Screenings • Balance screening

• Blood pressure checks and/or orthostatic pressure checks

• Home safety checks

• STEADI screening or assessment

• Strength testing

Advocacy Activities Some communities had local falls prevention awareness proclamations.

Coalition Partners• Area Agencies on Aging (AAA)

• State/local health departments

• EMS and/or fire departments

• Senior centers

• Hospitals/Trauma centers

• Pharmacies

California



• Senior housing (retirement communities, assisted living facilities, Villages, etc.)

• Universities or colleges

• Tribal entities


Student InvolvementPhysical therapy students conducted falls risk screenings.

Sponsorship Some coalitions were able to find local sponsors to support their FPAD events.

Reported By: Ellen CormanManager, Injury PreventionStanford Health Care 300 Pasteur Dr MC5898Stanford, CA 94305 [email protected]

Learn more about what you can do to prevent falls across California by visiting: www.stopfallscalifornia.org.



Observance The Colorado Older Adult Fall Prevention Coalition celebrated FPAD 2017 for a week from September 16th to September 22nd and reached over 200,000 people across the state.

Activities took place in conjunction with Boulder County Falls Prevention Week, Active Aging Week, Senior Center Month, and a flu vaccination event.

Key Successes Key successes included a webinar by the Better Medicare Alliance, demonstrations from PT/OT on how to get up from a fall, and an increase in number of older adults signed-up for falls prevention classes following a tai chi class demonstration.

Awareness and Education Activities To increase awareness and education, several activities took place, including:

• An article about Falls prevention in a newsletter

• NCOA flyers were reproduced and distributed, along with current schedule of all fall balance classes and phone numbers for each location.

• Development of the Falls Awareness Learning Lab

• Tai Chi on lawn, Podiatrist providing evaluation, Home Safety Checklists, Night Lites, Lafayette Fire Dept to explain lift assists

• Healthy Knees presentation and a Stability Class

• Partnered with Walk with a Doc program for community walk, and local yoga instructor for restorative yoga demo

Fall Prevention Programs/Workshops • A Matter of Balance• Stepping On• Tai Ji Quan• Tai Chi for Arthritis• YMCA Moving for Better Balance

Fall Risk Screenings • Balance screening• Medication review/screening• Blood pressure checks and/or orthostatic pressure

checks

• Assistive device review• Vision screening• Hearing screenin

Advocacy Activities Advocacy activities included meeting with elected officials and holding a webinar for policy makers.


• State/Local health department

• EMS and/or local fire departments

• Senior centers


• Healthcare systems (Private, FQHCs, ACO, Physician Group Practice, etc)

• Yoga instructor

• Library

• Consortium for Older Adult Wellness (COAW)

Student InvolvementStudents from multiple disciplines assisted with falls risk screening, the distribution of falls prevention information, and educational workshops. Disciplines represented include

• Pharmacy

• Nursing

Sponsorship Sponsorships included Weld County Health Department, a local yoga instructor, the High Plains Library District, a local physician office, local senior centers, local newspapers, and local hospital.

Reported By: Kate JankovskyChild Fatality Prevention System ManagerColorado Department of Public Health and [email protected]

Learn more about what you can do to prevent falls across Colorado: www.colorado.gov/pacific/cdphe/fallsprevention.

Colorado



Observance The District of Columbia celebrated Falls Prevention Awareness Day September 22, 2017 and reached approximately 3,348 people with their awareness and educational activities.

Awareness and Education Activities To increase awareness, the District of Columbia partners provided falls prevention presentations/lectures/webinars, distributed falls prevention information, and used social media (Twitter and Facebook) to promote falls prevention.


• Medication reviews/screening

• Vision screening


Advocacy ActivitiesMedia information was sent to Mayoral Executive Leadership and National Council on Aging. Fall prevention information was distributed to all seniors who receive a congregate or home delivered meal. Additionally, grantees promoted the day on their social media and websites.

Coalition Partners• Area Agencies on Aging (AAAs)

• Senior centers



Student InvolvementFalls risk screenings and educational workshops were conducted by students in the following disciplines:



• Pharmacy

• Nursing

Reported By: Linda IrizarrySpecial Projects Coordinator LGSW, CIRS A/D District of Columbia Office on [email protected]

District of Columbia



Observance Delaware observed Falls Prevention Awareness Week from September 17th through 23rd in conjunction with Senior Center Month. Approximately 150 people were directly reached through the educational activities. The Governor’s Proclamation reached people throughout the state of Delaware.

Key Successes The fall prevention skit was well received by the seniors at the senior center. The program consisted of a skit performed by several coalition members. The Delaware Coalition for Injury Prevention developed the character “Mr. Tripp Salot.” He was an older gentleman who had a fall and was visited in his home by several coalition members who talked to him about fall prevention strategies. The Coalition did this in a large senior center after lunch time and provided informational table throughout the room on the topic of fall prevention and awareness activities. It was very well received. The Coalition also invited Mrs. Delaware to the event, and she and coalition members presented the Governor’s Proclamation to the Senior Center.

Awareness and Education Activities The Delaware Coalition for Injury Prevention wrote and distributed a press release, provided falls prevention presentations and distributed falls prevention information.

Advocacy Activities A Governor’s Proclamation was obtained for Delaware’s Falls Prevention Awareness Week observance.

Coalition Partners• State/local health departments

• Senior centers


• Easter Seals

• A Matter of Balance, Delaware

Reported By: Kathleen BoyerInjury Prevention Coordinator/MSN, RN Christiana Care Health System Address4755 Ogletown-Stanton Rd.Newark, DE 19718

[email protected]

Learn more about what you can do to prevent falls across Delaware by visiting : www.dhss.delaware.gov/dph/ems/ipfall.html.

Delaware



Observance Florida held falls prevention awareness activities from August 23rd-November 1st, reaching over 2,500 Floridians. The activities were held in conjunction with the following:

• Senior Center Month• Flu vaccination event• Medicare / Benefit enrollment event• National Physical Therapy Month• Go4Life Month• Older Americans Act (OAA) Anniversary• Health fair or festival• Annual community event

Key Successes A webinar hosted for older adults and caregivers raised awareness and provided educational materials of effective strategies to reduce fall risks.

Students from a local Physical Therapy School helped to provide falls screens at an event. The event was hosted at one of the largest YMCA in Pinellas County, and there were approximately 28 vendors conducting various screenings. The event also featured a “Corner Drug Store” that had two pharmacists on site to review medications and answer questions. A gerontologist spoke along with an AARP Home Fit Demonstration. Demos of Matter of Balance, Moving for Better Balance, and Tai Chi were offered. A physician with a large clientele provided free advertisement for the event.

The STEADI toolkit webinar guest CDC speaker raised awareness among health care providers on how they can incorporate prevention efforts into their clinical practice. FPTA members were identified via a survey monkey who were willing to be considered a “fall prevention expert” so that when the FPTA is contacted or an opportunity to become involved in the community regarding fall prevention arises, the FPTA can serve. There are currently 33 PTs identified in the database as those who are willing to serve the community as fall prevention experts. This is helpful for planning future events across the state. Providing food or refreshments served as an incentive for attendance at the event.

Awareness and Education Activities To increase falls prevention awareness, various Florida partners wrote and distributed a press release; held a press conference; provided falls prevention presentations/lectures/webinars, distributed falls prevention information; participated in a health fair; and conducted falls risk screening event(s).

A newsletter with falls prevention awareness information was distributed via traditional media, and information was posted on an organization website and in Facebook and Twitter posts.

The Florida Department of Health provided CEUs to health care professionals who participated in the STEADI Toolkit webinar and distributed nightlights to local coalitions. Members of the Fall Prevention Task Force of the Florida Physical Therapy Association gave 10 lunch time presentations across the state to various chapters of the Florida Alliance for Retired Americans. One of their members was also invited to co-teach a second year medical student seminar on falls with a geriatrician at Florida Atlantic University in Boca Raton. Elder Options conducted a fall prevention presentation to a support group for individuals with vision loss.

Fall Prevention Programs/Workshops • Matter of Balance• CAPABLE• EnhanceFitness• Fit & Strong!• Otago Exercise Program• SAIL (Stay Active and Independent for Life)• STEADI (CDC’s Stopping Elderly Accident, Death

and Injuries)

Florida



• Stepping On• Tai Ji Quan: Moving for Better Balance• Tai Chi for Arthritis • YMCA Moving for Better Balance

Fall Risk Screenings • Balance screening • Medication reviews/screening • Blood pressure checks and/or orthostatic pressure

checks • Multifactorial screening (multiple risk factors

screened) • Home safety checks • STEADI screening or assessment • Assistive device review• Vision screening • Hearing screening • Podiatric/foot-related screening• Strength testing • Osteoporosis/Bone density screening

Advocacy Activities Florida obtained a Governor’s Proclamation, and one community had a local proclamation. An evidence-based falls prevention demonstration or educational session was conducted for elected officials.

Coalition Partners• Area Agencies on Aging (AAAs) • State/local health departments • EMS and/or fire departments• Senior centers • Hospitals/Trauma centers• Pharmacies • Senior housing (retirement communities, assisted

living (1) facilities, Villages, etc.)• Universities or colleges • Tribal entities• Rehabilitation centers• Health care systems (Private, FQHCs, ACO,

Physician Group Practice, etc.) • Veterans Administration• Florida Department of Elder Affairs, YMCA, Faith

Based Organization

Student InvolvementStudents from the disciplines listed below conducted falls risk screening and education workshops, participated/led a falls prevention program class or exercise, and/or researched and developed materials:

• Physical Therapy (PT) • Occupational Therapy (OT) • Pharmacy• Nursing • Public Health• Gerontology• Social Work• Optometry/Opthalmology

Sponsorship Pinellas County had two major sponsorships at $500 each from Dedicated Senior Medical Services and Florida Medicare Options. The Medical Health Center in Ocala sponsored a community health fair by providing a facility, refreshments, and a physician to serve as the keynote speaker.

Reported By: Jasmine HulinFalls Prevention CoordinatorFlorida Department of Health 2585 Merchants Row BlvdTallahassee, FL 32399 [email protected]



Observance Georgia observed Falls Prevention Awareness Week from September 18th-22nd, reaching over 4,300 people.

Key Successes The Atlanta fall prevention awareness day event included a speaker from CDC, which helped to highlight the commitment to falls prevention with partners and guests. Additionally, the Brenau/Legacy Link Area Agency on Aging event included a video on how to get up from a fall, which participants found to be very helpful.

Awareness and Education Activities To promote awareness, Georgia partners provided falls prevention presentations/lectures/webinars, distributed falls prevention information, participated in health fairs, and conducted falls risk screening events. Traditional media was used to provide an interview on an AM radio station, and there was a social media presence during health fair/risk screening events.

Georgia Falls Prevention coalition collaborates with the Georgia library system to extend the reach of FPAD events and screenings. In 2016, one county library system held events; in 2017, three different library systems held events.

Fall Prevention Programs/Workshops • A Matter of Balance• Otago Exercise Program• STEADI (CDC’s Stopping Elderly Accident, Death

and Injuries)• Tai Chi for Arthritis

Fall Risk Screenings• Balance screening• Medication reviews/screening• Blood pressure checks and/or orthostatic pressure

checks• Multifactorial screening (multiple risk factors

screened)• Home safety checks• STEADI screening or assessment• Assistive device review• Vision screening

• Podiatric/foot-related screening• Strength testing• Osteoporosis• Bone density screening

Advocacy Activities Georgia had a Governor’s Proclamation for Falls Prevention Awareness Week.

Coalition Partners• Area Agencies on Aging (AAAs)• State/local health departments• EMS and/or fire departments• Senior centers• Hospitals/Trauma centers• Pharmacies• Senior housing (retirement communities, assisted

living facilities, Villages, etc.)• Universities or colleges• Libraries

Student InvolvementStudents from the following disciplines conducted falls risk screenings, participated/led a falls prevention program class or exercise and research and/or developed materials:



• Pharmacy

• Public Health

• Gerontology

Sponsorship Shepherd Center sponsored the Atlanta event location and food. The Brenau/Legacy Link event in Gainesville had a sponsor for food.

Reported By: Elizabeth HeadGA DPH, Injury Prevention Program 2 Peachtree Street NW, 9-470 Atlanta, GA [email protected]

Georgia



Observance Hawaii held falls prevention awareness activities from June 6th-August 19th, reaching over 13,300 Hawaii seniors (kupuna).

Key Successes Morning talk shows supported public service announcements that encouraged older adults to have their balance tested and their medications reviewed. A Tai Chi for Arthritis and Fall Prevention story on a network morning show elicited additional interest.

Awareness and Education Activities Hawaii’s Medication Reviews and Balance Screenings were held at 66 participating partner pharmacies, where seniors are invited via “Bag Stuffers” flyers inserted into their grocery/pharmacy bags for three weeks prior to the “By Appointment Only” reviews and screenings. Seniors were asked to bring all prescriptions medications, over-the-counter

medications, and supplements to the appointment. Meds were reviewed at that time, and balance tests were given. In addition, CITY MILL, the state’s largest hardware chain, distributed 1000 bag stuffers per store also advising seniors to

make an appointment at participating pharmacies. Two additional weekends were dedicated to “meet and greet.” Events at CITY MILL stores were held where a special home safety display was erected to show customers all of the safety items available (grab bars, night lights, etc.) in CITY MILL stores. Finally, Kaiser sponsored a special display area at the Annual Good Life Expo-Senior Fair, when visitors were greeted by a bathtub, stair, and special “Hazard Chair” display. Each of the areas had all of the falls dangers inherent, as well as the safety tips to counter the dangers. Volunteers greeted and discussed all of the above with 4,485 patrons who each received home safety brochures, magnets, and Kaiser’s safety information. This display was a brand-new concept for Hawaii’s falls prevention program, and Kaiser was so pleased with the result that they have asked us to make it a permanent part of their program.

The State Fall Prevention Consortium in concert with the EMS and Injury Prevention Branch of the Department of Health, annually sponsor 4 Tai Chi for Arthritis and Fall Prevention Instructor Workshops, two of which occur during the Awareness Campaign. In 2017, two of these workshops were held on Oahu, one on the Island of Kauai, and one on the Big Island (Hawaii). Twenty-three new instructors were certified.

Hawaii also had 360 public service announcements on 4 networks and 1 Japanese Language Station, plus 3 morning talk show interviews, 12 showings of our 15 minute educational video on Olelo-Hawaii’s statewide Public Access Channel, and a single re-broadcast of

Hawaii



our 30 minute PRIME TIME Special, “Fall Prevention; Securing Senior Safety and Independence,” co-sponsored by Kaiser Permanente.

Native Hawaiian (Tribal) FPAD activities included the following:

• The non-profit organization, Na Ho’aloha on the island of Maui, trained 52 seniors in their ongoing program “Stay on Your Feet” and continues to meet with and train seniors island wide with a variety of Fall Prevention programs including home safety assessments. Na Ho’aloha receives referrals from the Maui County Office on Aging and Veterans Administration for at risk participants to help identify falls risk areas, take corrective action and to educate elders on ways to minimize their risk of falling.

• Na Kupuna Makamae, the newest senior center in Honolulu, supported by the Pacific Gateway corporation, hosted Tai Chi for Arthritis and Fall Prevention classes in honor of FPAD in late 2017 and will continue classes throughout 2018 for two days per week for their kupuna members.

• The Koloa Neighborhood Center, in tiny Koloa, Kauai, hosted 28 seniors for a special Tai Chi for Arthritis and Fall Prevention (TCAFP) advanced training in the 73 Forms, taught by Master Trainer, Ileina Ferrier. Both Koloa and Kapaa Neighborhood Centers on the island of Kauai continue their twice weekly standard TCAFP classes twice weekly all year long.

• Finally, many Hawaiian elders participate in multiple Tai Chi for Arthritis and Fall Prevention classes at City and County Parks statewide on 4 islands where each noted FPAD. The Lanakila Multi-Purpose Senior Center, supported by the Catholic Charities, continues to host twice weekly “Seated” TCAFP classes led by Certified Instructor, Randall Lau. The Lanakila Multi-Purpose Senior Center also had a special tribute in support of FPAD.

Fall Prevention Programs/Workshops • Tai Chi for Arthritis and Fall Prevention (TCAFP)





Advocacy Activities Communities had local FPAD proclamations, and partners met with elected officials.




• Senior centers, Hospitals/Trauma centers

• Pharmacies




Student InvolvementStudents from the following disciplines conducted falls risk screenings, held educational workshops, and/or participated/led a falls prevention program class or exercise:



• Pharmacy

• Public Health

• Gerontology

Sponsorship In addition to the 105 members and organizations of the State Fall Prevention Consortium, Kaiser Permanante, the Injury Prevention Advisory Committee (IPAC), and the Hawaii Community Pharmacy Association provided support for falls prevention activities.

Reported By: Stanley MichaelsSenior Fall Prevention SpecialistHawaii Department of Health - EMS and Injury Prevention BranchLeahi Hospital 3675 Kilauea Ave Trotter BasementHonolulu, HI 96816 [email protected]

Learn more about what you can do to prevent falls across Hawaii by visiting www.nogethurt.hawaii.gov.



Observance Illinois held a month-long falls prevention observation during September, 2017 that involved many Coalition members and community partners across the state. Collectively, Falls Prevention Awareness Day (FPAD) efforts in Illinois reached over 1700 people.

Key Successes Health fair and fall risk assessment activities involving health care professionals and students and supporting one -on-one interactions with the seniors were a key success. The efforts led by the University of Illinois at Chicago College of Pharmacy and involving the White Crane Wellness Center and the City of Chicago are particularly noteworthy, since they reached over 300 older adults through 15 separate events.

The 2017 FPAD efforts in Illinois also built upon the success of the Administration for Community Living (ACL)-funded effort led by Rush Health and Aging (RHA) to expand the reach of Matter of Balance statewide. As part of FPAD activities, Matter of Balance Master Trainers and coaches conducted informational sessions about the program. These sessions were effective in enrolling participants in workshops, especially when seniors were told exactly when and where the next Matter of Balance class cycle was taking place.

Awareness and Education Activities In addition to planning and delivering health fairs, fall risk screening events, and spreading the word about Matter of Balance programming in the state, Illinois partners provided falls prevention presentations, lectures, and webinars. Many distributed falls prevention information available through the CDC’s STEADI initiative or provided by the NCOA. Traditional and social media were used to increase awareness and promote educational activities.

Other activities included the following:

• One group distributed meal place mats for congregate meal sites across a 10-county region that included Fall Prevention Awareness Day information and education.

• Fox College OTA students volunteered on 09/12/7 at the Palos Community Hospital-Health System Fall Prevention Fair. Students participated in balance screening using the Timed Up and Go test. They

also instructed participants in how to get up from a fall, make home modifications, and identify safe footwear.

• An “I-Spy” game in the “Fall Hazards Room” was used with seniors to identify and prevent fall hazards in the home.

Fall Prevention Programs/Workshops • A Matter of Balance• STEADI (CDC’s Stopping Elderly Accident, Death

and Injuries) • Tai Ji Quan: Moving for Better Balance

Fall Risk ScreeningsSeveral interprofessional events were held in Illinois, providing different combinations of these falls risk screenings:• Balance screening• Medication reviews/screening• Blood pressure checks and/or orthostatic pressure

checks• Multifactorial screening (multiple risk factors

screened)• Home safety checks• STEADI screening or assessment• Assistive device review• Vision screening, Hearing screening• Osteoporosis/Bone density screening

Coalition Partners• Area Agencies on Aging (AAAs)• Senior centers• Hospitals/Trauma centers• Pharmacies• Senior housing (retirement communities, assisted

living facilities, Villages, etc.) • Universities or colleges• Chittlick Family Eye Care• Healthcom (provider of emergency response systems)

Student InvolvementStudents from the disciplines listed below conducted falls risk screenings, provided educational workshops, participated/led a falls prevention program class or

Illinois



exercise, and provided consultations about audiology services. Students from UIC created a newsletter on falls to supplement NCOA material and promote Chicagoland evidence-based programs.

• Nursing• Occupational Therapy (OT)• Pharmacy• Physical Therapy (PT)• Other:

• Graduate students from the Audiology Department and the Department of Kinesiology and Community Health at the University of Illinois at Urbana-Champaign

• Occupational Therapy Assistant students

Sponsorship Sponsorships for falls prevention activities in Illinois included the following:• Audiology Department at University of Illinois

Champaign- Urbana (UICC) • Chittlick Family Eye Care • Clark Lindsey Village• Falls Clinic, Center for Health, Aging & Disability,

UIUC• Healthcom • Illinois Community Health and Aging Collaborative• Rush University Medical Center

• Senior Resource Center at Family Service • St. Joseph Apothecary• Urbana Park District • Stickney Township on Aging Senior Services• White Crane Wellness Center who sponsored

and funded the Fall Screening and Assessment initiative, and assisted with the promotion of Matter of Balance sign-ups

• The University of Illinois at Chicago College of Pharmacy

• The University of Illinois at Chicago’s HRSA-funded Geriatric Workforce Enhancement Program, ENGAGE-IL (ENhancement of Geriatric Care for All through TraininG and Empowerment).

• University of Illinois at Urbana-Champaign, Department of Kinesiology and Community Health

Reported By: Elizabeth W. PetersonPhD, OTR/L, FAOTA University of Illinois at Chicago, Dept. of Occupational Therapy1919 West Taylor Street, MMC 811 Chicago, IL 60612 [email protected]

The Illinois Fall Prevention Coalition directory can be accessed at : www.whitecranewellness.org.



Observance Indiana held Falls Prevention Awareness Month during September in conjunction with a health fair/festival.

Key Successes The Safe at Home Program has become an annual event in various counties across Indiana. Additionally, A Matter of Balance workshops are gaining popularity in various counties across Indiana.

Awareness and Education Activities To promote falls prevention awareness, Indiana partners wrote and distributed press releases via traditional media, provided falls prevention presentations/lectures/webinars, distributed falls prevention information, and participated in health fair and conducted falls risk screening events. Additionally, fall prevention “placemats” were provided with in-home meal deliveries.


• Safe at Home Program


Advocacy Activities Indiana had a Governor’s Proclamation for their Falls Prevention Awareness Month observation.


• Senior centers




Student InvolvementPhysical Therapy and Nursing students conducted falls risk screenings and participated/led a falls prevention program class or exercise.

Reported By: Linda SinclairChair, INFPC/ MSN, RN, ONC Indiana University School of Nursing 600 Barnhill Dr, W-412 Indianapolis, IN 46202 [email protected]

Learn more about what you can do to prevent falls across Indiana by visiting : www.infallprevention.org.

Indiana



Observance Iowa observed Falls Prevention Awareness Month during September, 2017 in conjunction with the Falls Prevention Community of Practice Webinar. Over 7,700 Iowans were reached through various falls prevention activities.

Key Successes The central event was a Tai Chi class held in State Capitol Rotunda. The class was also live-streamed on Facebook, reaching just under 300 people. In total, all Tai Chi classes across the state held during September included over 1,000 participants. More local communities were engaged this year who did either community events, falls risk screenings, or evidence-based classes to highlight falls prevention awareness.

Awareness and Education Activities To promote falls prevention awareness, partners wrote and distributed a press release that was posted on the Iowa Department of Public Health website, provided falls prevention presentations/lectures/webinars, distributed falls prevention information, and conducted falls risk screenings.

Walks for seniors were hosted in two communities with a total participation of 22. The state falls coalition hosted a Tai Chi class at the State Capitol, and it was livestreamed on Facebook. The Iowa Department of Public Health developed and printed placemats highlighting falls prevention awareness that were distributed to congregate meal sites across the state (4,600 placemats).



Fall Risk Screenings• Balance screening• Blood pressure checks and/or orthostatic pressure

checks

Advocacy Activities The Iowa Governor’s Proclamation was read in the State Capitol Rotunda during the Tai Chi class. Numerous communities had events featuring proclamations and involvement of local officials.

Coalition Partners• Area Agencies on Aging (AAAs)• State/local health departments• Senior centers• Hospitals/Trauma centers• Pharmacies• Senior housing (retirement communities, assisted

living facilities, Villages, etc.) • YMCA

Student InvolvementPhysical Therapy students conducted falls risk screenings.

Reported By: Binnie LeHewInjury & Violence Prevention Program Director Iowa Falls Prevention Coalition - c/o Iowa Dept. of Public Health 321 E. 12th St. Des Moines, IA [email protected]

Learn more about what you can do to prevent falls across Iowa by visiting: www.idph.iowa.gov/falls-prevention.

Iowa



Observance Kansas held its Falls Prevention Awareness Month in September, 2017, reaching approximately 120 Kansans.

Awareness and Education Activities To promote Falls Prevention Awareness Month, partners wrote and distributed a press release.

Fall Prevention Programs/Workshops • Stepping On

Coalition Partners• Stepping On leaders across Kansas

Sponsorship Humana provided “incentive” items to participants of Stepping On workshops in September.

Reported By: Lori HaskettDirector, Injury and Violence PreventionKS Department of Health and Environment1000 SW Jackson, Ste 230 CityTopeka, KS 66612 [email protected]

Kanasas



Observance The Kentucky Safe Aging Coalition celebrated FPAD 2017 throughout the month of September and reached approximately 7,825 people across the Commonwealth. Activities were held in conjunction with Senior Center Month.

Key Successes • Hosting the 2017 Falls Summit, which provided

a venue for fall prevention professionals to share ideas and learn about FPAD resources available to them.

• Providing older Kentuckians with tools/education to decrease their risk of falling

Awareness and Education Activities Various activities increased awareness and education around falls prevention, including: providing presentations, distributing falls prevention information, participating in a health fair, and conducting falls risk screening. Increased public awareness was raised using Facebook, local newspapers, and word of mouth.


• STEADI


Fall Risk Screenings• Balance screening


• Blood pressure checks



• Podiatric/foot related screening

• Osteoporosis/Bone density screening

Advocacy Activities Advocacy activities included an official Governor’s Proclamation.



• Senior Centers

• Hospitals/Trauma Centers

• Pharmacies

• Senior Housing


• Rehabilitation Centers

• Public Libraries

Student InvolvementNursing students assisted with blood pressure screenings. OT students educated participants on modifications to make homes safer.

Sponsorship Sponsors included local health care organization and senior focused businesses.

Reported By: Jeanne HarrisKSAC Coordinator Kentucky Safe Aging Coalition (KSAC)[email protected]@uky.edu

Learn more about what you can do to prevent falls across Kentucky: www.nofalls.org. and www.facebook.com/KentuckySafeAgingCoalition

Kentucky



Observance In Maine, the KnowFalls for ME / Statewide Falls Prevention Coalition celebrated FPAD 2017 from September 19th to October 6th and reached approximately 740 people across the state. Activities were held in conjunction with the Maine Wisdom Summit, which is an annual summit on aging.

Key Successes Key successes included engagement from the fall prevention coalition steering group members and the “Maine Calling” – Maine Public Radio show.

Awareness and Education Activities Awareness and education activities included promotion on Facebook and AAA webpages, falls prevention presentations, the distribution of falls prevention information, conducting falls risk screening, and participating in a health fair.


• STEADI


Fall Risk Screenings• Balance Screening



• Fall Risk Assessment developed at Husson University, Bangor, ME

Advocacy Activities Maine State Legislators attended the Maine Wisdom Summit, where there was a booth for falls prevention and a tai chi demonstration.

Coalition Partners• Area Agencies on Aging


• Senior Centers

• Senior Housing

• Universities of colleges

• Rehabilitation centers

• Private physical therapy practices

Student InvolvementStudents from multiple disciplines assisted with falls risk screenings and participated or led falls prevention program classes. Disciplines involved included:



• Pharmacy

• Nursing

Sponsorship All Area Agencies on Aging in ME sponsored FPAD 2017 activities.

Reported By: Anna GuestFalls Prevention Project DirectorSouthern Maine Agency on [email protected]

Maine



Observance The Maryland Falls Free Coalition celebrated FPAD 2017 for one week from September 17th to September 23rd and reached approximately 7000+ people across the state.

Key Successes Key successes included the coalition member’s involvement in promoting events and the fall risk screenings and awareness events themselves.

Awareness and Education Activities A Falls Prevention Awareness Day event was held on Sunday, September 17, 2017 at Baltimore County Department of Aging (BCDA) annual Get Ready, Get Set, Get Fit 5K Run/Walk, 1 Mile.. During FPAW, Maryland celebrated the grand opening of the nation’s first free standing fall prevention medical institute. The Steady Strides: Fall Prevention and Stroke Rehabilitation Medical Institute hosted 300-500 people on Sep 17, 2017. In order to promote falls awareness, coalition members catered to young caregivers and seniors, with vendors from U of MD, Sinai Hospital and Johns Hopkins, as well as several long term care and physician groups. Draw of the event was free food and children’s carnival to attract the middle age caregivers. Governor’s proclamation was presented. A group Tai Chi lesson was performed. Event was covered in local media Baltimore Jewish Life. YMCA Senior falls prevention resource fair exhibit.

Fall Prevention Programs/Workshops • A Matter of Balance• Otago Exercise Program• Stepping On • Tai Ji Quan • Tai Chi for Arthritis • YMCA Moving for Better Balance • Seated Yoga

Fall Risk Screenings• Balance screening • Medication review/screening • Blood pressure • Multifactorial screening • Home safety checks • Vision screening • Strength testing

Advocacy Activities A variety of advocacy activities took place, including: an official Governor’s Proclamation, local proclamations, meeting with elected officials, and conducting evidence-based falls prevention demonstrations for elected officials. Additionally, Senator Klausmeier attended the Baltimore County falls prevention event.

Coalition Partners• Area Agencies on Aging (AAA)• State/local health department • EMS and/or fire departments • Senior centers• Hospitals/Trauma centers • Pharmacies • Senior Housing • Universities or colleges • Health care systems • Businesses

Student InvolvementStudents from Towson University - O.T. students and University of Maryland - P.T. students provided Balance and Gait testing for 2017- 37 screenings were given, Towson University - Nursing students provided over 40 blood pressure checks, CCBC – OTA students provided hom+BV8e safety information, Notre Dame School of Pharmacy students provided medication safety information, 30 BP checks and 50 glucose screenings and CCBC – Essex School of Massage provided over 100 seated massages. Multiple student disciplines assisted with FPAD activities, including:

• Physical therapy• Occupational therapy• Pharmacy • Public Health• Gerontology

Reported By: Chiso OboiteInjury Prevention SpecialistMaryland Department of Health [email protected]

Learn more about what you can do to prevent falls across Maryland: www.ncoa.org/resources/maryland-fall-prevention-coalition.

Maryland



Observance The Massachusetts State Falls Prevention Coalition celebrated FPAD 2017 by hosting a main event at the MA State House on 9/19 that included educational and demonstration components as well as a resource fair with a scavenger hunt; additionally, other separate FPAD activities/events were also sponsored by a number of Coalition members in their communities in various geographic regions; all observances primarily occurred over two weeks in late September, reaching approximately 8,900 people across the state.

Key Successes Key successes included a falls prevention scavenger hunt, which was held for the first time at the main FPAD event at the MA State House. The scavenger hunt encouraged all older adult attendees at the FPAD resource fair to visit every table, which included falls info. and screening/assessment services. Additionally, a Tai Chi demo engaged everyone’s attention at the State House event with some direct participation by legislators and older adult attendees.

Awareness and Education Activities A variety of activities took place to increase awareness and education of falls prevention by multiple Falls Coalition members across the state. Activities included: the distribution of falls prevention information, providing falls prevention presentations, participating in a health fair, and conducting falls risk screenings. Additional awareness was raised using both traditional and social media outlets. The MA Councils on Aging addressed falls prevention in their newsletter.


• Otago Exercise Program

• SAIL

• STEADI





• Blood pressure

• Multifactorial screening



• Podiatric/foot-related screening


Advocacy Activities Advocacy activities included sponsorship of a Joint House of Representatives and Senate resolution to acknowledge FPAD and the state Coalition’s efforts (read aloud by a state legislator at the main FPAD event). Elected officials/legislative staff attended this event at the MA State House on 9/19 with over 150 attending (including older adults and Coalition members); the event featured a brief speaking program (educational), Tai Chi demo, falls prevention resource fair that included medication reviews and fall risk

Massachusetts



screening activities, a scavenger hunt and raffle for gift cards/falls prevention items gift basket; several other Coalition members also hosted separate events/activities in September in their communities that featured education, fall risk assessment/screenings, promotions/demos of falls prevention programming, falls prevention games, a Fall Risk Assessment Flash Mob, and a falls and fire prevention workshop at a Fire and Life Safety education Conference, etc.




• Senior centers


• Senior housing


• Health care systems

• State chapter of the American Physical Therapy Association

Student InvolvementStudents were involved in different activities, including conducting falls risk screenings, participating in falls prevention programs, and conducting medication reviews. Disciplines represented included:

• Physical Therapy

• Pharmacy

Sponsorship Certain Coalition members/organizations and some non-member organizations donated funds/services for the Coalition’s main event that included coverage for hall space fees, food/refreshments, NCOA yellow ribbons, free giveaways at resource tables such as flashlights, tote bags, raffle items like gift cards, bus service to and from senior centers, coverage for an American Sign Language interpreter; and a state Representative sponsored the Coalition to hold the event at the State House.

Reported By: Carla CicerchiaFalls Prevention Coordinator - MA Department of Public Health-Div. of Violence and Injury [email protected]

Learn more about what you can do to prevent falls across Massachusetts : www.maseniorcarefoundation.org/Initiatives/Falls_Prevention/Massachusetts_Falls_Prevention_Coalition.aspx.



Observance The Minnesota Falls Prevention Coalition celebrated FPAD 2017 from August to October and reached approximately 10,300 people across the state. Some activities were held in conjunction with a health fair.

Key Successes Key successes included a webinar on fall prevention, the Minnesota Board on Aging and Area Agencies on Aging participated in HealthFair 11 at the Minnesota State Fair providing information on Fall prevention and an opportunity for participants to do a Timed Up and Go test. In Cass County, SHIP (State Health Improvement Program) sponsored the first ever falls awareness and prevention in Walker with 20 vendors participating in the three-hour event. Each participant received a bottle of sand for winter driving/walking. In Rochester/Olmsted, the fire department held a presentation demonstrating lift assist, sharing information on procedure and equipment used. Additionally, there was a mock kitchen and living room for participants to identify hazards and also helpful strategies to prevent tripping.

Awareness and Education Activities Awareness and education activities included providing falls prevention presentations, distributing falls prevention information, participating in a health fair and conducting falls risk screening events. Public awareness was raised using newspaper, TV and Facebook outlets.


• Fit & Strong!

• SAIL

• Stepping On

• Tai Ji Quan; Moving for Better Balance

Fall Risk Screenings• Balance Screening



• STEADI

• Assistive device review





• Senior centers


• Pharmacies

• Senior housing




Student InvolvementStudents from multiple disciplines assisted with falls risk screenings and proper use of adaptive equipment. Student disciplines represented included:



• Nursing

Sponsorship Local organizations and fall prevention coalition secured their own sponsorships such as: Rochester: received bottled water from Hy-Vee and snacks/fruit from Sam’s Club; St Cloud: Greater St. Cloud Development aging group that include Whitney Senior Center, St. Cloud University and Central MN Council on Aging.

Reported By: Mary HertelHealthy Aging Programs Coordinator Minnesota Board on [email protected]

Learn more about what you can do to prevent falls across Minnesota: www.mnfallsprevention.org

Minnesota



Observance The state of Mississippi celebrated FPAD 2017 on one day and reached approximately 4,000 people across the state.

Key Successes MSDH staff and AAA partners conducted several A Matter of Balance classes on Falls Prevention Awareness Day. Media promotion had organizations calling to get classes scheduled for their seniors clients. A church also reached out to partner with MSDH staff to host a Lunch and Learn on Falls Prevention for their senior members.

Awareness and Education Activities Awareness and education activities included providing falls prevention presentations, the distribution of falls prevention information, and participation in a health fair. Public awareness was raised using both traditional and social media outlets.


Coalition Partners• Area Agencies on Aging• State/local health departments • Senior centers • Senior housing • Rehabilitation centers • Health care systems

Student InvolvementStudents from a variety of disciplines assisted with falls risk screenings and falls prevention program classes:

• Physical Therapy (PT)• Pharmacy• Nursing• Public Health

Reported By: Nikki Johnson, DrPH, MPHDivision Director, Injury Prevention - Mississippi State Department of [email protected]

Learn more about what you can do to prevent falls across Mississippi: www.msdh.ms.gov/msdhsite/index.cfm/43,18057,98,300,html.

Mississippi



Observance In Missouri, the Show Me Falls Free Missouri Coalition celebrated FPAD 2017 on September 22nd and reached approximately 17,000 people across the state.

Key Successes Oasis’ falls prevention awareness event had a “Cut A Rug” station that demonstrated the variety of rugs and their relative level of safety. At the same event, Oasis also hosted a “Deprivation Station” that demonstrated the challenge of filling a pill box with candy with a lose dexterity in one’s hands and simulating vision loss. Other successes included an interview on St. Louis’ Public Radio local radio program that focused on falls prevention, home modifications with participation from a CDC researcher.

Awareness and Education Activities Awareness and education activities included a written press release, falls prevention presentations, distribution of falls prevention information, and falls risk screening events. Public awareness was raised using traditional and social media outlets.


• Tai Chi for Arthritis for Fall Prevention

• General exercise programs


• Medication review/screening






• Osteoporosis/Bone density testing



• Senior centers

• Pharmacies

• Senior housing



• Libraries

• Durable medical device companies

Student InvolvementMultiple student disciplines assisted with falls risk screenings, educational workshops, participated or led falls prevention program classes, as well as research and the development of materials. Disciplines represented included:



• Pharmacy

• Nursing

• Public Health

Sponsorship Sponsors included Missouri Foundation for Health and United Health Care.

Reported By: Juliet Simone, MPH,MBANaitonal Health and Program DirectorOasis [email protected]

Learn more about what you can do to prevent falls across Missouri: www.preventmofalls.org.

Missouri



Observance The Nevada Goes Falls Free Coalition celebrated FPAD 2017 for one week from September 18th to September 25th and reached approximately 19,500 people across the state. Activities were held in conjunction with a memory screening event.

Key Successes Key successes included partnerships between several local organizations including the Southern Nevada Health District and utilizing OT and PT students to assist with various screenings.

Awareness and Education Activities Awareness and education activities included a written press release and conducting falls risk screening events. Public awareness was raised using the Healthier Nevada Radio Show.


Fall Risk Screenings• STEADI

Coalition Partners• State/local health department

• Senior centers

• Hospitals/Trauma


Student InvolvementStudents from different disciplines assisted with falls risk screenings. Disciplines represented included:

• Physical therapy

• Occupational therapy

Sponsorship Several partners offered items for goody bags to be distributed at screenings

Reported By: Shannon Martin, OTD, OTR/LTouro University Nevada [email protected]

Learn more about what you can do to prevent falls across Nevada: www.facebook.com/NVGoesFallsFreeCoalition.

Nevada



Observance The New Jersey Division of Aging Services and the NJ Interagency Council on Osteoporosis’ Falls Prevention Workshop of New Jersey celebrated FPAD 2017 from September 17th to September 23rd and reached approximately 2,240 people across the state. Activities were also held in conjunction with National Physical Therapy Month.

Key Successes Key successes included the production of 28,000 falls prevention awareness week placemats in two sizes, which was distributed at provider request to congregate (including public as well as institutions) and home delivered meal recipients. The placemats included falls-related fact and puzzles and promoted two nationally-recognized, evidence-based falls prevention programs available in New Jersey: A Matter of Balance: Manging Concerns About Falls (MOB) and the Otago Exercise Program. Additionally, members were encouraged to host events and share activity plans with the division for reporting purposes. Thirteen event surveys were returned.

Awareness and Education Activities Awareness and education activities included falls prevention presentations, the distribution of falls prevention information, participation in a health fair, and conducting falls risk screening events.



• Medication reviews






• Hearing screening

• Osteoporosis/Bone density screening



• Senior centers


• Senior housing



• American Physical Therapy Association of New Jersey

Reported By: Dennis McGowanManager, AAA Administration Office, Wellness UnitNJ Dept. of Human Services, Div. of Aging [email protected]

Learn more about what you can do to prevent falls across New Jersey: www.state.nj.us/humanservices/doas/services/fallprev/.

New Jersey



Observance The New Mexico Adult Falls Prevention Coalition celebrated FPAD 2017 throughout the month of September and reached approximately 3,000 people across the state. Activities were held in conjunction with the New Mexico State Fair and in partnership with the City of Albuquerque Department of Senior Affairs and Senior Meal Sites Program.

Key Successes STEADI fall risk screening conducted by healthcare students at a senior meal site engaged a group of older adults who often have difficulty accessing healthcare. Some of the events included music and dance, which is a positive healthy aging activity and attracts more seniors.

One tribe conducted a day long fall prevention event using NCOA materials, presented Don’t Fall For It video, STEADI screening. Also, the NM Tribal Injury Prevention Coalition, which has membership from 27 American Indian communities serviced by the Albuquerque Area Indian Health Board, received NCOA materials to use in their local communities as well as a tribal elder falls brief developed by the Albuquerque Area Southwest Tribal Epidemiology Center.

Awareness and Education Activities Awareness and education activities included falls prevention presentations, the distribution of falls prevention information, participation in the New Mexico State Fair and conducting falls risk screening events in partnership with the City of Albuquerque Department of Senior Affairs Meals Site Program. Students used the STEADI toolkit and worked as interprofessional teams to screen and educate about fall risk. Participants enjoyed a free New Mexican lunch and danced to a local Mariachi band.

Fall Prevention Programs/Workshops • Tai Ji Quan: Moving for Better Balance

Fall Risk Screenings• Balance screening• Medication review• Blood pressure checks• Multifactorial screening• STEADI screening• Home safety education provided by OT students




• Senior centers

• Pharmacies

• Senior housing


• Tribal entities

Student InvolvementStudents from multiple disciplines assisted with falls risk screenings and educational workshops. Disciplines represented included:



• Pharmacy

Sponsorship Gift cards were received as part of a raffle for participants in the STEADI fall risk screening event.

Reported By: Janet Popp, PT, MSChair of NM Adult Falls Prevention [email protected]

Learn more about what you can do to prevent falls across New Mexico: www.nmstopfalls.org.

New Mexico



Observance The New York State Falls Prevention Coalition celebrated FPAD 2017 from September 22nd to September 27th and reached nearly 20,000 people

Key Successes A medication take back event was used to provide older adults with falls prevention tools and resources while also taking back unnecessary prescription, often being a major factor in older adults falling. Fall prevention tools and resources were distributed to older adults who participated in fall risk screenings at a hospital. Recommendations were made by physical therapists through these fall risk screenings and they could take resources home, as well.

Awareness and Education Activities Awareness and education activities included falls prevention presentations, the distribution of falls prevention information, participation in a health fair, and conducting falls risk screening events. Public awareness was raised using traditional media outlets and Twitter.

Fall Prevention Programs/Workshops • Stepping On• Tai Chi for Arthritis

Fall Risk Screenings• Balance screening • Medication review • Multifactorial screening • Home safety checks

• STEADI screening • Vision screening• Hearing screening

Coalition Partners• Area Agencies on Aging• State/local health departments • EMS and/or fire departments • Senior centers • Hospitals/Trauma centers • Senior housing • Rehabilitation centers • Health care systems • Veterans Administration

Student InvolvementStudents from multiple disciplines assisted with falls risk screening and educational workshops. Disciplines represented included:

• Physical therapy• Nursing • Public Health

Sponsorship Many agencies held Falls Prevention display tables at hospitals, senior centers, and senior housing. An agency presented fall prevention information and tools on a mobile health care center. Another agency presented a “Watch Your Step” educational seminar to older adults. Other events included a BBQ at a senior center with information and materials, a medication take back event, a presentation at a congregate meal site, and a Falls Prevention booth at a community Harvest Festival.

Reported By: Hillary FaasOlder Adult Falls Prevention Coordinator New York State Department of [email protected]

Learn more about what you can do to prevent falls across New York: www.health.ny.gov/prevention/injury_prevention/falls.htm.

New York



Observance The New York City (NYC) Falls Prevention Coalition celebrated FPAD 2017 from August to October and reached nearly 65,000 people across the city.

Key Successes The NYC Falls Prevention Coalition, co-chaired by the NYC Department of Health and Mental Hygiene and the NYC Department for the Aging, worked with a network of 140 senior centers and community organizations to disseminate falls prevention educational and risk-screening materials, organize speakers and events to educate older adults on falls prevention, host evidence-based physical activity classes for preventing falls, and disseminate free tools for preventing falls in the home, such as nightlights and pillboxes.

Awareness and Education Activities Awareness and education activities included sharing informational resources at older adult health festivals, conducting falls risk screening events, and using social media to educate older adults and community members about falls prevention programs and strategies. The NYC Falls Prevention Coalition also hosted a press event that featured the Commissioner of the Department for the Aging, the Department of Health and Mental Hygiene’s Assistant Commissioner for the Bureau of Environmental Disease and Injury Prevention, and Deputy Mayor for Strategic Policy Initiatives.

Fall Prevention Programs/Workshops • A Matter of Balance• Stepping On

• Tai Chi for Arthritis• Fall Stop…MOVE STRONG

Coalition Partners• Community-based organizations

• City agencies

• Senior centers


• Senior housing providers

• Universities and colleges


Student InvolvementStudents from multiple disciplines assisted with falls risk screening and educational workshops. Disciplines represented included:

• Physical Therapy (PT)• Occupational Therapy (OT)• Pharmacy• Public Health• Social Work

Reported By: Caitlyn Smith, MPHNYC Department of Health and Mental [email protected]

Learn more about what you can do to prevent falls across New Mexico: www.nyc.gov/health/preventfalls.

New York City



Observance North Carolina officially celebrated Falls Prevention Awareness Week September 18th-23rd, with some organizations holding events during August and October. The celebrations were held in conjunction with several other activities, including Senior Center Month (a flu vaccination event); a Medicare/Benefit enrollment event; Go4Life Month (a health fair); an annual community event; International Council on Active Aging Week; the NC Association of Pharmacists Conference, and a college campus wellness event. The various events and activities reached approximately 8,400 North Carolinians.

Key Successes Collaboration with other events and/or partners contributed most to local and regional event success. Additionally, in-person education (presentations and/or falls program demonstrations) led to greater success in raising awareness and generating evidence-based program interest.

Awareness and Education Activities To promote awareness, partners wrote and distributed a press release, held a press conference, and provided falls prevention presentations/lectures/webinars. Traditional and social media such as newsletters, newspapers, Facebook, Twitter, and websites were used to promote falls prevention education. Partners also conducted falls risk screening events, participated in health fairs, and distributed falls prevention information.

Other activities included the following:

• Volunteer drivers were trained to safely assist the people they are driving and increase knowledge of safe use of assistive devices.

• The NC Association of Pharmacists held an all-day workshop on falls prevention as part of the annual conference. Approximately 20 pharmacists attended the training. They covered topics such as falls risks, STEADI, and practiced how to conduct falls risk assessments such as the Timed Up and Go (TUG).

• Education was provided for in-patients and staff in hospital setting.

• Clinician education with CEU credits was offered in partnership with community college, an Area Health Education Center (AHEC), and clinical and community agencies.



• SAIL (Stay Active and Independent for Life)



• YMCA Moving for Better Balance

• Matter of Balance Coach Training

• Chronic Pain Self-Management Program (CPSMP)



• Blood pressure checks and/or orthostatic pressure checks

• Multifactorial screening (multiple risk factors screened)





North Carolina






Advocacy Activities North Carolina obtained a Governor’s Proclamation for Falls Prevention Awareness Week, and some communities had local proclamations. An evidence-based falls prevention demonstration or educational session was conducted for elected officials.




• Senior centers


• Pharmacies






• Parks and Recreation facilities

• NC Association of Pharmacist

• Faith Centers

Student InvolvementStudents from the following disciplines conducted falls risk screenings and educational workshops, participated/led a falls prevention program class or exercise, and researched and/or developed materials:



• Pharmacy

• Nursing

• Public Health

• Gerontology

• Social Work

• Exercise Science

• EMT

• Paramedics

Sponsorship Sponsorships across the state included community college and university support, local/regional vendors at health fairs, clinical (vision, eye, hearing, etc.), and community in-kind support for events. Walgreens conducted medication reviews.

Reported By: Nicolle Miller Director of State and Community Collaboration NC Center for Health and Wellness at UNC Asheville443 Sherrill Center, CPO #4010 One University Heights City Asheville, NC 28804 [email protected]

Learn more about what you can do to prevent falls across North Carolina by visiting www.sites.google.com/site/ncfallsprevention/home or www.healthyagingnc.com



Observance The North Dakota Injury Prevention Coalition celebrated one week of FPAD activities from September 22nd to September 28th and reached approximately 600 people across the state.

Key Successes A Stepping On workshop was held for one of the tribes in ND.

Awareness and Education Activities Coalition members wrote and distributed a news press release and distributed falls prevention information. To raise public awareness, falls prevention information was shared via Facebook posts. Additional awareness was raised regarding falls prevention using the North Dakota Department of Health’s Twitter page.


Reported By: Mandy Slag, BSN, RNInjury Prevention Program DirectorNorth Dakota Department of [email protected]

North Dakota



Observance The Ohio Department of Aging together with The Ohio Older Adult Falls Prevention Coalition celebrated FPAD throughout the month of September.

Key Successes One small town, Ironton, OH, put together a great community event that consisted of a health fair, set up at the farmer’s market. The local school district engaged all students and had them all walk during their gym class; the football teams walked or ran a mile, and all of city officials walked with seniors and students for the local nursing school at the main event. The community of 11,000 people were able to contribute 1.7 million steps towards our statewide total.

Several state agencies gathered together on 9/22 to walk a mile together through downtown Columbus to the statehouse, while distributing falls prevention material along the way.

Awareness and Education Activities To increase awareness, coalition members wrote and distributed a press release, provided falls prevention presentations, distributed falls prevention information and participated in a health fair.

The falls coalition supported and promoted The Ohio Department of Aging’s annual 10Million Steps to Prevent Falls event for falls prevention awareness 2017. Throughout the month of September the older adult falls coalition, organizations, business, communities, and individuals statewide were encouraged to walk one mile to raise awareness about older adult falls, with us counting each step towards our 10 Million Steps goal. 53 organizations hosted 57 events in which 4,935 individual participants walked more than 22,000 miles, which was 56,185,883 steps.

Activities were promoted through Facebook and Twitter.

Fall Prevention Programs/Workshops• A Matter of Balance

Advocacy Activities Advocacy activities included an official Governor’s Proclamation, as well as local proclamations.



• Senior centers

• Hospitals/trauma centers

• Senior housing


• Healthcare systems

• Elementary and High Schools

Student InvolvementThe following student disciplines participated in falls prevention program classes:

• Pharmacy

• Nursing

Reported By: Tia GulleyProgram Administrator Ohio Department of [email protected]

Learn more about what you can do to prevent falls across Ohio: www.steadyu.ohio.gov

Ohio



Observance The Oklahoma Older Adult Falls Prevention Coalition celebrated FPAD for one week and reached approximately 7,300 people across the state.

Key Successes A Tai Chi demonstration and falls prevention presentation during Senior Day at the Oklahoma State Fair raised awareness to over 1,000 older adults in Oklahoma. Additionally, resources were made available for those interested in learning more about how to prevent falls in the home, where to find a local Tai Chi class, and medication safety tips to reduce the risk of a fall.

A statewide press release on Tai Chi and falls prevention raised helped increase awareness of available resources in rural communities.

Awareness and Education Activities To raise awareness, the coalition wrote and distributed a press release, provided falls prevention presentations, and distributed falls prevention information.

Fall Prevention Programs/Workshops • STEADI

• Tai Ji Quan

Advocacy Activities Tai Chi: Moving for Better Balance demonstrations and falls prevention presentations were delivered multiple times for Senior Day at the Oklahoma State Fair.



• Senior centers

• Pharmacies

• Senior housing




Student InvolvementThe following student disciplines participated or led falls prevention program classes:


• Pharmacy

• Public Health

Reported By: Avy RedusProject Coordinator Oklahoma State Department of [email protected]

Learn more about what you can do to prevent falls across Oklahoma: www.falls.health.ok.gov.

Oklahoma



Observance The Pennsylvania Falls Prevention Coalition celebrated FPAD for two months from September 1st to October 31st and reached approximately 73,000 people across the state.

Key Successes This year, outreach was expanded to all Pennsylvania Physical Therapy Association members through e-mail communications and the development of a resource page located on the association’s website.

Fall Prevention Programs/Workshops • Healthy Steps for Older Adults (HSOA)

• A Matter of Balance

• EnhanceFitness


• SAIL







• STEADI screening


Advocacy Activities Advocacy activities included local proclamations and participation in the “Grown Folks Festival” sponsored by PA State Representative, Rabb, in Philadelphia.

Pennsylvania House of Representatives passed a Falls Prevention Awareness Day 2017 House Resolution, HR 483, to educate the public on state and national falls statistics and to promote falls prevention and awareness programs.




• Senior centers


• Pharmacies

• Senior housing

• Universities and colleges



Student InvolvementThe following student disciplines were involved in a range of activities including falls risk screenings, educational workshops, and participation in falls prevention program classes:


• Occupational Therapy

• Nursing

Sponsorship The Embracing Aging Grant was used to sponsor some of the FPAD 2017 activities in Pennsylvania.

Reported By: Steve RodgersHealth & Wellness SpecialistPennsylvania Department of [email protected]@pa.gov

Learn more about what you can do to prevent falls across Pennsylvania: www.aging.pa.gov/wellness.

Pennsylvania



Observance South Carolina celebrated fall prevention awareness throughout the past year, reaching over 6,000 people across the state.

Activities were held in conjunction with other community campaigns, including:

• Annual Statewide Senior Expos

• Employee fairs

• Coastal Carolina Fair Senior Day

• Women’s Health YMCA

• Senior Health YMCA

• Fall Festival

• Tai Chi in the Park

• Patient Safety Fair

• Community Health fairs

Key Successes The Trauma Assoc. of SC Injury Prevention Subcommittee submitted an abstract to TCAA and was accepted for poster and podium presentation for our statewide efforts, and submitted to the SC

Trauma Symposium, winning the poster presentation competition. The coalition also has been invited to present a poster at the upcoming Society of Trauma Nurses Annual Conference in Portland. Additionally, Tai Chi in the Park raised awareness in the state capitol of South Carolina, receiving a lot of media exposure.

Awareness and Education Activities To raise awareness and education, the coalition published a press release, provided falls prevention presentations, distributed falls prevention information, participated in health fairs and conducted falls risk screening events.

Media outreach included a state Governor’s proclamation and local partners sharing information via social media platforms. Several hospitals in the state had media coverage for their events and a tai chi instructor who collaborated with Palmetto Health was featured in the media on more than one occasion.

Fall Prevention Programs/Workshops • EnhanceFitness

• SAIL


South Carolina




• SLIP






• Osteoporosis/bone density screening

Advocacy Activities Advocacy activities included an official Governor’s proclamation.




• Senior centers


• Pharmacies

• Senior housing




• Business Employee Health and Wellness Programs

Student InvolvementThe following list of student disciplines were involved with falls risk screenings, education workshops, and participation in falls prevention program classes:



• Pharmacy

• Nursing

• Public Health

• Optometry/Opthalmology

• Kinesiology/Exercise Physiology Senior Fitness Courses

Sponsorship The Trauma Association of SC provides funding for the statewide fall prevention outreach. Other trauma centers provide funding for efforts conducted in the local areas.

Reported By: Regina CreechInjury Prevention Coordinator, MS, CHES Medical University of South [email protected]

Learn more about what you can do to prevent falls across South Carolina. www.sc-trauma.org

www.scdhec.gov/Health/PreventAccidents/PreventFalls/



Observance The Tennessee Falls Prevention Coalition celebrated a full month of falls prevention awareness from September 1st to the 30th and reached approximately 750 people across the state.

Key Successes The Senior Center from Blount County TN won 3rd Place in NCOA Fall Prevention Photo Contest. The AAAD and State Unit on Aging shared their winning photo with a poem to go along with photo on social media.

Awareness and Education Activities To raise awareness and education, coalition members issued a press release, provided falls prevention presentations, distributed falls prevention information, and participated in a health fair. Media activities included traditional media sources, as well as social media.

Fall Prevention Programs/Workshops • SAIL


• Medication review




Advocacy Activities Advocacy activities included an official Governor’s proclamation and handing out fliers that said “STOP falls before they stop you” and developing a fall prevention flyer that can be printed on the back of menus at nutrition sites.

Coalition Partners• Area Agencies on Aging and Disability (AAADs)


• Senior centers


Reported By: Anna Lea CothronAging Commission LiaisonTennessee Commission on Aging and [email protected]

Learn more about what you can do to prevent falls across Tennessee. www.tn.gov/aging/learn-about/fall-prevention.html

Tennessee



Observance The Texas Falls Prevention Coalition celebrated FPAD on September 18, 19, 22, 29 and November 10 and reached approximately 26,750 people across the state.

Key Successes Activities that contributed most to the success of FPAD 2017 in Texas included a local TV interview and the publication of a local op-ed focused on falls prevention.

Awareness and Education Activities To raise awareness and education, the Texas Falls Prevention Collation held a variety of activities including a falls prevention fair with free screenings, flu shots, and presentations, distributing a press release and falls prevention information.

Media outreach included the use of local TV, radio, op-ed publications, written articles, and falls prevention material in HSC Vital Record.


• Fit & Strong!

• Texercise



• Blood pressure



Advocacy Activities Advocacy activities included an official Governor’s proclamation and a panel discussion with seven panelists for elected officials.




• Senior centers


• Pharmacies

• Senior Housing




• AARP

• Home Improvement Retail

Student InvolvementStudents from multiple disciplines participated in falls prevention programs and assisted with the research and development of materials. Disciplines represented included:

• Nursing

• Public Health

Texas



Sponsorship Wide ranges of sponsorships were acquired across the state to support FPAD activities. Sponsorships in Brazos County included United Healthcare, Home Depot, College Station Medical Center, and CHI St. Joseph. In Tarrant County, sponsorships included Brookdale Senior Living Center, AARP, Tarrant County Resource Connection, and 60 & Better. Brookdale and AARP assisted with a portion of the published rack cards, and t shirts for National Falls Prevention Day. Brookdale sponsored lunches for all participants at the Falls Prevention Fair. Tarrant County Resource Connection sponsored the venue. 60 & Better provided free transportation from their senior living facilities to the Falls Prevention Fair.

Reported By: Alice Martin Senior Admin Coordinator TAMU Center for Population Health and [email protected]

Learn more about what you can do to prevent falls across Texas: www.fallsfreetexas.org.



Observance The Utah Fall Prevention Coalition celebrated FPAD 2017 from September 11th through September 22nd, reaching approximately 1050 people across the state.

Key Successes In Salt Lake County the coalition hosted 4 different events at 4 senior centers in order to reach more people. Last year only one event was held and coalition leads felt like more people would attend if the events were held at a center near their home. Events focused on the 4 CDC recommendations to prevent a fall: exercise, medication management, vision screening and home modifications. At each event there was opportunities for older adults to participate in or get information about those topics.

Awareness and Education Activities Awareness and education activities included falls prevention presentations, distribution of falls prevention information, participation in a health fair, and conducting falls risk screening events across the state. Public awareness was raised using social media.

Fall Prevention Programs/Workshops• Stepping On

• EnhanceFitness











• Senior centers


• Pharmacies

• Universities

• Health care systemsts

Student InvolvementStudents from local physical therapy programs assisted with falls risk screenings.

Reported By: Marianne ChristensenHealth Promotion ManagerSalt Lake County Aging & Adult [email protected]

Utah



Observance Falls Free Vermont celebrated FPAD throughout the month of September, reaching approximately 22,500 people across the state.

Key Successes Over 250 screenings took place across the state, coordinated through the Stay Steady network, including additional support and participation from physical therapy students. Falls prevention “bingo” was used for additional education while participants waited for their turn to be screened.

A collaborative press conference was held on September 22nd, which included a healthy lunch at a senior center, a tai chi demonstration, a speech from the state Commissioner, and falls risk screenings.

Awareness and Education Activities To raise awareness and education, Falls Free Vermont issued a press release, held a press conference, distributed falls prevention information, and held falls risk screening events. Many partners included falls prevention articles in their e-newsletters and blogs, including University of Vermont Medical Center, the largest health system in the state. Information/written materials were shared at statewide “Aging in Vermont” conference.

Media outreach included the airing of “Across the Fence” episode on WCAX Channel 3 on Falls Prevention, which reach approximately 20,000 older Vermonters statewide. Coalition partners also used Facebook to spread the word of screening, classes, and the press conference, as well as additional information and facts related to falls prevention.

Fall Risk Screenings• STEADI screening or assessment

Advocacy Activities Advocacy activities included an official Governor’s Proclamation, as well as an evidence-based falls prevention demonstration and education session for elected officials. Two state legislators and a mayor attended a FPAD press conference, which included education about falls prevention and a tai chi demo.



• Senior centers


• Senior housing


• VNA/Home Health organizations

Student InvolvementPhysical therapy students were involved in a range of activities, including falls risk screenings, educational workshops, and assisting with research and developing materials.


Reported By: Angela Smith-DiengState Unit on Aging DirectorVermont Department of Disabilities, Aging and Independent [email protected]

Learn more about what you can do to prevent falls across Vermont: www.fallsfreevermont.org.

Vermont



Observance The Southwestern Virginia Fall Prevention Coalition celebrated FPAD over three days and reached approximately 2,455 people across the state.

Key Successes A meeting with two state delegates and local officials resulted in raised awareness among state and local officials around the importance of falls prevention.

An open house and newspaper articles have results in raising awareness and educating the public on the importance of evidence-based fall prevention programs.

Awareness and Education Activities To raise awareness and education, coalition members provided falls prevention presentations, distributed falls prevention information, and participated in a health fair. Additional awareness activities included the use of newspaper articles, as well as conducting falls risk screening events.








Advocacy Activities Coalition members met with state delegates Nick Rush and Joseph Yost to discuss the importance of falls prevention


• EMS and/or Fire Departments



• VFW and American Legion

Student InvolvementStudents from a range of disciplines completed falls risk screenings, held educational workshops, participated in falls prevention program classes, and assisted with researching and developing materials.

Student disciplines represented were:



• Pharmacy

• Nursing

• Gerontology

• Social Work

Reported By: Linda DavisPresident Southwestern Virginia Fall Prevention [email protected]

Learn more about what you can do to prevent falls across Virginia: www.radford.edu/SWVFPC.

Virginia



Observance The Washington State Falls Prevention Coalition celebrated Falls Prevention Awareness Day with a variety of activities and reached 13,240 people across the state.

Key Successes Seattle Aging and Disability Services collaborated with the King County Fire Department’s One Step Ahead program on a fall prevention presentation held at a local senior center. A regional coalition, Falls Free Spokane, held their 10th annual FPAD event, which included education presentations and a free SAIL class.

Awareness and Education Activities Awareness and education activities included a written press release, the distribution of falls prevention information, and providing presentations on falls prevention for community members. Additional awareness was raised using Facebook and Twitter from the Department of Health’s social media account.

Other awareness and education activities included poster boards and activity sheets displayed in CHI Franciscan Health Hospitals, a published article in AgeWise magazine, and holding a training for health professionals on falls prevention.


• EnhanceFitness

• SAIL


• FallsTalk










• Senior centers


• Senior housing



Reported By: Carolyn HamOlder Adult Falls Prevention SpecialistWashington State Department of [email protected]

Learn more about what you can do to prevent falls across Washington: www.doh.wa.gov/YouandYourFamily/InjuryandViolencePrevention/OlderAdultFalls/FallPreventionResources.

Washington



Observance The West Virginia Falls Prevention Initiative engaged in falls prevention awareness activities from September 1st to September 30th, reaching over 200+ community members through various activities and events. Activities included the observance of Senior Center Month and Go4Life Month, as well as participating in a health fair to distribute falls prevention information.

Key Successes A Tai Chi demonstration was held in the state capitol town center mall, which raised awareness in the local community and highlighted the impact of evidence-based fall prevention programs.

Awareness and Education Activities Awareness and education activities included a written press release, using a variety of media sources such newspaper and social media. Local doctors provided educational presentations to raise public awareness.

Fall Prevention Programs/Workshops • Otago Exercise Program, Stepping On












• Senior Centers


• Pharmacies

• Senior Housing



Student InvolvementStudents from the following disciplines conducted falls risk screenings, held educational workshops, participated in research and development of materials, as well as engaging in falls prevention program classes:



• Pharmacy

• Public Health

• Social Work

• Optometry/Opthalmology

Reported By: Deborah A. IsnerHealth & Wellness Director, Title III-D Coordinator West Virginia Bureau of Senior Services304-558-3317 ext. 110 [email protected]

Learn more about what you can do to prevent falls across West Virginia: www.soundgenerations.org.

West Virginia



Observance The Wisconsin Falls Prevention Initiative(FPI) members celebrated FPAD throughout the month of September, alongside different events across the state, including: • Older Americans Act (OAA) Anniversary

• Health Fairs

• Community Events focused on Falls Prevention

• Radio and TV interviews

• Flu Vaccination Event

Key Successes The Wisconsin Institute for Healthy Aging created a FPAD toolkit that highlighted the work of Stepping On. The FPI and Office on Aging at the Wisconsin Department of Health Services obtained a Governor’s Proclamation for FPAD 2017, as well as updated resources on the DHS website.

Awareness and Education Activities The Falls Prevention Initiative coordinated efforts with the Wisconsin Institute for Healthy Aging to create a FPAD toolkit that included three sample press releases, unintentional fall data for each county and tribal aging unit, template power point that could be used for local activities, Stepping On video, web site widget with falls prevention quiz questions.

Fall Prevention Programs/Workshops • SAIL

• STEADI

• Stepping On

• Tai Chi Quan: Moving for Better Balance


• Strong Bodies

• A Matter of Balance

• Walk with Ease











• Osteoporosis

• Falls Risk Assessment questionnaire

Advocacy Activities Several advocacy activities took place throughout the month, including a Governor’s Proclamation and evidence-based falls prevention demonstration session for elected officials. The University of Wisconsin Population Health Institute had a legislative briefing on falls prevention.


• County and Tribal aging offices/Aging and Disability Resource Centers

Wisconsin





• Senior Centers


• Pharmacies

• Senior housing

• Universities

• Tribal entities



Student InvolvementStudents from multiple disciplines were involved in a number of activities; including falls risk screenings and research and development of FPAD materials. Disciplines represented were:



• Pharmacy

• Nursing

• Public Health

• Gerontology

Sponsorship Sponsorships were secured at the local level.

Reported By: Anne HvizdakOffice on AgingWisconsin Department of Health Services [email protected]

Shannon Myers Director of Program Implementation and Stepping On Faculty Trainer Wisconsin Institute for Healthy Aging [email protected]

Learn more about what you can do to prevent falls across Wisconsin: www.dhs.wisconsin.gov/prevention-healthy-living/injury-and-violence-prevention/falls-prevention.



Observance The Wyoming Department of Health Injury Prevention Program held falls prevention awareness activities on September 22nd, reaching approximately 300 people through various activities.

Key Successes Key successes included the ability to engage members of the community with a team of volunteers.

Awareness and Education Activities Awareness and education activities included a Governor’s proclamation.

Fall Prevention Programs/Workshops• Tai Chi for Arthritis

• Tai Chi Quan: Moving for Better Balance

Coalition Partners• Senior Centers

• Wyoming Department of Health Aging Division

• Wyoming Department of Health Public Health Nursing Offices

Reported By: Jamin JohnsonInjury Prevention Coordinator, Wyoming Departmentof [email protected]

Learn more about what you can do to prevent falls across Wyoming: www.health.wyo.gov/publichealth/prevention/wipp/injuryoafalls/.

Wyoming



Appendix

A. Evidence-Based Fall Prevention Program Descriptions

B. References



Appendix A: Evidence-Based Fall Prevention Program DescriptionsA summary of evidence-based falls prevention programs is provided below. For additional program descriptions, training requirements, and program costs visit: www.ncoa.org/resources/select-evidence-based-falls-prevention-programs. To find a program in your community, visit: www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-awareness-day/how-to-get-involved/find-evidence-based-falls-program-area.

• A Matter of Balance: An 8-week structured group intervention that emphasizes practical strategies to reduce fear of falling and increase activity levels. Participants learn to view falls and fear of falling as controllable, set realistic goals to increase activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.

• Community Aging in Place-Advancing Better Living for Elders (CAPABLE): A five-month structured program delivered at home to community dwelling older adults to decrease fall risk, improve safe mobility, and improve ability to safely accomplish daily functional tasks. CAPABLE is delivered by an occupational therapist, who makes six visits to each participant; a nurse, who makes four visits; and a handyman, who contributes up to a full day’s work—providing home repairs, installing assistive devices, and making home modifications. Participants work with the therapist and nurse to identify three achievable goals per discipline, examine the barriers to achieving those goals, and make action plans, supported by changes to the home and medication environment, to achieve those goals.

• Enhance Fitness: A low-cost, evidence-based group falls prevention and physical activity program developed specifically for older adults. The exercises have been packaged into a formal regimen focusing on four key areas important to the health and fitness of mature participants: low impact cardiovascular; dynamic/static balance work, strength training and stretching. Classes meet three times a week, an hour each session, providing social stimulation as well as physical benefits.

• FallsTalk: An individual program for anyone who has experienced a fall or regular loss of balance; regardless of walking ability, medical condition, mobility or fitness level. The program begins with a personal FallsTalk Interview in-home or community space to discuss their unique situation. The intervention consists of initial and follow-up interviews with a trained facilitator, daily personal reflection (2-3 min.), 3 brief weekly and then monthly check-in calls. Clinical trials and community results provide evidence that FallsTalk significantly reduces falls compared to untreated fallers.

• FallScape: A customized program for anyone who has experienced a fall or regular loss of balance; regardless of walking ability, medical condition, mobility, cognitive or fitness level. FallScape consists of one or two training sessions with a set of brief (less than 1 min.) multimedia vignettes that are selected specifically to help an individual prevent falls in their own unique situation. FallScape is offered in-home or community space in conjunction with FallsTalk. Research shows that Participants achieve maximum benefit with the addition of this multimedia training.

• Fit & Strong!: A physical activity/behavior change intervention for older adults who have lower extremity joint pain and stiffness related to osteoarthritis. Fit & Strong! blends a multiple component exercise program with group problem solving/education using a curriculum designed to facilitate arthritis symptom management, confidence in ability to exercise safely with arthritis, and commitment to lifestyle change. Before the end of the 8-week Fit & Strong! program, participants meet with the instructor to develop individualized exercise plans that foster ongoing maintenance of a balanced physical activity routine

• Healthy Steps for Older Adults: An evidence-based falls prevention program for adults ages 50 and over. The program is designed to raise participants’ fall prevention knowledge and awareness, introduce steps they can take to reduce falls and improve their health and well-being, and provide referrals and resources. Two 2-hour workshops are offered to interested individuals in the community at facilities such as senior community centers and health care organizations.



• The Otago Exercise Program: The Otago Exercise Program is a series of 17 strength and balance exercises delivered by a Physical Therapist or a Physical Therapy Assistant in the home, outpatient or community setting that reduces falls between 35 and 40% for frail older adults. This evidence-based program calls for Physical Therapists to assess and progress older adults through an 8 week clinical phase and then the older adult is transitioned to a self-management phase for 4 - 10 months. During this time, the older adult is supported by monthly phone calls and check ins at months 6 and 12 if needed. There are opportunities for Physical Therapists to collaborate with community providers to support dissemination and implementation of the OEP.

• Stay Active and Independent for Life (SAIL): A strength, balance and fitness program targeted towards community-dwelling adults 65 and older. SAIL is offered 3 times a week in a one hour class. Exercises can be done standing or sitting, and can accommodate people with mild level of mobility (e.g. people who are occasional cane users).

• Stepping On: A multifaceted program that offers community-dwelling older adults information, strategies and exercises to reduce falls and increase self-confidence in situations where they are at risk of falling. The program content covers: falls and risk; strength and balance exercises; safe footwear and walking; vision and falls; home and community safety; medication review and management; bone health; and coping after a fall.

• Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Toolkit: Developed by the Centers for Disease Control and Prevention, this toolkit provides instructional videos and online training for health care professionals, fall risk screening tools, and educational materials for older adults and their families.

• Tai Chi for Arthritis: Tai Chi for Arthritis helps people with arthritis to improve all muscular strength, flexibility, balance, stamina, and more.

• Tai Ji Quan: Moving for Better Balance: Tai Ji Quan: Moving for Better Balance™ is an evidence-based falls prevention program delivered in two one-hour sessions each week for 24 weeks. Each session consists of warm-up exercises; core practices, which include a mix of practice of forms, variations of forms, and mini-therapeutic movements; and brief cool-down exercises.

• YMCA Moving for Better Balance: A 12-week instructor-led group program designed to improve strength, mobility, flexibility, and balance for enhanced overall physical health and better functioning in daily activities. Participation in the program may also result in better mental health, reduced stress, improved memory and cognition, and increased self-esteem. The program, based on the principles of Tai Chi, teaches eight movements modified especially for falls prevention. The program is targeted toward individuals 65 years or older who are physically mobile with impaired stability and/or mobility, or individuals 45 years or older with a condition that may impact stability and/or mobility. A YMCA membership is not required to participate in the program.



Appendix B: References1. Bergen G, Stevens MR, Burns ER. Falls and fall injuries among adults aged ≥65 years—United States, 2014.

MMWR Morb Mortal Wkly Rep. 2016;65:993–8.

2. O’Loughlin J et al. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol. 1993, 137:342-54.

3. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. (2005) [cited 2016 5 11]. Available from URL: www.cdc.gov/injury/wisqars

4. Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall–related injuries in older adults. Am J Public Health. 1992;82(7):1020–3.

5. Sterling DA, O’Connor JA, Bonadies J. Geriatric falls: injury severity is high and disproportionate to mechanism. J Trauma. 2001;50(1):116–9

6. HCUPnet. Healthcare Cost and Utilization Project (HCUP). 2012. Agency for Healthcare Research and Quality, Rockville, MD. www.hcupnet.ahrq.gov. Accessed 5 August 2016.

7. Hayes WC, Myers ER, Morris JN, Gerhart TN, Yett HS, Lipsitz LA. Impact near the hip dominates fracture risk in elderly nursing home residents who fall. Calcif Tissue Int. 1993;52:192-198.

8. Jager TE, Weiss HB, Coben JH, Pepe PE. Traumatic brain injuries evaluated in U.S. emergency departments, 1992–1994. Acad Emerg Med. 2000, 359;7(2):134–40.

9. Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of falling and restriction of mobility in elderly fallers. Age Ageing. 1997;26:189–193.

10. Florence CS, Bergen G, Atherly A, Burns ER, Stevens JA, Drake C. Medical Costs of Fatal and Nonfatal Falls in Older Adults. J Am Geriatr Soc. 2018 March, DOI:10.1111/jgs.15304

11. Burns EB, Stevens JA, Lee RL. The direct costs of fatal and non-fatal falls among older adults—United States. J Safety Res. 2016:58.

12. Hu G, Baker SP. Recent increases in fatal and non-fatal injury among people aged 65 years and over in the USA. Inj Prev. 2010;16:26–30.

falls prevention awareness day 2017 impact report...compendium, the 10. th. annual falls prevention...

Documents