Cutler Institute for Health and Social Policy

Maine Rural Health Research Center

Evidenced-based Falls Prevention in Critical Access Hospitals

Abstract: 

This policy brief is part of a series of policy briefs by the Flex Monitoring Team identifying and assessing evidence-based patient safety and quality improvement interventions appropriate for use by state Flex Programs and Critical Access Hospitals.<br><b>Key Findings:</b></br><li>
Hospital falls are a serious patient safety problem, accounting for nearly 84% of all inpatient incidents. <li>Most falls commonly occur as a result of medication related issues, toileting needs, and hospital environmental conditions.<li>Effective falls interventions target both intrinsic (e.g. physiologic) and extrinsic (e.g. environmental) risk factors.<li>Effective falls prevention teams are interdisciplinary and ideally include pharmacists, nurses, physical therapists, medical, and quality officers and are imbedded in a culture of patient safety.<li>Education for and communication across all staff contributes to successful falls prevention programs.
Reporting falls data to one of the national organizations allows for benchmarking.</li>

Publication Type: 
Research and Policy Brief
Publish Date: 
December 31, 2011
URL: 
http://flexmonitoring.org/documents/PolicyBrief24_Falls-Prevention.pdf

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

Connect With Us