Design of a continuous quality improvement program to prevent falls among community-dwelling older adults in an integrated healthcare system |
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| Authors: | David A Ganz Elizabeth M Yano Debra Saliba Paul G Shekelle |
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| Affiliation: | (1) VA Greater Los Angeles HSR&D Center of Excellence, 16111 Plummer Street, Sepulveda, CA 91343, USA;(2) Geriatric Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA;(3) David Geffen School of Medicine at the University of California at Los Angeles, 10833 Le Conte Avenue, Los Angeles, CA 90095, USA;(4) School of Public Health, University of California at Los Angeles, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA;(5) Borun Center for Gerontological Research, University of California at Los Angeles and Los Angeles Jewish Home, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095, USA |
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| Abstract: | Background Implementing quality improvement programs that require behavior change on the part of health care professionals and patients has proven difficult in routine care. Significant randomized trial evidence supports creating fall prevention programs for community-dwelling older adults, but adoption in routine care has been limited. Nationally-collected data indicated that our local facility could improve its performance on fall prevention in community-dwelling older people. We sought to develop a sustainable local fall prevention program, using theory to guide program development. |
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