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Lessons Learned From Implementing CDC's STEADI Falls Prevention Algorithm in Primary Care.

Colleen M Casey¹, Erin M Parker², Gray Winkler³

¹Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland. eckstrom@ohsu.edu.

The Gerontologist

|May 1, 2016

Summary

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This summary is machine-generated.

Implementing the STEADI fall prevention program in a clinical setting effectively reduced fall risks in older adults. Key success factors included electronic health record integration and strong clinical leadership.

Area of Science:

Geriatrics
Public Health
Clinical Practice Improvement

Background:

Falls pose a significant health risk for older adults, causing death and disability.
Despite evidence-based recommendations and effective interventions, fall risk screening and prevention remain underutilized.
The Centers for Disease Control and Prevention's STEADI (Stopping Elderly Accidents, Deaths, and Injuries) program aims to help primary care teams address this issue.

Purpose of the Study:

To describe the practical implementation of the STEADI program within a large academic internal medicine clinic.
To utilize the Kotter framework to guide the process of clinical practice change for falls prevention.

Main Methods:

The study applied the eight-step Kotter framework to guide STEADI implementation.

Keywords:

Clinical decision support Electronic health record Falls risk evaluation Falls screening Implementation science

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Key strategies included creating urgency, building coalitions, forming a vision, enlisting volunteers, removing barriers, generating wins, sustaining change, and instituting change.

Electronic health record (EHR) tools and clinical workflow adjustments were developed to support the process.

Main Results:

Pilot testing screened 56 patients, followed by 360 patients in the first three months of implementation.
Successful implementation hinged on integrated EHR tools and proactive leadership from clinical champions.
Identifying and addressing barriers was crucial for sustained progress.

Conclusions:

Implementing falls prevention programs requires multi-stakeholder support and effort.
Lessons learned from this STEADI implementation offer guidance for other clinical practices.
Successful clinical integration of falls prevention strategies is achievable with strategic planning and dedicated leadership.