NURS 6050 Assessment 5 PA005 Healthcare Program/Policy Evaluation Falls and Incident/Accident Reporting at Crestpark Nursing Home, LLC, Spring of 2021

Healthcare Program/Policy Outcomes

The core objectives of our fall prevention and incident/accident policies are clear: to avert falls and consequent injuries. Despite the prevalence of falls in long-term care facilities due to age-related factors, our approach entails comprehensive assessment of each fall incident, identifying root causes, and formulating preventive strategies collaboratively.

Success of the Healthcare Program/Policy

Success metrics are gauged through scheduled Quality Improvement (QI) meetings engaging diverse healthcare professionals within our institution. By analyzing individual cases and overall trends alongside inputs from stakeholders, we pinpoint policy shortcomings. Success manifests as a significant decline or minimal rates of falls.

Number of People Reached

Approximately 300 individuals, including residents, staff, and families, were involved in the evaluation process. Policy adjustments are designed to elevate the quality of resident care while accommodating family perspectives.

Timing of the Evaluation

Quarterly evaluations/QI meetings are routine at Crestpark Nursing Home, LLC, supplemented by ad hoc assessments. The March 2021 evaluation marked the first meeting in nearly 7 months due to disruptions from the COVID-19 pandemic.

NURS 6050 Assessment 5 PA005 Healthcare Program/Policy Evaluation

Data Sources

Incident/accident reports, resident charts, hospital records, and imaging reports served as primary data sources, ensuring a holistic understanding of each fall incident.

Potential Benefits and Unintended Consequences

Immediate notification of falls to designated personnel emerged as a beneficial outcome, aiding novice nurses and facilitating prompt resident assessment. Nonetheless, unintended consequences, such as feelings of inadequacy among experienced nurses, were mitigated through team deliberations.

Stakeholders Involved

Stakeholders encompass residents, families, nursing staff, administration, and the social worker. Resident safety and well-being remain the central focus of evaluation outcomes.

Evaluation of Success

The evaluation demonstrates success, evidenced by a decline in fall occurrences and enhanced resident mobility and independence. Ongoing policy assessments and adjustments are slated to bolster safety protocols.

Recommendation for Continuation

Continuation of the existing policy is advocated, given its favorable impact on resident safety and fall incident reduction. Policy refinements will be informed by continuous evaluations and stakeholder feedback.

Involvement in Future Evaluations

Future involvement in evaluations may entail soliciting feedback from residents’ families and spending more time on the floor to gain firsthand insights into policy implementation challenges and successes.