Preventing Future Falls in Older Adult ED Patients: Evaluating the Implementation and Effectiveness of a Novel Automated Screening and Referral Intervention - Assessing Outcomes From Medical Records and Medicare Claims Data
University of Wisconsin, Madison
Summary
The purpose of this retrospective cohort study is to evaluate the effectiveness of an EHR-based clinical decision support system (CDS) for automatically screening older adult ED patients for risk of future falls and providing ED clinicians opportunity to place referrals orders to the UW Health Mobility and Falls Clinic for those at highest risk prior to discharge. This CDS tool has already been implemented at the UW Hospital ED, and as a QI initiative will be implemented in a staged process at two other UW Health-affiliated emergency departments (The American Center and Swedish American Hospital).
Description
The specific aim of this retrospective cohort study is to test the effectiveness of the automated screening and referral intervention on completed referrals to the UW Health fall prevention clinic and rates of injurious falls, using a limited dataset created from EHR and Medicare claims data. The investigators hypothesize that ED patients referred using the falls risk CDS tool will have decreased healthcare use due to fall-related injuries, and that the intervention will have similar levels of effectiveness across different types of patient characteristics. The investigators will also systemat…
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Retrospective analysis will include data from: * ED patients 65 years or older * discharged from the ED (not admitted)
Interventions
- OtherFalls-Risk Clinical Decision Support (CDS) Tool
CDS in the Electronic Health Record (EHR) to screen patients at high-risk for future falls enabling referrals to the UW Health Mobility and Falls clinic.
Locations (3)
- Swedish American Emergency DepartmentRockford, Illinois
- East Madison HospitalMadison, Wisconsin
- UWHC Emergency DepartmentMadison, Wisconsin