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  • 1.  Fall risk assessment

    Posted 03-22-2024 10:21

    Hello,

    What fall risk assessment tool do you all use? Epic is our EMR and the Morse Fall Risk Scale is what is available in Epic. It could be tailored for ambulatory care but is more appropriate for a nurse to utilize. We need to have MAs complete the fall risk assessment in many of our clinics and I would like to find an appropriate tool.

     

    Thank you,

    Lee Ann

     

    Lee Ann Hinsky DNP, MSN, RN

    PPG Vice President of Patient Care

     

     

    3602 New Vision Drive

    Fort Wayne, IN | 46845

    260.266.5453, Cell - 260. 241.2706

     leeann.hinsky@parkview.com

    Proverbs 3:5&6

     



  • 2.  RE: Fall risk assessment

    Posted 03-22-2024 10:36

    Our medical group uses the STEADI screen from the CDC. Primary Care clinical staff get a best practice pop up every 6 months to complete this screening for adults 65 years and older. If a patient is scored as a moderate or high risk for falls, there is an Epic SmartSet that populates with patient education to go into the After Visit Summary, a diagnosis of "At Risk for Falls", and the documentation of the screening populates into the note. The Provider will also get an Epic SmartSet to open with additional orders such as physical and occupational therapy, referrals to specialist, and some medications.

     

    Thank you,

     

    Sharon J-J Peacock, MSN-Ed., RN, AMB-BC

    Nursing Professional Development Generalist

    Sentara Ambulatory Services Division

     

    Office: 434-654-4529

    Email: SJPEACOC@sentara.com | SASDClinEduTeam@sentara.com

    590 Peter Jefferson Parkway, Suite 323, Charlottesville, VA 22911

     

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  • 3.  RE: Fall risk assessment

    Posted 03-27-2024 16:03

    I came here to say the same. We use the 12-question STEADI (CDC) which is a self-assessment. Built as a Flowsheet template so it can be added to our list of screening tools during Rooming or pushed to MyChart. He have a HM topic set to remind us one annually for everyone over age 65. Flowsheet auto-tallies, super easy to SmartLink into a note. Next step is doing what Sharon writes and building some CER rules to address it. 

    If you search "STEADI" at comlib.epic.com you'll find examples of build, such as Flowsheets from Yale New Haven and SmartSets from Oregon Health. 



    ------------------------------
    Christopher Rodwill
    Quality Improvement Education Specialist
    Family Health Center of Worcester
    Leicester MA
    ------------------------------



  • 4.  RE: Fall risk assessment

    Posted 03-23-2024 09:33

    Hi Lee Ann,

    We use the STRIDE falls screening in ambulatory.

    Front desk staff, MAs, nursing- or anyone- can complete this screening.

    Our policy is every patient, every visit.

     

     

     

     

    Lisa

    _____________________

    Lisa C. Dutton, MSN, RN, AMB-BC, NE-BC

    Professional Development Manager, BWH Department of Ambulatory Nursing 

    Clinical Director, MGB Nurse Hotline

    Operations Lead, MGB COVID Outpatient Therapies

     

     

    Brigham and Women's Hospital

    75 Francis Street, Boston, MA 02115

    M: 603-479-7468 T: 617-525-7789

    brighamandwomens.org

     

     

     

    The information in this e-mail is intended only for the person to whom it is addressed.  If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the Mass General Brigham Compliance HelpLine at https://www.massgeneralbrigham.org/complianceline .


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  • 5.  RE: Fall risk assessment

    Posted 03-25-2024 08:19

    We use the STRIDE tool for Ambulatory for every patient and every encounter. We created a specific Ambulatory Falls prevention policy. MORSE tool still being used in the Periop areas.

     

    We have a podium presentation for the AAACN conference this year: "A standardized approach to ambulatory fall events". Tools, Best practice, and prevention strategies will be shared. We hope you can attend this presentation.

     

     

    _______________________________

    Julia Edmondson, MSN, NEA-BC, FNP-BC

    Clinical Operations Program Manager

     

    Massachusetts General Hospital

    55 Fruit St, Boston, MA 02114

    T 617-726-0512

    ambulatorymanagement.massgeneral.org

     

    Confidentiality Notice: The information transmitted in this electronic communication is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this information in error, please contact the sender and properly dispose of this information

     

    The information in this e-mail is intended only for the person to whom it is addressed.  If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the Mass General Brigham Compliance HelpLine at https://www.massgeneralbrigham.org/complianceline .


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  • 6.  RE: Fall risk assessment

    Posted 03-25-2024 09:37

    We use a modified STEADI screening. It is also available in ambulatory Epic.

     

    Kay Brown RN, BSN AMB-BC

    Physician Services Educator

    USFTGP

    kathleenbrown@usftgp.org | P: (813.660.6049) | C: (813.240.4059)