Professor Anne Tiedemann
Professor Anne Tiedemann
Professor of Physical Activity and Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales
Bio: Anne Tiedemann, PhD, is Professor of Physical Activity and Health in the Faculty of Medicine and Health, University of Sydney. Her research develops and evaluates scalable physical activity-based strategies to promote health and prevent falls in middle to older age. Professor Tiedemann’s current research includes the first trial internationally to evaluate the effect of yoga on falls in people aged 60 years and older.
Presentation Title: Physical activity for healthy ageing and fall prevention: we KNOW it’s important, but how do we get people to DO IT?
Abstract: We all know that regular physical activity is good for our bodies and minds, yet many people struggle to be active. This is particularly true for older adults. The World Health Organization (WHO) Guidelines on Physical Activity and Sedentary Behaviour provide clear recommendations about the amount and type of physical activity needed to promote health for all ages and abilities.
However, knowledge does not always translate to action. The WHO Global Action Plan on Physical Activity (GAPPA) recognises that to increase physical activity at the population level requires a systems-based approach – there is no single policy solution to this complex issue. GAPPAs four objectives are to create: 1. Active Societies, 2. Active Environments, 3. Active People and 4. Active Systems, and it recommends 20 policy actions that address the cultural, environmental and individual determinants of inactivity.
This presentation will overview research being undertaken, relevant to GAPPA policy action 3.5, physical activity programs and opportunities. My program of research aims to evaluate the effectiveness and cost-effectiveness of novel and scalable approaches to promoting fall prevention exercise and physical activity more broadly, among people aged 50+ years. This will include the results of the NHMRC-funded Successful AGEing (SAGE) yoga trial (ACTRN12619001183178), the Coaching for Healthy AGEing (CHAnGE) trial (ACTRN12615001190594) and pilot research to evaluate the Active Women over 50 program (ACTRN12619000490178).
Professor Pip Logan
Professor Pip Logan
Professor of Rehabilitation Research and Occupational Therapist, Centre for Rehabilitation and Ageing Research, University of Nottingham, United Kingdom
Bio: Pip Logan is a Professor of Rehabilitation Research at the University of Nottingham, School of Medicine, UK and holds the highest NIHR award, the Senior Investigator Award. She works clinically as an occupational therapist in the community with people who have long term health conditions such as stroke, Parkinson’s Disease, frailty, musculoskeletal disorders and dementia. Her research interests are in line with her clinical role and she has just completed the largest study in UK care homes, developing and evaluating a programme to prevent falls, funded by the National Institute for Health and Social Care Research (£2.2M). As the intervention was clinically and cost effective she is now researching the implementation of the effective intervention. Her other studies aim to reduce knee pain and back pain, increase independence in activities of daily living for people after stroke and improve mobility. She has completed numerous randomised controlled trials, presents her work internationally and reviews grants for major national funding bodies. She is the Director of Research and Knowledge Exchange for the School of Medicine in the University of Nottingham, is the academic lead for the new National Rehabilitation Centre which is co located with the military rehabilitation centre in the UK. She is a member of a number of international research groups in China, the Netherlands, Spain and Australia
Presentation Title: Falls in care homes can be reduced by 43%: results from the largest UK randomised controlled trial and implementation study
Professor Stephen Robinovitch
Professor Stephen Robinovitch
Professor, Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada
Bio:Steve Robinovitch, Ph.D. is a Professor in the Department of Biomedical Physiology and Kinesiology at Simon Fraser University in Burnaby, British Columbia, where he directs the Injury Prevention and Mobility Laboratory. His program on Technology for Injury Prevention in Seniors (TIPS) focuses on the cause and prevention of falls and fall-related injuries in older adults. One theme of his work is on understanding how falls and fall-related injuries occur. In partnership with long-term care sites in the Vancouver area, TIPS is capturing video footage of real-life falls, and analyzing movement patterns during the initiation, descent and impact stage of (injurious and non-injurious) falls. A second theme is on developing wearable sensor system that automatically detect falls, and provide information on the circumstances of falls. A third theme focuses on solutions to prevent injuries in the event of a fall, including wearable hip protectors and compliant flooring.
Presentation Title:Insights from real-life data on how falls and fall-related injuries occur in older adults in long-term care
Abstract: Video footage of real-life falls in older adults can drive prevention by providing insight on how falls occur, and the factors that separate injurious and non-injurious falls. From 2009-2020, the Technology for Injury Prevention in Seniors (TIPS) program at Simon Fraser University partnered with two long-term care (LTC) homes in the Vancouver region to analyze over 3000 falls. This talk will highlight recent findings from the LTC video dataset on the characteristics of falls, and risk factors for fall-related injuries. The first part of the talk will review evidence on how falls occur in LTC, including the most common activities at the time of the fall, and the biomechanical causes of imbalance leading to falls. We will review data on (stepping and grasping) attempts to recover balance, and the characteristics of LTC environments where participants fell (including the high frequency of impacts to objects other than the floor). The second part of the talk will present results on the types of falls leading to hip fracture, and the factors that influence risk for head impact and injury during falls in LTC. We will discuss evidence on safe-landing strategies during falls, including the high frequency of body rotation to change the direction of the fall during descent, loss in effectiveness of upper limb bracing, and the benefit of hip protectors in the LTC population we studied.
Professor Maw Pin Tan
Professor Maw Pin Tan
Professor – Division of Geriatric Medicine, University of Malaya, Malaysia
Bio: Tan Maw Pin is Professor in Geriatric Medicine at the University of Malaya. She qualified from the University of Nottingham, United Kingdom and worked as an house officer in Derby and a Senior House Officer at the Nottingham City Hospital before moving up north to Newcastle upon Tyne to pursue her higher specialist training in geriatric medicine. She worked briefly as a consultant geriatrician at the Royal Victoria Infirmary and Freeman Hospital before returning home to Malaysia. She is the Principal Investigator of the Transforming Cognitive Frailty into Later Life Self-Sufficiency (AGELESS) programme which is funded by a Ministry of Higher Education Long Term Research Grant Scheme. Prof Tan is also the President of the Malaysian Society of Geriatric Medicine and the Honorary General Secretary of the College of Physicians of Malaysia. She is Academic Editor to PLOS ONE and Associate Editor to Frontiers in Medicine. In addition, she has founded the University of Malaya spin-off, ACT4Health Sdn Bhd, and as Medical Director of the Genting Dementia Day Care Centre and Managed Care Services Sdn Bhd.
Presentation Title: Falls Prevention in Lower- and Middle-Income Countries
Abstract: The number of older adults living in Lower- and Middle-Income Countries (LMIC) now far outnumber those living in High-Income Countries (HIC). While it is a widely accepted fact that research output and healthcare professionals in LMIC are vastly outnumbered by HIC, the gap is far larger in falls prevention than in most other areas. However, research output from LMIC is no longer limited, with a rapid increase in research output emerging from LMIC year-on-year. There are undoubtedly many commonalities between LMIC and HIC with regards to falls risk factors- medications and muscle weakness standing out at the commonest risk factors. However, unique challenges also exist in LMIC, with obesity, environmental hazards and psychological issues particularly highlighted from published studies. Assessment tools and strategies advocated in HIC may not be feasible in low-resource settings particularly LMIC. With the population in LMIC ageing at a far faster rate compared to HIC, there is far less time for these countries to prepare for the rapidly increasing burden of falls and the consequences of falls. It goes without saying, therefore, that far more needs to be done to address the gross imbalance in research output and resources. Collaborative efforts are necessary to ensure that solutions developed in the future will be truly applicable globally.
Professor Nathalie van der Velde
Prof. Nathalie van der Velde
Professor, Geriatrics Department, Amsterdam UMC, The Netherlands
Bio: Nathalie van der Velde is a consultant and full professor at the Geriatrics Department of the Amsterdam UMC, The Netherlands. She serves as principal investigator and leader of the research line ‘person-centered falls & fracture prevention’. Since 2022 she is a member of the Academic Board of the European Geriatric Medicine Society (EuGMS). With regard to editorial tasks she has started as an Associate Editor for Age & Ageing in 2019 and has been appointed Deputy Editor-in-Chief in 2022. Furthermore, she is an Associate Editor of the Annals of Medicine. Nathalie is both nationally and internationally involved in activities to improve falls and fracture prevention. She chairs the EuGMS SIG Falls and Fractures and its Task and Finish Group on fall-risk-increasing drugs and starting this year she will represent the EuGMS at the board of the Fragility Fracture Network. She is also a co-chair of the steering group of the World Falls Guideline initiative, and co-lead its polypharmacy working group. Furthermore, She is a member of the organizing committee of the World Congress on Falls and Postural Stability. On a national level, she is co-founder and chair of the board of the annual Dutch Falls Symposium. Besides, she chairs the Dutch SIG on Falls prevention and she is a member of the board of the Dutch Syncope and Autonomic Disorders group and of the steering committee of the Dutch Falls and Dizziness Guidelines cluster. She has (co-)authored various book chapters on falls prevention, syncope/TLOC and pharmacology/deprescribing and has published over 180 peer-reviewed articles. She has received several awards: ‘top-cited article’ of JAMDA (2018); selection for several leadership programs (AMC: 2016; Dutch Geriatrics Society: 2015; Erasmus MC: 2009); best PhD Thesis in Geriatric Medicine (NVKG, 2007-2008); the British Journal Clinical Pharmacology prize best articles (2007); as well as several poster and presentation prizes. Scientific publications: https://orcid.org/0000-0002-6477-6209
Presentation Title: Therapeutic dilemma’s in older fallers: to prescribe or deprescribe?
Abstract: One of the key risk factors for falls is the use of certain medications. Nevertheless, falls are an often overlooked adverse drug event (ADE) in older persons. Therefore, to prevent medication-related falls, the following is recommended in the recently published World Guidelines for Falls Prevention and Management: 1) assess for fall history and the risk of falls before prescribing potential fall-risk-increasing drugs (FRIDs), 2) use a validated, structured screening and assessment tool to identify FRIDs when performing a medication review, 3) include medication review and appropriate deprescribing of FRIDs as a part of the multifactorial falls prevention intervention, and 4) in long-term care residents, if multifactorial intervention cannot be conducted due to limited resources, the falls prevention strategy should still always include deprescribing of FRIDs. In this lecture, the evidence regarding deprescribing of FRIDs will be presented as well as the possible mechanisms why FRIDs use can lead to falls including cardiovascular, motoric and central nervous system related ADEs. Finally, clinical dilemma’s in deprescribing will be discussed and practical guidance regarding medication management in older persons at risk for falls will be given.
Dr Suzanne Dyer
Dr Suzanne Dyer
Senior Research Fellow, Flinders Health and Medical Research Institute – Flinders University, Adelaide, South Australia
Bio: Dr Suzanne Dyer is a Senior Research Fellow at Flinders University. She has worked as a researcher in both the public and private sector, with expertise in evidence-based medicine methodologies including health technology assessment, systematic reviews, meta-analysis and guideline development, particularly within the fields of geriatrics and diagnostic technologies. Suzanne is an author of 77 publications with 24 contracted research reports for government and NGOs, including the Cochrane Collaboration Reviews of Interventions for preventing falls in older people in care facilities and hospitals and Interventions for improving mobility after hip fracture surgery in adults, two reviews conducted for the Australian Aged Care Royal Commission and the Australian Clinical Practice Guidelines for Dementia.
Presentation Title: Falls prevention in residential aged care: updated meta-analyses with novel analyses for complex interventions
Abstract: For older people living in the community, there is strong evidence that balance and functional exercises and home fall-hazard reduction reduces falls. Multifactorial interventions and Tai Chi may also reduce the rate of falls. However, in residential aged care settings, the most recent Cochrane Collaboration review update concluded that while vitamin D supplementation reduces falls, the effectiveness of exercise and multifactorial interventions is uncertain. In this 2018 review there was high unexplained heterogeneity between trial results, with some trials reducing but others increasing falls. This variation was not clearly explained by subgroup analyses of the exercise type provided, level of care or the enrolment of people with cognitive impairment. The interpretation of the evidence base for these complex interventions and settings clearly requires a different approach.
An update of the randomised controlled trial evidence for preventing falls in residential aged care is in progress, incorporating novel analyses using intervention component analysis (ICA) and qualitative comparative analyses (QCA). This application of newer methodologies to integrate qualitative evidence synthesis into a quantitative review will help inform which trial features are likely to lead to effective falls prevention approaches. This method provides theories of what the key components of effective trials are and can also inform subgroup meta-analyses based on these theories.
An updated meta-analysis has indicated that exercise can reduce falls in residential aged care, but the effect is not sustained when the program ends. The ICA/QCA approach indicated that low or moderate intensity tailored exercise reduces falls. Multifactorial interventions with support for aged care facility engagement (with staff and managers) to implement strategies that enable the staff to modify the intervention approach based on the presence of cognitive impairment and previous falls history, are more successful at reducing falls. Co-design approaches may also enhance the success of multifactorial falls prevention programs.
PhD Scholar, University of Western Australia, Perth, Western Australia
Bio: Kiya, from Margaret Gidgup, a senior Noongar Wadjuk woman from the South West of Western Australia. Margaret is an early career researcher who has worked for organisations providing services in Aboriginal communities around Australia. Margaret has spent the last 30 plus years working in industries to help improve health and welfare outcomes for Aboriginal and Torres Strait Islander people. Margaret’s past work commitments have taken her to NSW, the Central Desert Region of the Northern Territory and Western Australia Statewide, providing health services to remote communities and regional areas of the South West.
Margaret has a Bachelor of Aboriginal Health (2008) and has just submitted her PhD, titled Impacts of Physical Activity (PA) on Older Aboriginal people living on Noongar Boodja in the South West of Western Australia (2022).
Margaret’s thesis focused on how the Ironbark PA program could be translated into Western Australia on Noongar Boodja. Margaret evaluated the barriers and enablers to older indigenous people engaging in physical activity. She also explored the Elders’ perspectives of the PA program and evaluated mental and physical outcomes of the program. Elders gave positive feedback about the Program and experienced social mental and physical benefits from their participation. Margaret’s research study with the Elders ended in 2020. It is now 2023 and she is still witnessing the incredible changes that some of the Elders made in their lives which has given them a new perspective on physical activity with a renewed interest in maintaining a level of fitness so that they can enjoy their lives more with their family and friends. Many Elders are still attending the new program that is being trialled.
Margaret’s presentation will focus on the ways of working, a Nih Waangkiny Kaadatjiny (listening, learning, knowing) decolonising approach to conducting research with older Indigenous people.
Professor Leigh Hale
Professor Leigh Hale
Dean of the School of Physiotherapy / Centre for Health, Activity, and Rehabilitation Research, University of Otago, New Zealand
Bio: Professor Leigh Hale is the Dean of the School of Physiotherapy / Centre for Health, Activity, and Rehabilitation Research at the University of Otago, New Zealand. She graduated as a physiotherapist from the University of Cape Town (South Africa) and went on to attain her MSc (Neurorehabilitation) and PhD from the University of the Witwatersrand (South Africa). Leigh primarily researches in the area of community-based physiotherapeutic rehabilitation, falls prevention and supported self-management for people living with disability and with neurological conditions, such as multiple sclerosis, stroke, dementia, and learning disabilities; and in aged care. Her research uses both quantitative and qualitative methodologies and focusses on how physiotherapists can enable and support people to optimally live healthy and engaging lives. She has over 168 peer reviewed publications and six book chapters.
Presentation Title: Advantaging physical activity for life for all: the future challenge
Abstract: Irrefutable evidence now exists for the role of physical activity in the prevention of falling in community dwelling older adults, with a recent systematic review concluding with an urgent call for the provision and scale-up of such programmes. Indeed, the benefits of physical activity for older adults extend far beyond falls prevention, positively impacting all aspects of health – physical, mental, emotional, spiritual, and social. Evidence for these outcomes arise from well controlled, low risk of bias clinical trials and systematic reviews with meta-analyses. The included trial populations, however, are often not representative of disadvantaged populations (for example, low socioeconomic, refugee, rural, indigenous), or are typically participants at the “preparation” or “action” phases of the Transtheoretical Model of behaviour change. Whilst the physiological evidence for physical activity is strong, strategies to successfully enable diverse groups of older adults to engage and progress to the “maintenance” phase are lacking. Better understanding how to encourage those less ready or less advantaged to engage is required, particularly to engage in physical activity for life. And participation for life is what is really required to reap the long-term benefits of physical activity programmes. This presentation will describe collaborative research exploring what people living with a diverse range of backgrounds and long-term conditions consider important to enable lifelong engagement in physical activity programmes. The success, or not, of implementing these recommendations in mixed methods clinical trials will be discussed. Finally, the presentation will challenge the continued use of traditional methodologies and measures, and propose that innovative interventions, research methodologies and means of evaluating outcomes are required if we truly wish to engage all those living with lifelong conditions to be physically active for life.
Dr Jo Hikaka
Dr Jo Hikaka
Pharmacist and Senior Research Fellow, University of Auckland, New Zealand
Bio: Dr Joanna Hikaka (Ngāruahine) is a pharmacist and Senior Research Fellow at the University of Auckland, New Zealand. Her clinical and research work focuses on older adult and Māori health, spanning primary, secondary, and aged residential care settings, with a current focus on exploring Māori experiences and expectations of kaumātua care. In 2019, Joanna was named New Zealand Pharmacist of the Year, and in 2022, Joanna undertook a Fulbright scholarship at Brown University School of Public Health, exploring pro-equity health intervention development. She holds a number of regional and national governance and advisory roles relating to the responsible use of medicines, dementia, gerontology, and aged residential care. Joanna is a Co-director of the newly established Centre for Co-Created Ageing Research at the University of Auckland and the Principal Investigator on the Whaioranga te Pā Harakeke – Iwi-driven injury prevention and recovery for older Māori. Joanna enjoys supporting others to develop research skills in both academic and non-academic settings and sees value in developing diverse research teams to deliver excellent research that is most likely to be relevant to communities of interest and to impact policy and practice.
Presentation Title: Whaioranga Te Pā Harakeke – Iwi-driven injury prevention and rehabilitation for older Māori
Abstract: Aotearoa New Zealand has a world-leading no-faults injury insurance scheme which drives a national response to injury prevention, care and rehabilitation. Unfortunately the benefits of this scheme are not experienced equitably, with Māori less likely to have access to resourcing than non-Māori and there are limited care options designed for, and with, Māori.
Whaioranga Te Pā Harakeke – Iwi-driven injury prevention and rehabilitation for older Māori is a multi-phase research project designed and delivered through a collaborative academic-iwi (tribal) partnership. Paeārahi (community and health navigators; unregulated workforce) connect older Māori and their families with health and social services, facilitate group exercise and socialisation programmes an undertake ‘mini-health’ assessments and home safety checklists. Central to the intervention is holistic assessment and goal-setting which aims to identify and address an array of aspects that impact on falls and other unintentional injuries.
Results presented will focus on acceptability, feasibility and exploratory efficacy measures, as well as critically reflecting on the realities of working in partnership between Universities and tribal organisations.
Dr Sandra Iuliano
Dr Sandra Iuliano
Senior Research Fellow (Honorary), Department of Medicine – Austin Health, The University of Melbourne, Melbourne, Victoria
Bio: Dr. Iuliano is a senior research fellow in the department of medicine, University of Melbourne. She has worked extensively in the aged care sector in particular researching food-based approaches to improving health outcomes in residents. Dr Iuliano’s most recent trial involved over 7000 residents in 60 residential aged care homes that cost-effectively reduced fractures and falls and prevented malnutrition. Dr Iuliano presented evidence at the Royal Commission in aged-care and is a member of the National Aged-care Advisory Council. She is a strong advocate for improving nutritional care and quality of life via improved food provision in aged care.
Presentation Title: Reducing Falls and Fractures in Older Adults in Aged Care Consider Food Quality in Prevention Strategies
Abstract: Falls rates in older adults in aged care are five times higher than age and sex matched peers in the community. Hip fractures are a major outcome from falls, with 30% of the community burden of hip fractures arising from aged care. By 2050 it is expected that over 20,000 hip fractures will occur in aged care homes in Australia. The ageing of the population will see a global increase in hip fracture burden. Interventions targeting this high-risk group would likely reduce the community burden of falls and fractures, but any intervention must be effective, safe, and cost saving. Older adults in aged care homes have inadequate intakes of protein and calcium, so correcting these inadequacies would likely reduce the risk of falls and fractures. Over the 2-year clustered-randomised trial involving over 7000 older adults, 30 intervention care homes provided additional dairy foods (milk, yoghurt, and cheese) on the menu, while 30 control sites continued with their usual menus. The increased dairy intake from 2 to 3.5 servings daily in intervention residents was associated with an 11% reduction in falls, a 33% reduction in fractures, and a 46% reduction in hip fractures. Compliance with the dairy food was maintained perhaps as these foods are familiar to residents and the dairy foods provided were based on their preferences. All-cause mortality remained unaltered in intervention residents, so relative to mortality risk the intervention was safe. The cost of the additional dairy foods was less than AU$1 per resident per day and was cost saving when fractures alone are considered. Appendicular lean mass was maintained with intervention and malnutrition abated, both risk factors for falls. Improving food quality in aged care is an important consideration when implementing falls prevention strategies with all residents benefiting independent of underlying falls risk.
Professor Stephen Lord
Professor Stephen Lord
NHMRC Senior Principal Research Fellow & Centre Director, Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, New South Wales
Bio: Stephen Lord is a Scientia Professor at the University of New South Wales and a Senior Principal Research Fellow at Neuroscience Research Australia, Sydney, Australia. His research interests include instability, falls and fractures in older people and clinical groups with balance impairment. His research follows two main themes: the identification of neuropsychological, sensorimotor and balance risk factors for falls and the development and evaluation of fall prevention strategies. His current projects include the development of digital gait biomarkers, reactive step training and cognitive-motor interventions to prevent falls and studies addressing fall risk in people with diabetes mellitus, multiple sclerosis, Parkinson’s disease and cognitive impairment. He is also actively engaged in initiatives aimed at implementing falls prevention evidence into policy and practice.
Presentation Title: New Australian Best Practice Guidelines for Preventing Falls in Older People for Community, Hospital and Residential Aged Care Setting
Abstract: During 2022 and 2023, members of the Australian and New Zealand Falls Prevention Society have been commissioned to update the Australian Best Practice Guidelines for Preventing Falls and Harm from Falls in Older People for Community, Hospital and Residential Aged Care Settings for the Australian Commission on Safety and Quality in Health Care (ACSQHC). The guidelines are designed for health professionals providing care in Australian community settings and offer a nationally consistent approach to preventing falls based on best practice recommendations. They have been developed drawing on: a search of the most recent literature for each risk factor or intervention, the most recent Cochrane reviews of fall prevention interventions in the Community, Hospital and Residential Aged Care Settings, the 2022 World Falls Guidelines, and feedback from health professionals, policy staff and clinical advice from the expert advisory group. This presentation will provide an overview of the guidelines and their key recommendations.
Dr Hannah Seymour
Dr Hannah Seymour
Medical Lead, Electronic Medical Record (EMR) Program Team, Department of Health, Perth, Western Australia
Bio: Dr Hannah Seymour is the Medical Lead of the Electronic Medical Record Program Team, as well as a Consultant Geriatrician at the Fiona Stanley Fremantle Hospitals Group. Hannah has worked in Acute Orthogeriatrics at Fiona Stanley Hospital since 2015 where she shares the care of older people with orthopaedic surgeons. Hannah is passionate about using data to improve the care of older people with fractures across the world by working on the Steering Committee of the ANZ Hip Fracture Registry and as Past President of the Fragility Fracture Network. She has presented internationally on the care of older people with fractures. Hannah has held a number of leadership positions in Western Australia including the Falls and Aged Care Lead in the Department of Health, Leadership of the Four Hour Rule Program at Royal Perth Hospital and Clinical Commissioning Lead and Medical Director at Fiona Stanley Fremantle Hospitals Group. Most recently she was Clinical Nominee on the Sustainable Health Review which was published in April 2019. Dr Seymour has been involved in ICT in WA since 2009 when her first ICT project was developing QoCR (Quality of Care Registry) for collecting hip fracture clinical care standards. Hannah became responsible for a number of Clinical Systems at the commissioning of FSH. These included NaCs, iCm and BOSSnet. Since FSH opened Hannah has been the Lead for ICT at FSH and then SMHS and Chair of the BOSSnet Business User Group. During the last five years there have been many incremental improvements which have delivered significant improvements in the way ICT functions at FSFHG. Hannah does not consider herself an ICT expert and finds Enterprise Architecture rather dull – she has however learnt how to interface between “techies” and clinicians and is excited to deliver ICT benefits to the entire WA Health System in this role.
Presentation Title: How can technology help us in caring for older people at risk of falls and fractures?
Abstract: Information drives improvement. In caring for frail older people with falls how can we use structured routine, clinical information to improve care? Using hip fracture as an example, Hannah will discuss how high quality clinical care standards, structured data and published outcomes have improved the quality of care for older people who fall and fracture their hip. Hip fractures are easy to count – in most developed countries they all present to hospital. The population of people who fracture their hip is comparable between sites allowing valid comparisons of processes and outcomes. The clinical care standards defined in Australia are simple, clear and measurable. Technology such as Electronic Medical Record should enable streamlined collections of a well defined dataset. This data can then be presented back to clinical teams in easily understandable dashboards to enable continuous improvement. But can technology help with retuning people to independence and preventing falls and fractures? Automated intelligence and empowering teams using technology has been proven to reduce hip fractures in the most advanced systems around the world. How do we translate these to exiting systems to ensure they develop to maximise health outcomes for our community.