TABLE 1. Patient Characteristics for Intervention and Standard-of-Care Groups by Clinic to Decrease Falls | ||||||||
Data source: Electronic Health Record | ||||||||
Clinic A | Clinic B | |||||||
Full STEADI | PT arm | Medication Arm | Control | Full STEADI | PT arm | Medication Arm | Control | |
Characteristic | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) |
Sex | ||||||||
Female | ||||||||
Male | ||||||||
Race | ||||||||
Black | ||||||||
White | ||||||||
Asian | ||||||||
Other | ||||||||
Unknown | ||||||||
Ethnicity | ||||||||
Non-Hispanic | ||||||||
Hispanic | ||||||||
Unknown | ||||||||
Age categories | ||||||||
65-69 | ||||||||
70-74 | ||||||||
75-79 | ||||||||
80+ | ||||||||
Insurance Type | ||||||||
Private | ||||||||
Public | ||||||||
Uninsured or unknown | ||||||||
Identified as High Risk | ||||||||
High Risk |
TABLE 2. Selected Process Measures for STEADI Control and Treatment Goups across 2 Clinical Implementation Sites | ||||||||
Data sources: Electronic Health Record, Patient Survey Information | ||||||||
Clinic A | Clinic B | |||||||
Full STEADI Arm | PT Arm | Medication Arm | Control | Full STEADI Arm | PT Arm | Medication Arm | Control | |
Screening Assesment information | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) |
STEADI Fall Risk Screener | ||||||||
Determined at Risk and Study Eligible | ||||||||
Risk Ascertainment Performed | ||||||||
Timed Up and Go Test | ||||||||
30 Second Chair Stand | ||||||||
4 Stage Balance Test | ||||||||
Visual Acuity | ||||||||
Postural dizziness/postural hypotension | ||||||||
Medication Review | ||||||||
Falls History | ||||||||
Foot and Footwear Check | ||||||||
Assessing Comorbidities | ||||||||
Home Health Hazards | ||||||||
Day of Service Interventions | ||||||||
Referral to Community Programs | ||||||||
Change in Dosage or Type of Medication | ||||||||
Referral to Physical Therapy Provider | ||||||||
Referral to Eye Health Provider | ||||||||
Referral/Same Day Management of Hypotension | ||||||||
Referral/Same Day Management of Foot and Footware Problems | ||||||||
Patient Self Reported Process Indicators | ||||||||
Patient accessed community based services | ||||||||
Patient changed their medication | ||||||||
Patient visited a physical therapist | ||||||||
Patient visited an eye health provider | ||||||||
Patient reported improvements in hypotension | ||||||||
Patient reported new footware and or foot health | ||||||||
Patient reported modifications of their home | ||||||||
Clinically observed Process Indicators | ||||||||
Elimination of bezodiazapine prescription | ||||||||
Elimination of opiod prescription | ||||||||
Reduced dosage of benzodiazapine, opioid, or both | ||||||||
Other medication modification | ||||||||
Observed physical therapist visit | ||||||||
Observed eye health provider visit | ||||||||
Clinically documented improvement in hypotension |
TABLE 3. Estimated Adjusted Risk Ratio and 95% Confidence Interval of Risk of Falls Compared With Standard-of-Care Testing by intervention type and Patient Characteristics | |||
Data sources: Electronic Health Record, patient survey information on falls | |||
Full STEADI Arm | PT Arm | Medication Arm | |
Testing group | ARR (95% CI) | ARR (95% CI) | ARR (95% CI) |
Control | Reference | Reference | Reference |
Treatment | |||
Patient characteristics | |||
Sex | |||
Female | |||
Male | |||
Race | |||
Black | |||
White | |||
Asian | |||
Other | |||
Unknown | |||
Ethnicity | |||
Non-Hispanic | |||
Hispanic | |||
Unknown | |||
Median household income of ZIP code of residence* | |||
<$30,000 | |||
$30,000-$49,999 | |||
$50,000-$69,999 | |||
$70,000-$99,999 | |||
>=$100,000 | |||
Unknown | |||
Age categories | |||
65-69 | |||
70-74 | |||
75-79 | |||
80-84 | |||
85-89 | |||
90+ | |||
Insurance Type | |||
Private | |||
Public | |||
Uninsured or unknown | |||
ARR=Adjusted Risk Ratio |
TABLE 4. Estimated Adjusted Risk Ratio and 95% Confidence Interval of Risk of Falls for Patients Within the Intervention Group | |||
Data source: Statistical analyses on information reported in Tables 1 and 2 | |||
Full STEADI | PT Arm | Medication Arm | |
Patient characteristics | ARR (95% CI) | ARR (95% CI) | ARR (95% CI) |
Sex | |||
Female | Reference | Reference | Reference |
Male | |||
Race | |||
Black | |||
White | Reference | Reference | Reference |
Asian | |||
Other | |||
Unknown | |||
Ethnicity | |||
Non-Hispanic | Reference | Reference | Reference |
Hispanic | |||
Unknown | |||
Median household income of ZIP code of residence* | |||
<$30,000 | |||
$30,000-$49,999 | |||
$50,000-$69,999 | Reference | Reference | Reference |
$70,000-$99,999 | |||
>=$100,000 | |||
Unknown | |||
Age categories | |||
65-69 | |||
70-74 | |||
75-79 | |||
80-84 | |||
85-89 | |||
90+ | |||
Insurance Type | |||
Private | Reference | Reference | Reference |
Public | |||
Uninsured or unknown | |||
ARR=Adjusted Risk Ratio |
TABLE 5. Number of Patients, and Number of Patients Who Fell | ||||||
Data sources: Electronic Health Record, Patient Survey | ||||||
Patients Screened | Patients at High Risk | Patients Who Received at Least One Risk Modification | Patients Who Complied with at Least One Risk Modification | Patients who fell | Total Falls | |
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
Study Arm | ||||||
Full STEADI | ||||||
Treatment | ||||||
PT Arm | ||||||
Medication Arm | ||||||
Control |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |