state coalitions: making connections, building momentum€¦ · build & leverage fp network...
TRANSCRIPT
State Coalitions: Making Connections, Building Momentum
E Schneider, ML Smith, MG Ory, M Altpeter,
S Bomberger, & TE Shubert
April 2015
Objectives
• Understand the composition and strategic goals of State Fall Prevention Coalitions (SFPC)
• Discuss SFPC barriers and facilitators to achieving strategic goals
• Understand characteristics of effective coalitions
• Discuss lessons learned in advancing falls prevention systems change
• Identify resources for SFPC
State Fall Prevention Coalition Survey Background
• Conducted in Winter, 2013 & 2014—63 items
• Sent to state falls prevention coalition leads
– 34 states had active falls prevention coalitions and completed the survey (2013)
– 37 states had active falls prevention coalitions and completed the survey (2014)
• 8 strategy goal areas
Hawaii
AK
MT
ID
WA
CO
WY
NV
CA
NM AZ
MN
KS
TX
IA
WI
IL
KY
TN
IN OH
MI
AL MS
AR
LA
GA
FL
SC
WV VA
NC
PA
VT
RI
ME
NH OR
SD
ND
MO
OK
NE
NY
CT
MA
NJ
MD
DE
Fall Prevention Coalition Map, 2013
Color Legend
FP Coalition
Inactive FP
Coalition No FP
Coalition
Hawaii
AK
MT
ID
WA
CO
WY
NV
CA
NM AZ
MN
KS
TX
IA
WI
IL
KY
TN
IN OH
MI
AL MS
AR
LA
GA
FL
SC
WV VA
NC
PA
VT
RI
ME
NH OR
SD
ND
MO
OK
NE
NY
CT
MA
NJ
MD
DE
Fall Prevention Coalition Map, 2014
Color Legend
FP Coalition
Inactive FP
Coalition No FP
Coalition
Hawaii
AK
MT
ID
WA
CO
WY
NV
CA
NM AZ
MN
KS
TX
IA
WI
IL
KY
TN
IN OH
MI
AL MS
AR
LA
GA
FL
SC
WV VA
NC
PA
VT
RI
ME
NH OR
SD
ND
MO
OK
NE
NY
CT
MA
NJ
MD
DE
Fall Prevention Coalition Map, 2015
Color Legend
FP Coalition
Inactive FP
Coalition No FP
Coalition
Coalition Sectors Represented (% of coalitions with representation), 2014
• State PH Dept.: 86%
• Hospitals: 84%
• Area Agencies on Aging: 85%
• State Unit on Aging: 70%
• Academia: 59%
• Local/County PH: 74%
• Trauma Centers: 62%
• Home Health: 57%
• Other Aging Agencies: 54%
• EMS: 41%
• Other: 41%
• Long Term Care: 41%
• Brain Injury Organizations: 30%
• Rec Facilities: 27%
• Reps from physician organizations: 27%
• Reps from allied health orgs: 59%
• Healthcare/liability insurance: 19%
State Strategy Goals—Actively Working On, Planning to Work On 2013 and 2014
2013: N=34
1. Increase awareness (34)
2. Increase programs (33)
3. Build & leverage FP network (33)
4. Increase provider participation (33)
5. Increase funding (32)
6. Improve FP where OA reside (30)
7. Conduct evaluation (30)
8. Improve data collection (27)
2014=37
1. Increase awareness (36)
2. Increase programs (36)
3. Build & leverage FP network (35)
4. Increase provider participation (34)
5. Increase funding (33)
6. Conduct evaluation (32)
7. Improve FP where OA reside (31)
8. Improve data collection (28)
Coalition Successes
“The falls screening rate in the state is high based on survey results. The number of evidence-based falls risk reduction
community programs is going up as are number of participants. Falls surveillance has increased. Falls now has an evaluation plan. Falls is in the state health improvement
plan as a priority.”
--State Fall Prevention Coalition Lead
“Successfully advocated for a bill which was signed into law establishing a statewide fall risk awareness and prevention
program with recurring annual budget appropriated to DOH Office of Injury Prevention.”
--State Fall Prevention Coalition Lead
Top 3 Facilitators and Barriers--2014
Facilitators
• Active support from Coalition leaders
• Actions of an internal or key leaders
• Coalition partners provide in-kind or other support
Barriers
• Obtaining funding—external
• Obtaining funding—Coalition members
• No capacity from Coalition members to support work
Characteristics of Effective Coalitions
Lessons Learned in Advancing Falls Prevention Systems Change
• Identify incentives and motivators
• Take time to build trust
• Engage current partners to reach new partners
• Ask partners to create their own sustainability plans
• Make falls prevention a priority in state level plans
National Falls Prevention Resource Center
• Falls Free® Fact Sheets
• Falls Prevention Awareness Day Resources
• State Coalition Map (with contacts)
• A Practical Guide to State Coalition Building
• State Policy Toolkit for Advancing Fall Prevention
• Evaluation Guidelines to Measure the Impact of State and Local Coalitions on Fall Prevention
• And more!
http://www.ncoa.org/improve-health/center-for-healthy-aging/falls-prevention/
