PA005 Healthcare Program/Policy Evaluation

Student Name

Western Governors University

D025 Essentials of Advanced Nursing Roles and Interprofessional Practice

Prof. Name:

Date

Healthcare Program/Policy Evaluation: Falls and Incident/Accident Reporting at Crestpark Nursing Home, LLC, Spring of 2021

Description

Falls and incidents are common challenges within nursing home environments, yet healthcare professionals bear the responsibility of minimizing these events to protect residents. Preventing falls is especially important given the high incidence of injuries that often accompany them. This evaluation investigates the effectiveness of the fall prevention strategies and incident/accident reporting policies implemented at Crestpark Nursing Home, LLC, during the spring of 2021.

What are the Healthcare Program/Policy Outcomes?

The main objectives of the fall prevention and incident/accident reporting policies are twofold: to reduce the number of falls and to minimize injuries related to these falls. Since residents in long-term care facilities typically experience age-related physical decline, falls are frequent. Therefore, each incident is carefully reviewed by a multidisciplinary team to identify underlying causes and develop tailored preventative interventions for future risk reduction.

How is the Success of the Healthcare Program/Policy Measured?

The success of the policies is monitored through regularly scheduled Quality Improvement (QI) meetings that involve healthcare professionals from multiple disciplines within the facility. These meetings analyze both individual fall cases and overall trends. Additionally, feedback is gathered from staff, residents, and their families. The program is considered successful when there is a significant reduction or sustained low rate of falls.

Who are the People Reached by This Evaluation?

The evaluation impacted approximately 300 individuals, including residents, staff members, and family members. Policy revisions driven by the evaluation aim to improve the quality of care and incorporate the perspectives of families to ensure a holistic approach to resident safety.

When was the Evaluation Conducted?

Quarterly evaluations and QI meetings are a standard practice at Crestpark Nursing Home, LLC. The evaluation in March 2021 was particularly notable as it was the first such meeting in almost seven months, a gap largely due to disruptions caused by the COVID-19 pandemic. Additional assessments are conducted as necessary.

What Data Sources Were Used?

The evaluation relied on comprehensive data, including incident and accident reports, resident medical charts, hospital records, and imaging reports. This broad range of sources allowed for a thorough understanding of each fall and the circumstances surrounding it.

What are the Potential Benefits and Unintended Consequences of the Evaluation?

One key benefit identified was the policy’s requirement for immediate notification of falls to designated personnel. This protocol improved support for less experienced nurses and ensured rapid assessment and care for residents following falls. However, some unintended consequences emerged, such as feelings of inadequacy among experienced nurses. These concerns were mitigated through team discussions emphasizing collaborative problem-solving and professional support.

Who are the Stakeholders Involved in the Evaluation?

The evaluation engaged a diverse group of stakeholders, including residents, their families, nursing staff, administrative personnel, and social workers. Among these groups, residents are the primary beneficiaries, as the policies are designed to enhance their safety and overall well-being.

How Successful Was the Evaluation?

The evaluation demonstrated positive outcomes, including a noticeable reduction in the number of falls and improvements in residents’ mobility and independence. These results support the effectiveness of the current fall prevention and incident reporting policies. Ongoing evaluation and policy refinement are planned to sustain and improve these safety measures.

What Recommendations Were Made Regarding the Policy?

Based on the evaluation findings, it is recommended that the current policies continue. Their positive impact on resident safety and reduction of fall incidents justifies ongoing use. Additionally, the policies should be refined as needed based on future evaluations and stakeholder feedback to adapt to changing needs.