Background – Problems identified High mortality, morbidity and costs associated with falls amongst high care residents across 10 residential facilities with a total of 500 high care places. All of these 10 residential facilities are part of one large aged care organisation (Jurassic Aged Care). Each year, the 10 facilities have about 1,000 falls. The falls result in: ? Twenty fractured necks of femur (NoFs), 10 Colles fractures, 30 head injuries. These incidents results in o about 50 hospitalisations, and o Five residents with #NoFs died within 12 months of the injury; ? 500 hours of additional nursing and monitoring, total cost of $1 million per year. A fall prevention program Hip Fracture Prevention has been designed to reduce the morbidity, mortality and costs associated with falls Aim the program To reduce morbidity, mortality and costs associated with falls in 10 residential facilities in Jurassic Aged Care The program has two phases: o Preparation and implementationof project 12 months o Ongoing phase from 13th month onwards Phase one – The preparation and implementation of project 12 months Project Objectives 1. To increase at risk residents balance & strength by 20% within 8 months 2. To reduce falls incidence by 50% within one year 3. To reduce fractured necks of femur by 50% within one year 4. To reduce health care costs for falls by $500,000 within one year Project Strategies 1. To implement a falls risk assessment method to all 10 residential facilities within 3 months; 2. To introduce a falls monitoring system within 3 months; 3. To provide training to all staff to ensure they all have the competence in conducing falls screening and prevention within 6 months; 4. To reduce facility physical risk factors for falling within 6 months; 5. To ensure all high risk residents are allocated hip protectors within 6 months; 6. To provide regular remedial physiotherapyand strengthening programs to all residents throughout the project. Key Project Activities may include (but not limit to) ? Introduction of a Falls Risk Assessment Method (FRAMT) and Falls Register in care plan for each resident; ? Introduction of a falls monitoring system in all ten facilities; ? To train all direct care staff in falls prevention including using of FRAMT and a Falls Register; ? To appoint and train a Falls Guru for each residential site who will monitor the implementation of the project and provide support to staff; ? To provide ongoing support to staff in applying the Fall Risk Assessment Method and Falls Register in care plan for residents; ? To undertake implementation of FRAMT and subsequent identification of at risk residents and facility environmental risk factors; ? Purchase and provision of hip protectors to high-risk residents; ? Design and commence interventions such as Tai Chi and strength classes for residents. The project budget allocations for the following inputs to implement the project 1. 10 residential facilities to collaborate with appropriate staffing to implement the strategies; 2. $200,000 for staffing, development and implementation of falls risk assessment method/process & monitoring system; 3. $300,000 for staff training in falls screening and prevention ($30,000 per institution); 4. $45,000 for provision of hip protectors (for 300 residents); 5. Providing regular remedial physiotherapy and strengthening programs to all residents $10,000; 6. $50,000 for a one-off evaluation. Phase two – Ongoing program phase Main activities 1. Ongoing monitoring; 2. Training of new staff on the use of risk assessment method and risk register in care plan; 3. Hip protector checkup, maintenance and replacement; 4. Hip protectors to newly identified high risk residents; 5. Regular remedial physiotherapy and strengthening programs to all residents throughout the project. Annual budget $90,000 1. Training of new staff $30,000/year 2. Maintaining the assessment system across the organization $50,000 3. Hip protectors checkup, maintenance and replacement $10,000 4. Providing regular remedial physiotherapy and strengthening programs to all residents $10,000 Assignment requirements The assignment task is to design an appropriate evaluation for the Preparation and Implementation Project outlined above and ongoing monitoring in the first two years of the Hip Fracture Prevention Program. Your evaluation plan should be no more than 3,500 words. Students can discuss the assignments with other fellow students, however students should write up the assignment individually and independently. The evaluation plan should specify: 1. The purpose of the overall evaluationof the Preparation and Implementation Project; 2. The specific focus of the process evaluation and impact evaluation(please use the two tables provided) 3. The rationale for specific approach selected for conducting the evaluation when applicable; 4. The strategies that will be employed to control for internal and external validity; 5. Potential risks and issues of the evaluation; 6. What should be the focus of the ongoing monitoring of the program annually? You will need to provide details of types of indicators to be collected and frequency of collection. *Process and Impact evaluation tables are developed below for use Phase One Preparation and Implementation Project – Process Evaluation Table Strategies Key Activities/components to be included in process evaluation Indicators for measurement Methods for measurement (How will you collect the data) When will the information be collected? Phase One Preparation and Implementation Project – Impact Evaluation Table Objectives Indicators of achievements / Success indicators Methods for Measurements including details of data collection When should data collection and analysis take place? Final assignment must include the following in the suggested sequence: Outline of assignment Cover Page: Subject name Project Title (if applicable) Author name and student number New page (no more than one page): Brief description 1. The purpose of the overall evaluation of the Preparation and Implementation Project; 2. The specific focus of the two types of evaluation that is being conducted; (please be reminded, you are developing an evaluation for a project, so, please provide the details in the context of the project rather than repeating what the literature says what process evaluation and impact evaluation would do). New page (s): Process Evaluation Use the table provided in landscape Measurement and data collection methods need to be clearly explained, you can provide such explanations at the bottom of the table to ensure the table is neat and easy to read. New page (s): Impact Evaluation Use the table provided in landscape Measurement and data collection methods need to be clearly explained, you can provide such explanations at the bottom of the table to ensure the table is neat and easy to read. New page (s): Control of validity, potential risks and issues The strategies that will be employed to control for internal and external validity. Clearly identify each factor that may impact on the internal validity, and explain how you would control it. Clearly identify each factor that may impact on the external validity and explain how you would control it. Potential risks and issues of the evaluation; Clearly identify each risk or issue that may incur during process and impact evaluation and discuss what actions that maybe required into to addressing them. New Page (s): Ongoing monitoring Explain the focus of the ongoing monitoring of the program annually; Provide details of types of indicators to be collected and frequency of collection.
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