A risk management program is a necessary component of any system within healthcare. This paper discusses a strategy for preventing falls in the elderly. This problem has many criteria, so a well-developed program is needed to solve it. This paper aims to summarize the plan and analysis of a risk management program for a group of administrative staff in a public health organization. The program is applied to the Centers for Disease Control and Prevention.
The Summary Program Plan
The program consists of several stages, which meet Medicare Improvements for Patients and Providers (MIPPA) requirements. First of all, it is necessary to review and assess the leading risk group in the older community. The next step involves the classification of the main types of falls and their consequences. The third stage includes assessing the risk and causes of falls, and a plan to control the actions. The next step is to assess the severity of the risk. The fifth and final step entails applying effective measures as analyzed in the previous steps.
At the administrative level, the program also seeks to improve society’s life, particularly the part of it that is most at risk. This program uses Total Quality Management (TQM) to reduce material costs and improve efficiency by involving all employees. Since the program aims to prevent falls, that is, preventing the problem, one of the solutions is health education. Naturally, at each stage of the development of the program and after its launch, control and evaluation of the impact and results are necessary. Based on the data obtained, it is planned to improve strategies, develop a plan, and fill in the gaps.
The Role of the Accreditation Body
The IAC (the Intersocietal Accreditation Commission) is a non-profit, nationally recognized accreditation organization founded by medical professionals to improve the appropriate use, standardization, and quality of diagnostic imaging and intervention-based procedures (IAC – Company Mission). Compared to other MIPPA-approved organizations, the IAC provides accreditation programs related to diagnosing diseases leading to falls (Khanuja et al., 2018). All programs are designed for comprehensive and high-quality patient care, which reduces the possible number of risks and pursues the goal of this program.
The high-quality approach and almost 30-year history of the IAC confirm that with the accreditation of this non-profit company, this program will receive due quality control and expert assessment at the stages of its work. In addition, IAC works with the latest technology, which in cooperation enables continuous development in innovation. The current scientific literature on the prevention of falls among the elderly cites technology as one of the possible solutions to the problem (Sarmiento & Lee, 2017), citing robotics and smartphone technologies as an example (Khanuja et al., 2018). Therefore, it is possible to mitigate risks as both programs are committed to preventing falls and improving society.
The Role of the Administrative Personnel
First of all, the administrative staff is responsible for overseeing the implementation of all phases of the program. Quality control is delegated to the accrediting organization and is determined by its audits and evaluations. The actions of the administrative staff also dictate the continuous development of the program. It means that the strategy for improving the program to prevent falls in the elderly is as paramount as fulfilling the original plan. Risk management is carried out not only through development and control activities but also through the educational function of the administrative staff. Leaders are responsible for developing a health education plan and finding other methods and techniques to prevent the problem and reduce risks. These include introducing a set of exercises for the elderly and multifactorial intervention (Cheng et al., 2018), and yoga and tai chi techniques (Khanuja et al., 2018). These activities aim to improve the quality of life of patients by health care ethics.
Higher-level administrative personnel is responsible for resolving the company’s direct responsibilities and many other organizational issues. It includes getting accredited, seeking funding for projects and staff, and continuously improving communication channels for citizens, in particular the elderly. One of the main tasks of the US Centers for Disease Control and Prevention is precisely the delivery of information to people and patients, which in general does not contradict the basis of this program. Moreover, it is necessary to constantly monitor the awareness of the employees themselves for a deep understanding of the common goal by each representative of the organization to apply the method of total quality improvement.
Compliance with Ethical Standards
MIPPA is committed not only to improving public health but also to preserving patient privacy. Its endorsed non-profit organization, IAC, follows the same ethical guidelines set forth by MIPPA. Consequently, accrediting body control includes patient consent and a complete understanding of their rights and responsibilities. This risk management program aims to realize the patient’s right to receive all the necessary information about the treatment and be attentive to himself. Health education is critical here, as in many healthcare settings, it is the patient’s responsibility to understand and make informed decisions. What is more, the constant expansion of the organization requires monitoring the ethics of health care, which, despite its holistic immutability, can adapt and change trends (Kerkhoff & Hanson, 2017). Finally, since the US Centers for Disease Control and Prevention play a significant role in the competence of infectious diseases and the prevention of neonatal pathology, chronological diseases, and many others, adherence to patient ethics is crucial.
Legal Obligations of Employees
The ethical standards of healthcare professionals are highly high and demanding in the United States. In this regard, the norms of behavior and attitudes towards patients are dictated by legal law. Any action or any question of a healthcare professional that may in any way affect the patient’s personal space requires permission. Therefore, implementing measures to manage the risks of preventing falls in older people requires exceptional subtlety and delicacy. The health issue is often most acute in the elderly group. As such, the health care provider must be guided by health improvement goals and the legal obligation to maintain patient confidentiality when implementing a program.
Further Quality Improvement
As noted above, advances in technology can reduce the risk of falls among older people. In this regard, it is necessary to expand the competence of administrative personnel and medical workers in technological innovation. The use of exercise techniques associated with classical medicine and, for example, with yoga also reduces the risk of falls. Consequently, the development lies in the constant search for new solutions, the assessment of innovations, and the desire to increase the quality of the program.
The program aimed at preventing falls in the elderly carries risks. The program for their reduction includes a collective and consensual set of measures in which all employees are involved – from administrative personnel to doctors. In addition to accreditation, constant quality control, evaluation of the results obtained, and the search for new solutions are required. Such events are aimed at improving the quality of life of society and the health care system.
Cheng, P., Tan, L., Ning, P., Li, L., Gao, Y., Wu, Y. & Hu, G. (2018). Comparative effectiveness of published interventions for elderly fall prevention: A systematic review and network meta-analysis. International Journal of Environmental Research and Public Health, 15(3), 498.
IAC – Company mission. (n.d.). Web.
Kerkhoff, T. R., & Hanson, S. L. (2017). Patients’ rights and responsibilities, health care reform, and telehealth: Ethical considerations. In J. W. Tsao (Eds.). Traumatic Brain Injury (pp. 725-736). CRC Press.
Khanuja, K., Joki, J., Bachmann, G., & Cuccurullo, S. (2018). Gait and balance in the aging population: Fall prevention using innovation and technology. Maturitas, 110, 51-56.
Sarmiento, K., & Lee, R. (2017). STEADI: CDC’s approach to make older adult fall prevention part of every primary care practice. Journal of Safety Research, 63, 105-109.