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7/27/2019 FALLS-HC_5_Percentage With Documented Falls Prevention or Injury Reduction Plan
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Apr
2008
Jun
2008
Aug
2008
Oct
2008
Dec
2008
Feb
2009
Apr
2009
Jun
2009
Aug
2009
Oct
2009
Dec
2009
Feb
2010
Apr
2010
Jun
2010
Aug
2010
Oct
2010
Dec
2010
Feb
2011
Apr
2011
Jun
2011
Aug
2011
Oct
2011
Dec
2011
PercentagewithImplementedFallsPrevention/InjuryR
eduction
Month
Falls 5 - Percentage of "At Risk" Clients with a Documented Falls
Prevention/Injury Reduction Plan
Actual Goal
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A r Ma Jun Jul Au
Calculation of Denominator5.1
Calculation of Numerator
5.2
5.3
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0
100% 100% 100% 100% 100%
Data Collection Details
What is the total number of clients in #5.1 with a
documented "Falls Prevention and/or Injury Reduction
Plan" for this reporting period (month or quarter)?
GOAL*:
Percentage of "At Risk" clients with a documented Fall
Prevention or Injury Reduction Plan. Divide # 5.2 by #
5.1. Multiply by 100.
What is the total number of current clients identified as
"At Risk" on a Falls Risk Screening for this reporting
period (month or quarter)?
Health Region
Facility Name
Sample (Describe the source ofthe sample population e.g. >65
years old, all clients within the
agency)
Team #
Goal
Falls-HC 5 - Percentage of "At Risk" Clients with a Documented Falls Prevention/Inj
Measurement Worksheet
Prevention of falls and injury from falls in Home Care
Prevention of falls and injury from falls in Home Care
The percentage of clients for whom a Falls Risk Screening has identified them
Falls Prevention and/or Injury Reduction Plan has been documented. Report depending on client volume. A "Fall" is defined as an event that results in a pe
the ground or floor or other lower level with or without injury.
100%
Definition
Intervention
2008
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Data Year Data Month Completed By Email Phone Number
2008 Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
2009 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
2010 Jan
Feb
Mar
Apr
May
JunJul
Aug
Sept
Oct
Nov
7/27/2019 FALLS-HC_5_Percentage With Documented Falls Prevention or Injury Reduction Plan
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Dec
2011 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
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Date of Submission (dd/mm/yyyy)
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