12 May 2017 | Reducing Harm from Falls
This is an excerpt from Falling costs: the case for investment. The full report can be found by clicking here.
The biggest opportunities for cost savings occur in community living older people where the major cost drivers are hospital and aged care facility admissions.
The aim is to invest in health care services that incorporate the strategies proven to be effective and cost-effective in reducing these common events. Three falls prevention programmes have been shown to be cost saving to the health system in the first year of delivery and several others show good value for money.
Return on investment has been estimated for several programmes delivered to specific subgroups and this ranges from 1.0 to 7.0 (Table 5).
This means that for every $100,000 invested by a district health board, the investment will be cost neutral or there could be up to $700,000 available within one year to allocate to other effective and worthwhile budget items.
Estimations for reduction in hospital admissions for these programmes range from 0.5 percent to 10.0 percent.
|Intervention||Target group||Reduction in number of falls||Cost per client (NZ$2008)||Return on investment||Reduction in hospital admissions*|
|Otago exercise programme||Community dwelling aged >80 years||30%||$213-$549||1.9||10.0|
|Vitamin D supplements||Aged care facility residents||37%||Minimal||7.0**||Not available|
|Home safety and modification by OT||On discharge from hospital to community, previous faller aged >65 years||36%||$251-$369||Not available||4.7%|
|Tai Chi classes||Community dwelling aged >70 years||28%||$303-$373||1.6||0.5%|
|Multifactorial interventions||Aged >65 years presenting to ED after a fall||59%||$1870||1.0||2.0%|
|Stepping On||Community dwelling aged >70 years with fall in previous year||31%||$885||1.0||Not available|
* "Reduction in fall related hospital admissions for community dwelling 65+ years ($)"
** ACC perspective only (personal communication, August 2012)
OT = occupational therapist