Forum Final Program - Falls Prevention Network

NSW FALLS PREVENTION NETWORK FORUM
PROGRAM
Friday 22 May 2015
Wesley Conference Centre
KEY FOCUS
Person-centred care
PLENARY SESSIONS
Wesley Theatre
CONCURRENT SESSIONS
Acute/Subacute Care - Smith Room
Community Care - Wesley Theatre
Residential Aged Care - The Lyceum
NSW FALLS PREVENTION NETWORK
The NSW Falls Prevention Network has existed since 1993.
Purpose
The purpose of the NSW Falls Prevention Network is to:
1. Support networking of people and organisations working to prevent falls and harm from falls among
older people in NSW (for example, health professionals, government, community and residential aged
care providers, non-government organisations and researchers).
2. Support sharing of falls prevention resources and initiatives developed by Network members and
exploration of opportunities to undertake collaborative projects and/or combine resources in joint
initiatives.
3. Support access to and dissemination of information on local and international falls prevention research
findings, policy and practice initiatives, tools and resources.
4. Support the communication and implementation of the NSW Ministry of Health Falls Prevention
Policy through Network activities.
5. Ensure the Network remains valued, respected and responsive to the needs of current and potential
members and key stakeholders.
6. Promote prevention of falls among older people as a key health issue.
Goals
• Contribute towards falls prevention and reduction in the incidence of preventable falls injuries among
older people across New South Wales.
• Support consultation, cooperation and liaison between services, facilities and all key stakeholders.
• Support key falls prevention priorities for NSW and provide information and resources to support
strategies for implementation.
• Promote and disseminate research activities in relation to falls injury prevention.
Plenary Presentations at this forum will be filmed and a CD produced. This will be distributed following
the forum, and you will be notified by the NSW Falls Prevention Network website and email list.
fallsnetwork.neura.edu.au
Exhibitors
2 NSW Falls Prevention Network Forum
NSW FALLS PREVENTION NETWORK FORUM
Friday 22 May
Wesley Conference Centre
PROGRAM
8.30 am
REGISTRATION/ARRIVAL TEA/COFFEE
9.00 am
OPENING SESSION
Chairperson: Dr Jo Mitchell, Executive Director, Centre for Population Health,
NSW Ministry of Health
WELCOME TO COUNTRY
Uncle Chicka Madden, Gadigal Elder, Cultural Representative, Metropolitan Local Aboriginal
Land Council
9.20 am
OPENING
Dr Nigel Lyons, A/Chief Executive, Clinical Excellence Commission and Chief Executive,
Agency for Clinical Innovation
9.30 am - 10.30 am
PLENARY SESSION 1
Chairperson: Professor Rebecca Ivers, Director, Injury Division, The George Institute for Global
Health
9.30 am
Pam Albany Guest Lecture
10 years on - NSW Falls Prevention Program
Ms Lorraine Lovitt, Leader, NSW Falls Prevention Program, Clinical Excellence Commission (CEC)
10.00 am
Falls Prevention research update – remote sensing with new technologies, the roles of depression,
poor nutrition and every-day dual tasking in increasing fall risk, and new exercise interventions
Professor Stephen Lord, Senior Principal Research Fellow, Falls and Balance Research Group,
Neuroscience Research Australia (NeuRA)
10.30 am
MORNING TEA AND TRADE EXHIBITS
11.00 am - 12.50 pm
PLENARY SESSION 2
Chairperson: Ms Lorraine Lovitt, Leader, NSW Falls Prevention Program, CEC
11.00 am
Providing patients with individualised education can reduce falls and injurious falls
Dr Anne-Marie Hill, Research Fellow, School of Physiotherapy and Institute for Health Research,
The University of Notre Dame Australia, Fremantle, WA
11.30 am
The Iron Bark Project: Falls prevention in older Aboriginal people in NSW
Professor Rebecca Ivers, Director, Injury Division, The George Institute for Global Health
11.55 am
Engaging community dwelling older adults in ongoing exercise programs
Mr Nathan Hall, Service Manager, Centre for Healthy Ageing, Uniting Care Ageing NSW/ACT
12.20 pm
Patients as active partners in their health care
Ms Lucy Thompson, Manager, Patient Experience and Consumer Engagement (PEACE),
Agency for Clinical Innovation (ACI)
12.50 pm
LUNCH AND TRADE EXHIBITS
NSW Falls Prevention Network Forum 3
1.40 pm 3.00 pm
CONCURRENT SESSIONS
1.40 pm
A. ACUTE/SUBACUTE CARE
SMITH ROOM
B. COMMUNITY CARE
WESLEY THEATRE
C. RESIDENTIAL AGED CARE
THE LYCEUM
Chairperson: Mr Nazmul Ahasan, Chairperson: Ms Patsy Bourke, Falls
Falls Prevention Coordinator,
Injury Prevention Coordinator,
Murrumbidgee LHD
Hunter New England LHD
Chairperson: Ms Shelley Moor,
Falls Prevention Coordinator,
Western NSW LHD & Far West
LHD
1.40 pm
Care of Confused Hospitalised
Older Persons Program (CHOPs)
Ms Anthea Temple, Project Officer,
Aged Health Network, Agency for
Clinical Innovation
Partnerships in reaching older people
Ms Trish Nove, Senior Population
Health Officer, Western Sydney LHD
Montessori - Spaced Retrieval
Ms Sharon Butler, Better Balance
Leader, Anglican Retirement Villages
(ARV)
1.55 pm
Individual Patient Specials
Ms Lorraine Lovitt, Nurses SubGroup Co-chair, Aged Health
Network ACI and Leader, NSW
Falls Prevention Program, CEC
“Stepping On” with Recovery: Falls
Prevention in Mental Health
Ms Mandy Meehan, Team Leader, Ryde
Specialist Mental Health Service for
Older People (SMHSOP)
Accreditation for aged services
provided in multipurpose services
Mr Tim O’Mahony, Senior Program
Officer, Australian Commission on
Safety and Quality in Health Care
2.10 pm
Standing balance circuit classes for
rehabilitation inpatients
Mr Daniel Treacy, Physiotherapy
Team Leader, Aged Care &
Rehabilitation, BankstownLidcombe Hospital
Falling into place
Ms Kelly Meacham, Physiotherapist,
Hastings-Macleay Transitional Aged
Care Service (TACS), Mid North Coast
LHD
Warren Multipurpose Health Service
approach to reducing falls
Ms Alison Stoker, Nursing Unit
Manager, Aged Care, Warren
Multipurpose Health Service,
Western NSW LHD
2.25 pm
Safety Huddle
Mr Brian Lane, Nursing Unit
Manager, Camden Hospital
Rehabilitation Unit, South Western
Sydney LHD
Brake the break: A Community-based
Osteoporosis Refracture Prevention
Service
Ms Lilias Nairn, Fracture Liaison
Coordinator, South Eastern Sydney
Medicare Local
Therapeutic alternatives to restraints
to reduce falls in an aged care setting
Ms Sally Crawford, Occupational
Therapist, Sir Moses Montefiore
Jewish Home
2.40 pm
Parkinson’s disease wellbeing
program: Exercise today to move
well tomorrow
Mr Jeremey Horne, Physiotherapist,
Calvary Day Rehabilitation, South
Eastern Sydney LHD
Stepping On in Rural Areas
Ms Julie Morgan & Ms Cheryl Uptin,
Lachlan Community Health, Western
NSW LHD
Discussion Time
3.00 pm 4.00 pm
CONCLUDING SESSION - Overview of new research projects, Wesley Theatre
Chairperson: Professor Stephen Lord, Senior Principal Research Fellow, Falls and Balance Research Group
(FBRG), NeuRA
3.00 pm
Preventing falls in older people following ambulance care
Ms Stefanie Mikolaizak, PhD candidate, Falls and Injury Prevention Group, NeuRA
A randomised controlled trial to treat dizziness in older people
Dr Jasmine Menant, Senior Research Officer, FBRG, NeuRA
3.25 pm
Cognitive motor training to prevent falls
Dr Daina Sturnieks, Senior Research Officer, FBRG, NeuRA
Standing Tall - a home based exercise program using iPads
Dr Kim Delbaere, Research Fellow, NeuRA
4.00 pm
CLOSE OF FORUM
4 NSW Falls Prevention Network Forum
PLENARY SPEAKER ABSTRACTS AND BIOGRAPHIES
PLENARY SESSION 1
Pam Albany Guest Lecture - this lecture honours the late Pam Albany, a passionate advocate for accident
and injury prevention in her various work roles. She was the key facilitator for promoting evidence-based
practice through the NSW Falls Policy and Falls Prevention Program and Network.
The 2015 Pam Albany Guest Lecturer is Ms Lorraine Lovitt, Leader, NSW Falls Prevention Program,
Clinical Excellence Commission
10 years on - NSW Falls Prevention Program
10 years on: what have we achieved in the NSW Falls Prevention Program over this time and where are we
heading? This presentation will reflect on the highlights and the challenges we all face – to be bold, to build on
what we have achieved and to look forward to support improvements in the care of older people.
Ms Lorraine Lovitt is the Leader of the NSW Falls Prevention Program at the Clinical Excellence
Commission. The CEC has a key role in building capacity for quality and safety improvement in health
services in NSW. Lorraine has a nursing background with considerable experience in aged care (management,
consultation and co-ordination) in both community and acute care settings.
Contact email: lorraine.lovitt@cec.health.nsw.gov.au
Professor Stephen Lord, Senior Principal Research Fellow, Falls and Balance Research Group,
Neuroscience Research Australia
Falls Prevention research update – remote sensing with new technologies, the roles of depression, poor
nutrition and every-day dual tasking in increasing fall risk, and new exercise interventions
This presentation will review recent studies on risk, fall risk factors and falls prevention. Topics from recent
studies and reviews that will be discussed will include:
• Accelerometry measures of stability and activity: value adding for fall risk assessments
• Depression and poor nutritional status: documenting their role in increasing fall risk in older people
• Smart phone use, gait stability and fall risk
• Perturbation training, evidence for “inoculating” against falls
• Maintaining fidelity when implementing fall prevention interventions
• Best-bet interventions for preventing falls based on randomised controlled trials; an update of systematic
review evidence
Professor Stephen Lord is an NHMRC Senior Principal Research Fellow in the Falls and Balance Research
Group at Neuroscience Research Australia. He has published over 300 papers in the areas of applied
physiology, instability, falls and fractures in older people and is acknowledged as a leading international
researcher in his field. His research follows two main themes: the identification of physiological risk factors
for falls and the development and evaluation of falls prevention strategies. His current projects include studies
addressing fall risk in clinical groups at high risk of falls including people with dizziness, multiple sclerosis,
Parkinson’s disease and dementia and evaluating the roles of new technologies in fall risk assessment and fall
prevention.
Contact email: s.lord@neura.edu.au
PLENARY SESSION 2
Dr Anne-Marie Hill, Research Fellow, School of Physiotherapy and Institute for Health Research,
The University of Notre Dame, Fremantle, Western Australia
Providing patients with individualised education can reduce falls and injurious falls
A recent trial was conducted to determine the effectiveness of providing individualised patient education
with staff support in addition to usual care in reducing falls when delivered embedded within the clinical
environment. A stepped-wedge, cluster randomised design was used across 8 rehabilitation units. Patients with
better levels of cognition received the individualised education from a trained health professional in addition
to usual care. Patient feedback received during education sessions was provided to unit staff. Staff received
training to enhance uptake of strategies by patients. The primary outcome measure was falls. The program
reduced falls and injuries that result from falls by over 40%.
Dr Anne-Marie Hill is a Research Fellow based in the School of Physiotherapy and Institute for Health
Research, where she is leading research investigating healthy ageing in particular falls prevention.
NSW Falls Prevention Network Forum 5
She was awarded a National Health and Medical Research Council of Australia early career fellowship
(2012-2015). Dr Hill won the Injury Control Council of WA research award for 2011 for her contribution
to community safety research in WA and has recently been awarded an NHMRC project grant as CIA to
investigate preventing falls among older people after hospital discharge.
Contact email: anne-marie.hill@nd.edu.au
Professor Rebecca Ivers, Director, Injury Division, The George Institute for Global Health
The Iron Bark Project: Fall prevention in Older Aboriginal People in NSW
Falls are the leading cause of injury-related hospitalisation for older Aboriginal people in NSW, contributing to
a significant number of deaths each year. To better understand the burden of falls and need for specific targeted
programs we examined hospitalisation and other cohort study data, investigated falls prevention programs for
older Aboriginal people in NSW via an audit of services, and conducted stakeholder interviews and yarning
circles with older community dwelling people. There were few available services, and a clear need for culturally
appropriate programs, with a preference for community based group programs embedded within existing
health services.
Professor Rebecca Ivers is the Director of the Injury Division at The George Institute for Global Health,
Professor of Public Health at the University of Sydney, epidemiology editor for the journal Injury, and
core member of the WHO injury mentoring program. She is trained in epidemiology and public health and
directs a research program with a strong focus on prevention of road injury, fall injury and injury in Aboriginal
people.
Contact email: rivers@georgeinstitute.org.au
Mr Nathan Hall, Service Manager, Centre for Healthy Ageing, Uniting Care Ageing NSW/ACT
Engaging community dwelling older adults in ongoing exercise programs
The Centre for Healthy Ageing (CHA) is an Exercise Physiology based Day Therapy Centre that aims to
improve the health, fitness and independence of clients that are 60 years and older whilst reducing the need for
high levels of care. CHA was opened in 2003 and has since grown to 2 centres with over 700 clients who attend.
CHA offers a range of individual and group based exercise programs that focus on strength and balance.
Mr Nathan Hall is an accredited Exercise Physiologist (ESSA). He has worked with Uniting Care since 2003
initially with a resident focussed program and then the expansion of the community program. In 2005, the
Centre for Healthy Ageing opened its second centre in Sydney’s Eastern Suburbs. Nathan has a keen interest in
older adult individualised exercise programs especially focusing on strength and balance.
Contact email: nhall@unitingcarenswact.org.au
Ms Lucy Thompson, Manager, Patient Experience and Consumer Engagement (PEACE), Agency for
Clinical Innovation (ACI)
Patients as active partners in their health care
The importance and value of involving the patient, carer and family in health care planning and decision
making, and providing person-centred care is recognised in the literature and international and national health
care policies. Person-centred care has been associated with benefits for patients and carers such as improved
quality of life and satisfaction with care and increased confidence managing their conditions. Clinicians
also report improved satisfaction with care and better clinical outcomes particularly for people with chronic
disease. Benefits for the system include improved follow up; fewer tests and reduced hospital re-admission rates
and length of stay. The PEACE team offers information and advice as well as a range of methods and tools that
can be used as part of standard practice, or where project specific needs exist in service redesign and quality
improvement to develop person-centred care.
Lucy Thompson is the Patient Experience and Consumer Engagement Manager at ACI. Lucy has a clinical
background in paediatric critical care nursing and was most recently the Patient and Staff Experience Manager
at ACI. Lucy held the position of Manager of Projects in the Planning Department at St Vincent’s and Mater
Health Sydney where she worked on projects that involved health services planning and the integration of
public-private care delivery models. Lucy also has extensive health care improvement experience having
worked as an Improvement Specialist at the University of Pittsburgh Medical Centre in the USA.
Contact email: Lucy.Thompson@health.nsw.gov.au
6 NSW Falls Prevention Network Forum
RESOURCES
NSW FALLS PREVENTION PROGRAM - CLINICAL EXCELLENCE COMMISSION (CEC)
Falls prevention flyers new and updated
The NSW Falls Prevention Program has recently added new flyers to its collection of falls prevention flyers
for patients and consumers. These have been adapted from material developed for the the iSolve project, an
NHMRC Partnership Project with the University of Sydney and Northern Sydney Medicare local and the NSW
Falls Prevention Program. The iSolve project builds on best evidence and an adapted primary care resource for
fall prevention developed in the United States.
The new flyers include:
• Falls Prevention - Home Safety
• Falls Prevention - Postural Hypotension
• Falls Prevention - Urge Incontinence
Several flyers have also been revised, these include:
• Falls Prevention - Eyesight
• Falls Prevention - Foot care and Footwear
• Falls Prevention - Strength and Balance Exercises
A selection of the flyers are also available in a range of community
languages including: Arabic, Chinese (Simplified), Chinese (Traditional),
Croatian, Greek Italian, Macedonian, Russian, Serbian, Spanish,
Portuguese, and Vietnamese.
Flyers in English can be ordered in Packets of 50 from Stream Solutions.
Information on ordering the flyers, or to access PDF copies of the flyers
go to:
http://www.cec.health.nsw.gov.au/programs/falls-prevention/falls-one-page-flyers
NSW Falls Prevention Network Forum 7
ACKNOWLEDGEMENTS
We would like to thank:
NSW Ministry of Health for funding the NSW Falls Prevention Network
NSW Falls Prevention Program, Clinical Excellence Commission
NSW Local Health District Falls Prevention Coordinators
Staff from the Falls and Balance Research Group, Neuroscience Research Australia (NeuRA)
Photography: Ms Jessica Lindsay
Exhibitors:
Active Mobility, Agency for Clinical Innovation, Alzheimer’s Australia NSW, Guide Dogs NSW/ACT, Invisa-Beam
International, Macular Disease Foundation Australia, Medical Industries Australia, Parkinson’s Disease Australia,
Patterson Medical, Safety and Mobility, Statina Healthcare Australia, Vision Australia, Welch Allyn
NSW Falls Prevention Network Advisory Committee 2015 membership:
Professor Stephen Lord, NHMRC Senior Principal Research Fellow, Falls & Balance Research Group, NeuRA
Dr Esther Vance, Project Officer, NSW Falls Prevention Network, NeuRA
Ms Lorraine Lovitt (chair), Leader, NSW Falls Prevention Program, Clinical Excellence Commission
Ms Ingrid Hutchinson, Project Officer, NSW Falls Prevention Program, Clinical Excellence Commission
Ms Annabel Priddis, Senior Policy Officer, Strategic & Regulatory Policy Unit, Centre for Population Health, MoH
Ms Mandy Meehan, Occupational Therapist, SMHSOP Ryde, Northern Sydney LHD
Ms Sharon Strahand, CNC Acute Care of the Elderly, Hornsby Hospital, Northern Sydney LHD
Ms Jayne James, Manager, Healthy Ageing programmes, POW Community Health, South Eastern Sydney LHD
Ms Amy Maitland, Senior Physiotherapist, PACC, Hospital in the Home, Western Sydney LHD
Ms Clare Drew, CNC, Dementia/Delirium Aged Care, Westmead Hospital, Western Sydney LHD
Dr Tai-Tak Wan, Medical Director, Ambulatory Care, Fairfield Hospital, South Western Sydney LHD
Ms Regina McDonald, Area CNC, SMHSOP, South Western Sydney & Sydney LHDs
Ms Kim Maddock, Acting Nurse Manager, Chronic & Aged Care, Nepean Hospital, Nepean Blue Mountains LHD
Ms Judy Coates, Senior Physiotherapist, HACC & Disabilities, Hunter New England LHD
Ms Kelly Meacham, Physiotherapist, Port Macquarie Community Health Centre, Mid North Coast LHD
Ms Natalie McDermott, Health Promotion Officer, Wagga Wagga Community Health, Murrumbidgee LHD
Mr Kelvin Chan, Deputy Director, Pharmacy, Dubbo Base Hospital, Western NSW LHD
Ms Alison Stoker, NUM, Aged Care Warren MPHS, Western NSW LHD
Ms Kathryn Wallace, CNE, Broken Hill Hospital, Far West LHD
Ms Anthea Temple, Project Officer, Aged Health Network, Agency for Clinical Innovation
Mr Peter Cribbs, Extended Care Paramedic Educator, NSW Ambulance
A/Professor Colleen Canning, Researcher, Faculty of Health Sciences, The University of Sydney
Ms Sharon Butler, Physiotherapist & Leader, Better Balance Program, Anglican Retirement Villages
Ms Amanda Doring, Heartmoves National Training Coordinator, YMCA Australia
Ms Barbara Ward, President, SHARE
fallsnetwork.neura.edu.au
Falls Prevention®
is everyone’s business