### Measurement Plan

A suite of core improvement measures has been developed to support Partnerships, services and teams to track their progress in implementing the Framework for Action. These core measures aim to help service providers understand their local systems and the steps required to improve processes, effectiveness and outcomes of care and support.

Measurement is an essential component of quality improvement. The Framework for Action improvement measures have been designed to focus attention at key points along the Up and About pathway. Both outcome and process measures have been developed and are ready to be tested further. In the longer term, a suitable suite of measures need to be fully integrated into local service improvement work and contribute to wider performance management and reporting.

**Measurement plan**

**Process measures (local data)** |

**ID** | **Measure name** | **Count **
Operational definition | **% of all people presenting or attending following a fall. **
Operational definition | **Rate per 1000 population aged 65+ **
Operational definition |

P1 | Level 1 conversations completed | **The sample:** all people who have had a level 1 conversation completed (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. | **The sample:** all people presenting/attending following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people in the sample. **Determine the numerator:** the total number of people in the sample who had a level 1 conversation completed. Calculate the percentage by dividing the numerator by the denominator and then multiplying the result by 100. | **The sample:** all people who have had a level 1 conversation completed (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65+ in the local population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. |

P2 | Referrals made for level 2 screen | **The sample:** all people who have been referred for level 2 screen. (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. | **The sample:** all people presenting/attending following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people in the sample. **Determine the numerator:** the total number of people in the sample who were referred for level 2 screen. Calculate the percentage by dividing the numerator by the denominator and then multiplying the result by 100. | **The sample:** all people who have had a referral made for level 2 screen. (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65+ in the local population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. |

P3 | Level 2 screens completed | **The sample:** all people who have had a level 2 screen completed (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. | **The sample:** all people presenting/attending following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people in the sample. **Determine the numerator:** the total number of people in the sample who had a level 2 screen completed. Calculate the percentage by dividing the numerator by the denominator and then multiplying the result by 100. | **The sample:** all people who have had level 2 screen completed (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65+ in the local population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. |

P4 | Individualised Falls and Fracture Prevention Action Plans agreed. | **The sample:** all people who have had an individualised Falls and Fracture Prevention Action Plan agreed (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. The total number of patients/clients in the sample with whom an individualised Falls and Fracture Prevention Action Plan was agreed (as defined in the FfA) the sample referred for level 2 screen. | **The sample:** all people presenting/attending following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people in the sample. **Determine the numerator:** the total number of people in the sample who had an individualised Falls and Fracture Prevention Action Plan agreed. Calculate the percentage by dividing the numerator by the denominator and then multiplying the result by 100. | **The sample:** all people who have had an individualised Falls and Fracture Prevention Action Plan agreed (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65+ in the local population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. |

**Outcome measures (national, NHS board area and CH(C)P level)** |

**ID** | **Measure name** | **Count **
Operational definition | **% of all people presenting or attending following a fall. **
Operational definition | **Rate per 1000 population aged 65+ **
Operational definition |

O1 | Conveyances to hospital by the Scottish Ambulance Service (SAS) following a fall (people aged 65-74, 75-84, 85+). | **The sample:** all people aged 65-74, 75-84, 85+ conveyed to hospital by the SAS following a fall (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. Data source: Data Warehouse (SAS) | **The sample:** all people aged 65-74, 75-84, 85+ presenting to the SAS following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people in the sample. **Determine the numerator:** the total number of people in the sample who were conveyed to hospital by the SAS. Calculate the percentage by dividing the numerator by the denominator and then multiplying the result by 100. Data source: Data Warehouse (SAS) | **The sample:** all people 65-74, 75-84, 85+ conveyed to hospital by the SAS following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65+ in the population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. Data source: Data Warehouse (SAS) |

O2 | Emergency admissions following a fall (people aged 65-74, 75-84, 85+). | **The sample:** all people aged 65-74, 75-84, 85+ with an emergency admission to hospital following a fall (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. Data source: SMR01 (ISD) | | **The sample:** all people aged 65-74, 75-84, 85+ with an emergency admission to hospital following a fall (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65-74, 75-84, 85+ in the population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. Data source: SMR01 (ISD) |

O3 | Admissions with a hip fracture (people aged 65-74, 75-84, 85+). | **The sample:** all people aged 65-74, 75-84, 85+ with an emergency admission to hospital with a hip fracture (in the measurement period). **Calculating the measurement:** **Count** the number of people in the sample. Data source: SMR01 (ISD) | | **The sample:** all people aged 65-74, 75-84, 85+with an emergency admission to hospital with a hip fracture (in the measurement period). **Calculating the measurement:** **Determine the denominator:** the number of people aged 65-74, 75-84, 85+ in the local population. **Determine the numerator:** the number of people in the sample. Calculate the rate by dividing the numerator by the denominator and then multiplying the result by 1000. Data source: SMR01 (ISD) |