The Prevention and Management of Falls in the Community: A Framework for Action for Scotland 2014/2015
The Framework builds on the model presented in the Up and About resource, and focuses on falls prevention and management and fracture prevention for older people living in the community. The Framework is underpinned by evidence from research and draws on knowledge and experience gained by the falls prevention community in Scotland over the last four years.
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 will help service providers to 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 included. They should be fully integrated into local service improvement work and will contribute to the wider performance management and reporting.
Measurement plan
Process measures (local data) 


ID 
Measure name 
Count 
% of all people presenting or attending following a fall. 
Rate per 1000 population aged 65+ 
P1 
Level 1 assessments completed 
The sample: all people who have had a L1 assessment 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 L1 assessment 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 L1 assessment 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 L2 assessment 
The sample: all people who have been referred for L2 assessment. (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 L2 assessment. 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 L2 assessment. (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 assessments completed 
The sample: all people who have had a L2 assessment 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 L2 assessment 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 L2 assessment 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 management plans agreed. 
The sample: all people who have had an individualised management 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 individualized management plan was agreed (as defined in the FfA) the sample referred for L2 assessment. 
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 measurement 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 individualized measurement 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 
% of all people conveyed following a fall 
Rate per 1000 population aged 65+ 
O1 
Conveyances to hospital by the Scottish Ambulance Service (SAS) following a fall (people aged 6574, 7584, 85+). 
The sample: all people aged 6574, 7584, 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 6574, 7584, 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 6574, 7584, 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 6574, 7584, 85+). 
The sample: all people aged 6574, 7584, 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 6574, 7584, 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 6574, 7584, 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 6574, 7584, 85+). 
The sample: all people aged 6574, 7584, 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 6574, 7584, 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 6574, 7584, 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) 
Contact
Email: Julie Townsend
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