Falls have become a major public health concern. As the population ages, the prevalence of falls among older adults continues to increase, as does mortality and morbidity. Evidence-based assessment and intervention tools are widely available, though in practice, providers experience challenges utilizing them. Homebound older adults are at particular risk since they have mobility and transportation barriers that prevent access to community fall screening and primary care sites. This project focused on the provision of fall assessment, interventions, and coordination of fall-prevention services for community-dwelling, homebound older adults covered by a managed health plan. A standardized fall assessment and intervention pilot program using evidenced based tools was successful in reducing recurrent falls in this population by 50%. Based on the data analysis, a multidisciplinary approach with tailored care plans to mitigate recurrent falls in an older adult homebound population proved beneficial to members. The project provides a model for scalable adoption by managed care plans that coordinate care for medically complex, homebound older adults. Providing an adoptable multidisciplinary fall management model for managed care plans that coordinate members care will address the multifactorial risks and causes of falls, and tailor appropriate interventions.
","abstract_html":"<p>Falls have become a major public health concern. As the population ages, the prevalence of falls among older adults continues to increase, as does mortality and morbidity. Evidence-based assessment and intervention tools are widely available, though in practice, providers experience challenges utilizing them. Homebound older adults are at particular risk since they have mobility and transportation barriers that prevent access to community fall screening and primary care sites. This project focused on the provision of fall assessment, interventions, and coordination of fall-prevention services for community-dwelling, homebound older adults covered by a managed health plan. A standardized fall assessment and intervention pilot program using evidenced based tools was successful in reducing recurrent falls in this population by 50%. Based on the data analysis, a multidisciplinary approach with tailored care plans to mitigate recurrent falls in an older adult homebound population proved beneficial to members. The project provides a model for scalable adoption by managed care plans that coordinate care for medically complex, homebound older adults. Providing an adoptable multidisciplinary fall management model for managed care plans that coordinate members care will address the multifactorial risks and causes of falls, and tailor appropriate interventions.</p>","abstract_has_math":false,"creators":["Sylvester, Debra"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Lisa Corbett"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2021,"date_issued":"2021-01-01T08:00:00Z","date_published":"2021-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["Falls","Falls Assessment & Interventions","Geriatric population","Older Adults"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1127","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Lisa Corbett"]},{"key":"dc:creator","label":"Author","values":["Sylvester, Debra"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Falls","Falls Assessment & Interventions","Geriatric population","Older Adults"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1127"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Falls have become a major public health concern. As the population ages, the prevalence of falls among older adults continues to increase, as does mortality and morbidity. Evidence-based assessment and intervention tools are widely available, though in practice, providers experience challenges utilizing them. Homebound older adults are at particular risk since they have mobility and transportation barriers that prevent access to community fall screening and primary care sites. This project focused on the provision of fall assessment, interventions, and coordination of fall-prevention services for community-dwelling, homebound older adults covered by a managed health plan. A standardized fall assessment and intervention pilot program using evidenced based tools was successful in reducing recurrent falls in this population by 50%. Based on the data analysis, a multidisciplinary approach with tailored care plans to mitigate recurrent falls in an older adult homebound population proved beneficial to members. The project provides a model for scalable adoption by managed care plans that coordinate care for medically complex, homebound older adults. Providing an adoptable multidisciplinary fall management model for managed care plans that coordinate members care will address the multifactorial risks and causes of falls, and tailor appropriate interventions.
"]},{"key":"dc:title","label":"Title","values":["Preventing Recurrent Falls In Elderly Home Bound Health Plan Members"]}]}],"canonical_facts":{"dc:contributor":["Lisa Corbett"],"dc:creator":["Sylvester, Debra"],"dc:description.abstract":["Falls have become a major public health concern. As the population ages, the prevalence of falls among older adults continues to increase, as does mortality and morbidity. Evidence-based assessment and intervention tools are widely available, though in practice, providers experience challenges utilizing them. Homebound older adults are at particular risk since they have mobility and transportation barriers that prevent access to community fall screening and primary care sites. This project focused on the provision of fall assessment, interventions, and coordination of fall-prevention services for community-dwelling, homebound older adults covered by a managed health plan. A standardized fall assessment and intervention pilot program using evidenced based tools was successful in reducing recurrent falls in this population by 50%. Based on the data analysis, a multidisciplinary approach with tailored care plans to mitigate recurrent falls in an older adult homebound population proved beneficial to members. The project provides a model for scalable adoption by managed care plans that coordinate care for medically complex, homebound older adults. Providing an adoptable multidisciplinary fall management model for managed care plans that coordinate members care will address the multifactorial risks and causes of falls, and tailor appropriate interventions.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1127"],"dc:subject":["Falls","Falls Assessment & Interventions","Geriatric population","Older Adults"],"dc:title":["Preventing Recurrent Falls In Elderly Home Bound Health Plan Members"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}