REDUCE FALL RISK + PROMOTE HEALTHY AGING
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Fall Claim Calculator

We understand the process of finding the right fall reduction program includes relaying your findings back to your team, leaders, or management group.

It’s best to be prepared with current data when presenting your consideration set, recommended program, and the importance of a fall reduction program to your healthcare system.

Hendrich II Fall Risk Model™ provides several tools to make this pursuit a bit easier. Not only can we help you determine the cost of injurious falls here, but we also make comparing different programs and creating a custom program package a breeze.

Why is learning the costs incurred by your healthcare system as a result of injurious falls important?

Wrapping your head around the full magnitude of injurious falls is quite complicated and many within your organization may not know just how large of an impact injurious falls are making to your healthcare system. Learning the fall costs within your healthcare system helps illustrate how large an impact this matter is to your system, it’s bottom line, and the patients you care for.

Data Privacy: We take the privacy of your data very seriously. Because of this, we do not store or share any of the information you provide for the fall cost calculator. Please note because we do not store your information, your information must be entered during each use.

If for some reason you cannot obtain any portion of this data, please reach out to our team to assist you further by phone at 866.653.6660 or email us at info@hendrichfallriskmodel.com.

We encourage you to enter your own healthcare system’s fall information to calculate your facility’s fall costs. Below we provide example figures for a 400-bed hospital.

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Learn the best sources, helpful tips, and related examples for each required field below by clicking the question mark icon.

Fall Information

Results & Information

18 Falls

Resulting in injury requiring extended care

24 Days

Additional hospitalization based on fall injuries

$42,320.00

2-year investment costs for injurious falls


$1,533,998.80

Average costs incurred by your healthcare system due to injurious falls over a 2-year period (using 5-year claim data)


Over the last two years, your healthcare system has experienced 18 fall(s) resulting in minor or major injury that resulted in extending their hospital visit(s) by 24 days at your location(s). Although top care for these injured patients during these periods is of utmost importance, theoretically the extended hospital visits could be prohibiting new patients from seeking the vital care they also need from your facility. Because attending to falls that occurred within your location(s) and resulted in injury do not get reimbursed by insurance companies, not only does this present issue for potential new patients awaiting care, but it also hurts your healthcare system’s bottom line.

Additionally, it’s important to note your healthcare system is on average incurring $1,533,998.80 costs due to injurious falls as well as investing $42,320.00 over a 2-year period (using 5-year claim data) – significantly impacting your system. With the help of the right evidence-based fall reduction program, this number can be properly evaluated and potentially reduced.

What to consider before presenting your results to team members, leaders or management

When building a financial model to calculate the cost of injurious falls it is important to determine who our stakeholder(s) is for the results. For example, when presenting to licensed professionals, the elements that you stress will be different than if you are talking to a Chief Financial Officer or Chief Executive Officer. While everyone cares deeply about anyone sustaining an injury, how you organize and present the data may vary slightly. The results would never vary, but what we choose to highlight for the presentation or report may vary in length and complexity.

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Injurious Falls

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Total number of injurious falls within your health system over the last 2 years

Best Source(s): Incident Report or Event Reporting System

Tip(s): Make sure you are not inflating your count by including visitors or non-injury falls.

Example

  • 200 falls
  • 50% were admitted
  • 50% occurred within facility
  • 36% that occurred within facility resulted in hip fractures (15 falls) or other minor injuries (3 falls)

18 injurious falls

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Awarded Fall Claims

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Total dollar amount of awarded injurious fall claims within your health system over the last 5 years

Best Source(s): Self-insured program records or request to your external carrier sorted by falls and fall type

Tip(s): Make sure you are not understating the dollar amount by including total cash payout or jury awarded settlement. This should include payouts with or without jury involvement.

Example

Over the last five years, 19 falls have been awarded claims:

  • 7 were settled outside of court for $40,000
  • 4 were settled outside of court for $60,000
  • 6 went to trial and judge awarded $76,000
  • 2 went to trial and the jury awarded $149,500

$1,275,000.00

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Hospital Stay Extension Due to Falls

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Total number of days all combined patients were required to extend their stay at your health system due to the injurious fall incident over the last 2 years

Best Source(s): Administrative coded billing data sets (ICD-10) or DRG data

Best Contact(s): Medical Utilization Department or Leaders

Tip(s): This allows you to quantify occupancy or downsizing opportunity with hospital bed days.

Example

Patients are required to be monitored for 2.2 days on average after any surgery

Patients are required to be monitored 1 days after other minor injuries, such as bruising, potential or minor concussion, minor head injury, etc.

Based on all information above:

  • 5 hip fractures resulted in an extension of 2.2 day each
  • 13 minor injuries resulted in an extension of 1 days each

24 days

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Revenue Lost Due to Injurious Falls

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Total dollar amount of revenue loss due to injurious fall incidents within your health system over the last 2 years

Best Contact(s): Medical Utilization Department or Leaders as well as Finance Department or Leaders

Tip(s): Make sure to work with your CFO or Finance Department when quantifying the loss of revenue related to denied claims.

Example

Each hip fracture costs this hospital on average $30,000 per surgery.

Minor injurious, such as concussions or head injury, costs do not incur surgery costs.

Each additional day patients must extend their stay costs the hospital $2,000.


$198,000.00

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Hours Prepping for Regulatory Surveys/Visits

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Total number of hours spent surveying and prepping for regulatory surveys or visits within your health system over the last 2 years

Best Source(s): Regulatory Survey findings or find online on The Joint Commission website

Best Contact(s): Chief Quality or Regulatory Officer

Tip(s): Make sure to work with your CFO or Finance Department when quantifying the loss of revenue related to denied claims.

Example

Parties involved and their hours:

  • 2 Executives; 16 hours each
  • 12 Managers; 48 hours each
  • Quality Director; 80 hours
  • Regulatory Manager; 40 hours
  • Regulatory Director; 160 hours

888 hours

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Avg. Hourly Salary of Staff Involved in Prepping for Regulatory Surveys/Visits

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Total number of hours spent surveying and prepping for regulatory surveys or visits within your health system over the last 2 years

Best Source(s): Job Category and Estimated Average Salary Report(s)

Best Contact(s): Human Resources

Tip(s): Once you have each job category’s average hourly salary, work with HR to create a combined hourly salary average.

Example

Parties involved and their hourly rate:

  • 2 Executives; $350/hour
  • 12 Managers; $84/hour
  • Quality Director; $90/hour
  • Regulatory Manager; $90/hour
  • Regulatory Director; $90/hour

*Because this measurement is weighted, add hourly salaries up for each individual involved then divide by total number of individuals involved.


$116.35

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Investments related to equipment, staffing & training for fall reduction

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Total dollar amount your health system invested related to equipment, staffing, and training to develop fall reduction competency over the last 2 years

Best Source(s): Supply Distribution and / or Contracting Department

Best Contact(s): CNO or Nursing Unit Manager

Tip(s): Try your best to include all costs, such as sitters, tele-sitting, bed monitors, competency training time, and more.

Example

  • Licensure Year One = $5,900
  • Training Year One = 800 hours x $28 (nurse avg. hourly rate)
  • Licensure Year Two = $3,500
  • Training Year Two = 300 hours x $28 (nurse avg. hourly rate)
  • Training equipment = $2,120

$42,320.00

Your Fall Costs

We take the privacy of your data very seriously. Because of this, we do not store or share any of the information you provide within the calculator tool.

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Compare the Benefits of Fall Reduction Program Options

With so many options, it’s difficult to find the right fall reduction program for you. We’re here to make it easy! On a quick glance, you can easily compare the value different programs provide to its partners.