| Appendix
Fall Prevention Outcomes & Measures for Practice Change |
| Fall Outcomes | FY'19 | Target FY'20 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sept |
| Total Number of Falls | 200 | 50 | 10 | 12 | 18 | 22 |
| Falls with Injury | 125 | 0 | 0 | 4 | 6 | 7 |
| Unwitnessed Fall | 125 | 0 | 8 | 8 | 10 | 12 |
| Repeat Fall | 100 | 0 | 4 | 5 | 10 | 12 |
| Fall Prevention Measures | FY '19 | Target FY'20 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sept |
| Initial Fall Risk Assessment Within 4 hr | 40% | 100% | 50% | 40% | 60% | 70% |
| Utilization of Complete Fall Bundle | 50% | 90% | 40% | 50% | 60% | 66% |
| Hourly Rounding | 75% | 90% | 70% | 80% | 100% | 100% |
| Bedside Shift Report | 0% | 100% | 40% | 50% | 89% | 82% |
| Repeat Fall Measures Implemented | 0% | 100% | 0% | 0% | 20% | 35% |
| Fall Bundle in Place on High Fall Risk Patients | 0% | 100% | 0% | 0% | 30% | #0% |
| End of Worksheet |