National Falls Prevention Programme Scoping the value proposition Contact me at: May 2012

2 Value proposition: value to whom? Funders / providers treatment costs rehab costs home care costs residential care costs income support productivity /operational impacts? [damage to property] Individuals private contributions to treatment and care quality adjusted life years loss of earnings [damage to property] [xxx] = will not consider

What is a value proposition? ► Why should we ‘buy’ this? ► what difference can this make to…? ► What is the total potential impact of preventing falls (that cause injury)? 3

Not only cost avoided … 4 Avoided costs, pain, suffering Cost of programme benefits > costs? What difference does this programme make to falls and their impact, compared to the costs of running the programme?

Have volumes, sort of, but need values 5 Place InpatientsARCCommunity Volume 2,600 (NMDS) 2,600 (ACC) 6,700 (NMDS) 10, ,000 (281,000 at home) Costs ?? Claim costs 1k all 9k entitlement Sources MOH ACC claims DHB ACC claims ARC ACC claims Full coverage? Overlap? Additional costs QALY impacts Public + private Local studies Literature Data analysis

Can we capture different pathways? 6 Fall in community Treatment Recovery (full or partial) Fall in community TreatmentAged care Fall in hospital Extra Treatment Recovery (full or partial) Fall in hospital Extra Treatment Aged care FallTreatment Partial Recovery FallMore care

Targeting efforts 7 Cost Falls Issues Which falls where are most costly (80/20)? Which falls can be reduced? What further gains possible (given existing efforts)? Where/what sector the biggest gain for cost/effort (VFM)? What does that mean for where to put (most) effort (first)?

Next steps ► Follow up on references provided ► Document data sources and their +/- ► Describe what we know, particularly about public and private costs, and health outcome impacts ► Recommend what is needed to complete value proposition ► Provide high level project plan for any next stage 8