1. STAY ON YOUR FEET: An evidence-based framework for falls prevention Rhonda Lovell RN, BNSc Public Health Nurse, KFL&A Public Health Chair, KFL&A Falls Prevention Coalition

2. Objectives Provide an overview of the Stay On Your Feet framework Explore the rationale for use of the SOYF framework Highlight the KFL&A experience with SOYF

3. An umbrella and multi-factorial falls prevention framework, with a positive brand name, and 5 strategy areas: 1.Awareness raising 2.Education 3.Policy development 4.Hazard Reduction 5.Partnerships with health professionals/disciplines What is Stay On Your Feet?

4. SOYF Australia underlying principles: Falls can be prevented To reduce the number and severity of falls, a community needs to implement a wide variety of health promotion activities Planning and implementation of SOYF based on the Ottawa Charter for Health Promotion

5. Why Stay On Your Feet? Evidence based Flexibility Addresses critical issues & priorities Community capacity approach Cost effective

6. The Evidence Australian Project Outcomes Community-wide program that addressed as many falls risk factors as possible 22% reduction in self-reported falls 20% reduction in falls-related hospital admissions

7. Fits with other approaches and interventions  Utilizes local knowledge and data  Leverages leadership and expertise  Enables a mix of strategies  Provides a starting point and/or the context to evaluate existing activities Flexibility

8. Addresses Critical Issues & Priorities Ontario Public Health Standards 2008 MHP Chronic Disease Prevention Priorities Ontario Injury Prevention Strategy Integrated Health Service Plan priorities

9. Community Capacity Approach Ensures local relevance Promotes longevity & sustainability Supports collaboration & integration of services Fosters community ownership of the program and input into solutions

10. A role for everyone 10 INDIVIDUALS Society Government LHINs & Other HCPs Public Health Groups, Coalitions

11. Each hip fracture costs the system $21,285 in the 1st year after hospitalization, and $44,156 if the patient is institutionalized. (Osteoporosis Canada) SOYF Ontario demonstration project grants received $60,000 per year for two years In KFL&A many SOYF elements are sustained through Public Health & through in kind donation of community partners’ time etc – embedded in agency priorities Cost effective

12.  In 2004, ONF selected three communities (KFL&A, Grey Bruce, and Elliot Lake) to receive a two-year grant to adapt and implement the SOYF program in Ontario and evaluate its effectiveness  Formal evaluation (Corlett & Warren, 2006) found that the program could be sustained by ongoing leadership of lead agencies beyond ONF funding  SOYF approach is still present in some of the pilot communities, albeit in different form The Ontario Model

13. South East LHIN KFL&A Public Health

14. Kingston Frontenac Lennox & Addington Total population = 190 399 65+ = 29 973 = 15.74% 55-64 = 24 519 Addington, North & Central Frontenac 65+ = 23% Ontario 65+ = 12.8% Source: South East Local Health Integration Network (LHIN) Sub-LHIN Planning Area Profile: Addington, North and Central Frontenac Population Estimates (2008), Provincial Health Planning Database (PHPDB)

15.  Created a locally relevant action plan  Built upon an existing coalition of key local partners  KFL&A Falls Prevention Coalition  Hired a co-ordinator  Gathered required information Implementation in KFL&A

17. Awareness & education Growth & sustainability Building community capacity Regional relevance Evidence based practice KFL&A focus moving forward

18. Rhonda Lovell, RN, BNSc Public Health Nurse, KFL&A Public Health Chair, KFL&A Falls Prevention Coalition 221 Portsmouth Avenue Kingston, Ontario Canada K7M 1V5 tel: 613-549-1232 ext. 1181 fax: 613-549-7896 rlovell@kflapublichealth.ca www.stepsafe.com