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Friday 6:16 CST, December 14, 2018

Targeted Solutions Tool for Preventing Falls

Take a Stand Against Patient Falls

It’s no secret that falls happen in hospitals. Hundreds of thousands of patients fall in hospitals every year. And, fact is, 30-35% of patients who fall will sustain an injury.

At the Joint Commission Center for Transforming Healthcare we are committed to transforming health care into a high-reliability industry by developing highly-effective solutions to health care’s most critical safety and quality problems.

The NEW Preventing Falls Targeted Solutions Tool®(TST®) is a unique online application that guides an organization through a robust falls project by:

  • Measuring the current state
  • Analyzing and discovering causes
  • Implementing targeted solutions
  • Sustaining and spreading improvements

The NEW Preventing Falls TST® is complimentary to Joint Commission accredited organizations and is separate from accreditation–surveyors do not have access to TST® data.

So stand up for patient safety and help prevent patient falls. Login to the Preventing Falls TST or Request Access.

Questions? Contact us at 630.792.5800 or e-mail to find out more about the NEW Preventing Falls TST® today!

Why Use the Preventing Falls TST

  • Falls have been identified by the Centers for Medicare & Medicaid Services (CMS) as an event that is preventable and should never occur. CMS has also identified “falls and trauma” on its list of Hospital Acquired Conditions (HAC) for which reimbursement will be limited, specifically for falls that result in fractures, dislocations and intracranial injuries.
  • Tens of thousands of patients fall in health care facilities every year and many of these falls result in moderate to severe injuries.
  • Each of these injuries, on average, add 6.3 days to the hospital stay and cost about $14,056.
  • Organizations who have used this systematic approach have reduced the rate of patient falls by 35 percent and the rate of patients injured in a fall by 62 percent.
  • If the approach is translated to a typical 200-bed hospital, the number of patients injured in a fall could be reduced from 117 to 45 and avoid approximately $1 million in costs. Similarly, a 400-bed hospital could reduce falls with injury by 133 and expect to avoid approximately $1.9 million in costs.

NEW! - Webinar Replay: "Preventing Falls Utilizing the Targeted Solutions Tool®”

Download the presentation slides - PDF


Development Background at a Glance

The Joint Commission Center for Transforming Healthcare worked with seven participating organizations across the country that were experienced in Robust Process Improvement (RPI) which includes the tools of Lean, Six Sigma and Change Management, to tackle a project to prevent falls that occur in health care facilities and result in injury to patients.

The participating organizations used the DMAIC approach (Define, Measure, Analyze, Improve, Control) to determine the contributing factors to falls and then created targeted solutions to prevent falls with adult hospital inpatients. Detailed data was gathered on all falls for the baseline period and then analyzed. As a result we found more than 30 contributing factors that resulted in falls.

Data collection was an ongoing exercise as Targeted Solutions were developed and implemented as a collaborative effort. The participating organizations shared results, successes, and failures as the project progressed. The solutions developed and targeted to the specific contributing factors were proven to reduce falls and falls with injury rates in the participating organizations.

This success was also seen in the pilot organizations that used the tools and solutions developed by the original seven participating organizations.

Participating organizations included:

Barnes-Jewish Hospital

Baylor Medical Center-Garland

Fairview Health Services

Kaiser Permanente - San Diego

Memorial Hermann Memorial City Medical Center

Wake Forest Baptist Health

Wentworth-Douglass Hospital

To download the Facts about the Preventing Falls Project, Click Here.

In Their Words...Participating Hospitals Tell Their Stories



Visit Our Websites:


The Joint Commission       Joint Commission Resources       Joint Commission International

Log in to Falls TST
Req Access Falls TST

Three Things You Should Know About the Preventing Falls TST

The TST® guides an organization through a robust process approach which can lead to:

1. Improved patient safety

  •  Reduces patient falls by 35%
  •  Reduces patient falls with injury by 62%

2. Reduced cost

  •  $1 million annually for a 200-bed hospital

3. Targeted solutions to your
     organization’s unique needs

In Your Own Words…

If you’ve utilized the Joint Commission Center for Transforming Healthcare Targeted Solutions Tools® or Oro™ 2.0, or have participated in any of our training programs, we invite you to share your experience. Simply Click Here to provide a few highlights about lessons learned, insights gained, results achieved--In Your Own Words…

Quick Look:
Preventing Falls TST Timeline

  • Month 1: Kick-off and Define
  • Months 2-5: Measure/Analyze -initiate data collection, analyze contributing factors
  • Months 6-8: Improve – implement solutions
  • Month 9-Ongoing: Control-develop and implement plan for sustainability and spread (if applicable); continue monitoring falls/falls with injury rates

Preventing Falls TST
Approach at a Glance

The TST incorporates a systematic approach to problem solving that includes:

  • Defining the scope of the project (Currently the tool is only applicable to Inpatient Units);
  • Measuring current performance through a validated measurement tool;
  • Identifying the contributing factors that lead to falls;
  • Providing solutions targeted to the contributing factors identified; and
  • Sustaining the improvements made by measuring and monitoring the process moving forward through the development of a Control Plan.

Preventing Falls TST Resource Center

Take a Stand Against Patient Falls! Download these Preventing Falls TST® promotional materials and help spread the word about the NEW Preventing Falls TST®!