Patient Safety 2009 Falls Conference

University of South Florida Office of Continuing Professional Development, MDC#60, 12901 Bruce B. Downs Blvd. Tampa, FL 33612-4799

NON-PROFIT ORG U.S. POSTAGE

PAID TAMPA, FL PERMIT NO. 1632

Carla Alexis, PT

Steven Castle, MD

Stephanie Hart-Hughes, PT, NCS

Neurologic Rehabilitation and Vestibular Therapy Walter Reed Army Medical Center Washington, DC

Professor, UCLA School of Medicine Clinical Director, GRECC VA Greater Los Angeles President and CMO, DrBalance.com Los Angeles, CA

Director. Gait and Balance Laboratory VISN 8 Patient Safety Center Tampa, FL

Sonia Collazo, MS, RN

Research Associate James A. Haley VA Hospital Patient Safety Center of Inquiry Assistant Professor University of South Florida School of Physical Therapy & Rehabilitation Sciences Tampa, FL

Donna Algase, PhD, RN, FAAN, FGSA Josephine M. Sana Collegiate Professor of Nursing University of Michigan School of Nursing Ann Arbor, MI

Richard Allman, MD

Nurse Manager James A. Haley VA Hospital Tampa, FL

Parrish Endowed Professor and Director Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center Center for Aging and Division of Gerontology, Geriatrics, and Palliative Care University of Alabama at Birmingham Birmingham, AL

James W. Collins, PhD, MSME

Julie Apold, M.A

Health Research Scientist Rehab R&D Center and Birmingham-Atlanta GRECC, Atlanta VA Assistant Professor, Division of Geriatrics and Gerontology Emory University School of Medicine Atlanta, GA

Director, Patient Safety Minnesota Hospital Association St. Paul, MN

Shawn Applegarth, MSME Director of the Engineering Laboratory Patient Safety Center of Inquiry, James A. Haley VAMC Tampa, FL

Associate Director for Science, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Morgantown, WV

Elizabeth Rose Connell, PhD

Susan Farley, RN

Anita Bemis-Dougherty, PT, DPT, MAS

Patient Safety/Risk Manager National Naval Medical Center Bethesda, MD

The American Physical Therapy Association Alexandria, VA

Shirley G. Fitzgerald, PhD

Cynthia J. Brown, MD, MSPH

Research Health Scientist James A Haley Tampa VA Tampa, FL

Assistant Professor of Medicine, University of Alabama at Birmingham Birmingham VAMC GRECC Birmingham, AL

Tatjana Bulat, MD, CMD Associate Director, Patient Safety Center of Inquiry Medical Director, Falls Clinic, James A. Haley VA Hospital Associate Professor, Department of Internal Medicine University of South Florida College of Medicine Tampa, FL

Yvonne Freedman, MA, OTR/L Health Science Specialist James A. Haley VA Hospital Tampa, FL

David Ganz, MD, PhD

Margaret Calkins, PhD

Research Physician, Geriatric Research Education and Clinical Center Veterans Affairs Greater Los Angeles Healthcare System Assistant Professor of Medicine, David Geffen School of Medicine, UCLA Los Angeles, CA

President, IDEAS Inc Kirtland OH

Deanna Gray-Miceli, PhD, GNP-BC, CRNP,

Robert Campbell, PhD, JD, MPH Director, Florida Health Policy and Law Institute Professor, Nova Southeastern University Law School Researcher, Patient Safety Center of Inquiry, James A. Haley VAMC Tampa, FL

Elizabeth Capezuti, PhD, RN, FAAN Professor, NYU College of Nursing Faculty Director, NICHE New York, NY

FAANP University of Pennsylvania Mount Laurel, NJ

Courtney Hall, PT, PhD Research Health Scientist, Rehab R&D Center, Atlanta VAMC Assistant Professor, Dizziness and Balance Center, Emory University Atlanta, GA

Jason Highsmith, PT, DPT, CP, FAAOP

Inez V. Joseph, PhD, ARNP, NHA Chief, Haley’s Cove Community Living Center, James A. Haley VA Hospital Tampa, FL

Erin Lawler, BA, MS Human Factors Engineer Patient Safety Center DoD Patient Safety Program Falls Church, VA

June Leland, MD Associate Professor of Medicine, Division of Geriatric Medicine Director of Hospice and Community Medicine, Medical Director, Home Based Primary Care James A Haley Veterans Hospital Tampa, FL

John Lloyd, PhD, CPE Director, Research Laboratories VA Patient Safety Research Center Tampa, FL

Verdell Marsh, PhD, RN Associate Chief, Nursing Service for Education/Research VA North Texas Health Care System Garland, TX

Patricia Mechan, PT, MPH, CCS Consulting, Education & Clinical Services Manager, Guldmann Inc. Tampa, FL

D. Helen Moore, PhD, BSW Health Science Specialist VISN 8 Patient Safety Center of Inquiry Tampa, FL

Audrey Nelson, PhD, RN, FAAN Director, Patient Safety Center of Inquiry Director, HSR&D REAP on Patient Safety Outcomes James A. Haley VAMC Tampa, FL

Joseph G. Ouslander, MD

Geoffrey Rake, MD

Juan R. Sanches-Ramos,

Director, Institute for Quality Aging, Boca Raton Community Hospital Professor of Medicine (Voluntary) University of Miami Miller School of Medicine at Florida Atlantic University Associate Director, Division of Gerontology and Geriatric Medicine, Department of Medicine Professor (Courtesy), Christine E. Lynn College of Nursing, Florida Atlantic University Boca Raton, FL

Director, DoD Patient Safety Center Silver Spring MD

Innette Sarduy, MPH, RN, CNAA

Gail Powell-Cope, PhD, ARNP, FAAN Director, RR&D Research Enhancement Award Program Tampa VA Hospital Tampa, FL

Patricia A. Quigley, PhD, ARNP, CRRN, FAAN Deputy Director, Patient Safety Center James A. Haley VAMC Tampa, FL

Stephanie Radawiec, PT, DPT Clinical Consultant, Diligent Consulting Services DeWitt, MI

Kathleen Rockefeller, PT, ScD, MPH Assistant Professor, School of Physical Therapy & Rehabilitation Sciences University of South Florida Tampa, FL

Associate Chief Nurse/Acute Care James A. Haley Veterans Hospital Tampa, FL

Ronald I. Shorr, MD, MS

Physical Therapist and an Assistive Technology Provider St. Joseph’s Children’s Hospital Tampa, Florida

Director, GRECC, NF/SGVHS Ruth S. Jewett Professor and Chief Division of Geriatric Medicine Department of Aging & Geriatric Research, University of Florida Gainesville, FL

Meredeth A. Rowe, RN, PhD

Laura M. Wagner, PhD, RN

Lauren Rosen, PT, MPT, ATP

Associate Professor University of Florida College of Nursing Gainesville, FL

Laurence Z. Rubenstein, MD, MPH Professor of Geriatric Medicine Greater Los Angeles VA GRECC and UCLA School of Medicine Sepulveda, CA

Gerontological Nursing Research Scientist Kunin-Lunenfeld Applied Research Unit Baycrest Centre for Geriatric Care Toronto, Ontario, Canada

Susan White, PhD, RN, CPHQ, FNAHQ Associate Chief of Nurse for Quality Management Programs James A. Haley VAMC Tampa, FL

Course Description

Objectives:

This conference will provide participants with cutting edge research, best practices, and lessons learned in preventing and managing mobility-related adverse events with a primary focus on falls and a secondary focus on wandering/elopement. The conference includes diverse learning opportunities, including plenary sessions, concurrent sessions, workshops, “hands on” practice sessions, poster sessions, and an exhibit hall with new and emerging technologies. Innovations will be presented, addressing such topics as policy, practice tips, technology solutions, creative education and program initiatives, successful organizational strategies, and building a business case for programs. This integrated curriculum assembles an interdisciplinary faculty with expertise in safe mobility across settings of care (acute care, rehabilitation, long term care, and community).

Upon completion of this program, the participants should be able to: 1. Identify three best practices for safe patient mobility. 2. Evaluate technological solutions for safe patient mobility. 3. Successfully network with national, regional and local experts across the settings of care. 4. Discuss special challenges associated with safe mobility in vulnerable populations, such as frail older adults, persons with dementia, lower limb amputation, peripheral neuropathy, Parkinson’s Disease, stroke, traumatic brain injury, osteoarthritis, and spinal cord injury. 5. Gain new insights in education, practice, administration and technology initiatives that can be transferred into current practice settings to improve patient safety.

Monday, May 4th, 2009 Pre Conference 7:30 AM – 4:00 PM Registration 8:00 – 9:00 AM Continental Breakfast 9:00 – 4:00 PM (Box Lunch Included) Hazardous Wandering: Challenges and Solutions Wandering is among the most frequent, problematic, and dangerous of dementia-related behaviors. Negative consequences include weight loss, falls, elopements and getting lost, injury, fractures, and even death. This pre-conference targets clinical staff who face the day-to-day challenges of caring for persons who wander in and away from nursing homes, assisted living facilities, home health agencies, and hospitals. Key topics will include the construct of wandering, assessment, special issues associated with wandering, practical interventions, and an overview of available technologies that prevent elopement. Participants will receive a textbook. Donna Algase, PHD, RN, FAAN, FGSA Helen Moore, PhD, BSW Meredeth A. Rowe, RN, PhD Inez Joseph, PhD, ARNP, NHA 9:00 AM – 12:00 Noon (Please Select One) Fall Prevention in Persons with Dementia: Challenges and Solutions This pre-conference will provide information about risk factors for falls caused by Alzheimer’s disease and other progressive dementias and describe strategies and programs for all stages of dementia that can be used to prevent falls and falls-related injuries. Elizabeth Capezuti, PhD, RN, FAAN Margaret Calkins, PhD or Gait and Balance 101 This pre-conference is designed to provide the participant with a basic knowledge of balance control theories, functional assessments and treat of balance/gait dysfunction. Target audience includes clinicians (nurses, therapists, physicians etc..) with beginning levels of knowledge and expertise in the area of gait and balance assessment. Stephanie Hart-Hughes, PT, NCS 12:00 Noon – 1:00 PM Lunch (Box Lunch is Provided) 1:00 – 4:00 PM

(Please Select One) Evidence-Based Fall Screening and Fall Risk Assessment Protocols This pre-conference is designed to provide the participant with about the science of fall risk factors and differentiate the role of screening from assessment. Additionally, participants will practice use of clinical protocols that expand fall screening to include fall risk assessment as the basis for differential diagnosis. Target audience includes clinicians (nurses, therapists, physicians etc.) with expanded levels of knowledge and expertise in the area of fall risk assessment. Steven Castle, MD or “Getting Started”: Developing an Action Plan in Acute Care Settings This post-conference targets program managers, clinical nurse specialists, and patient safety managers who are responsible for implementing fall prevention programs that are unit or facility, based primarily in acute care. Topics include an overview of effective strategies for implementing evidence-based practices, identification of interventions ready for translation into the clinical arena, examination of selected elements of the National Center for Patient Safety Falls Toolkit, and program evaluation. Participants will leave with a plan for taking action once back at their facilities. Innette Sarduy, MPH, RN, CNAA Patricia Quigley, PhD, ARNP, CRRN, FAAN

Tuesday, May 5th, 2009 Main Conference 8:30 - 8:50 AM Welcoming Remarks Patricia A. Quigley, PhD, ARNP, CRRN, FAAN, VISN 8 Patient Safety Center of Inquiry (VHA) Bettye Rose Connell, PhD, Birmingham/Atlanta GRECC Ron Shorr, MD, MS, North Florida/South Georgia GRECC Geoffrey Rake, MD, Department of Defense Anita Bemis-Dougherty, PT, DPT, MAS, American Physical Therapy Association Elizabeth Capezuti, PhD, RN, FAAN, Nursing Improving Care of Healthcare System Elders Patricia Gorzka, University of South Florida 8:50 – 9:30AM Understudied Fall Risk Factors & Potential Interventions Joseph Ouslander, MD 9:30 - 10:10 AM Building Science for Fall Prevention, Detection, and Protection Audrey Nelson, PhD, RN, FAAN

10:10 -10:30 AM Break, Exhibit, Posters 10:30 - 11:10 AM Life-Space Mobility: Implications for Fall Prevention/Management Richard Allman, MD 11:10 – 11:50 AM Evidence-Based Research that has been shown to be Highly Successful in Preventing Slip, Trip, and Fall Injuries Among Hospital Workers James Collins, PhD, MSME 11:50 - 1:10 PM Lunch (provided) 1:10 - 2:00 PM Break-out Sessions (Please Select One) A: Effectiveness of Toileting Programs on Fall Prevention in LTC Elizabeth Capezuti, PhD, RN, FAAN or B: Safety and Efficacy of a Walking Program in Acute Care Cynthia Brown, MD, MSPH or C: Vestibular Treatment to Prevent Falls TBA or D: Getting the Evidence-Straight Laurence Rubenstein, MD, MPH or E: Preventing Falls during Therapeutic Ambulation [Ceiling-Mounted Patient Lift] Stephanie Radawiec, PT, DPT Patricia Mechan, PT, MPH, CCS Kathleen Rockefeller, PT, ScD, MPH 2:00 - 2:30 PM Break, Exhibit, Posters 2:30 – 3:10 PM Break-out Sessions (Please Select One) A: Operationalizing Administrative Support for Fall Programs in LTC Inez Joseph, PhD, ARNP, NHA or B: Reliability of Falls Interventions in Acute Care Innette Sarduy, MPH, RN, CNAA or C: Special Issues Related to Fall Risk in Traumatic Brain Injury (TBI) Carla Alexis, PT or D: Effective Communication of Falls Management Processes Laura Wagner, PhD, RN

or E: Safe Recovery of a Patient Post Fall Stephanie Radawiec, PT, DPT 3:20 – 4:10 PM Break-out Sessions (Please Select One) A: Medications and Fall Risk in LTC Settings Steven Castle, MD or B: Effectiveness of Bed Alarms in Fall Prevention Elizabeth Capezuti, PhD, RN, FAAN or C: Fall Risks and Intervention in a Dizzy Older Adult Courtney Hall, PT, PhD or D: Process Measures to Monitor Program Effectiveness Gail Powell-Cope, PhD, ARNP, FAAN or E: Ethical Issues Associated with Falls: Case Studies Patricia Quigley, PhD, ARNP, CRRN, FAAN 4:15 - 5:30 PM Opening Reception in the Exhibit Hall

Wednesday, May 6th, 2009 7:30 AM – 4:00 PM Registration 6:45 - 7:45 AM Tai Chi on the Beach: This optional session is free and open to all who want to learn more about Tai Chi, experience the direct benefits of Tai Chi, and enjoy the relaxation that comes with the Florida beach in the early morning. This “hand on” session will provide a demonstration of Tai Chi by a trained instructor. Come dressed in comfortable clothes and for weather as appropriate. Robert Campbell, PhD, JD, MPH 7:30 - 8:30 AM Continental Breakfast, Exhibits, Posters 8:30 - 9:20 AM Break-out Sessions (Please Select One) A: Wandering and Fall Risk in Nursing Homes Donna Algase, PHD, RN, FAAN, FGSA or B: Special Fall Precautions for Patients on Anti-Coagulants Patricia Quigley, PhD, ARNP, CRRN, FAAN or

C: Fall Risk Associated with Lower Limb Amputees Jason Highsmith, PT, DPT, CP, FAAOP or D: Outcome Measures to Monitor Program Effectiveness Susan White, PhD, RN, CPHQ, FNAHQ or E: Practice Session: New SCI Wheelchair Fall Risk Assessment Tool Shirley Fitzgerald, PhD Audrey Nelson, PhD, RN, FAAN 9:30 - 10:20 AM Break-out Sessions (Please Select One) A: Case Studies of Falls in Long Term Care Settings Deanna Gray-Miceli, PhD, GNP-BC, CRNP, FAANP or B: Unique Fall Risk in Orthopedics Stephanie Radawiec, PT, DPT or C: Fall Risk and Interventions in Persons with Peripheral Neuropathy Patricia Quigley, PhD, ARNP, CRRN, FAAN Yvonne Freedman, MA, OTR/L or D: Gaining Support for Fall Programs at all Levels Susan White, PhD, RN, CPHQ, FNAHQ or E: Devices for Fall Prevention, Fall Protection, and Fall Detection Laura Wagner, PhD, RN 10:20 - 10:50 AM Break, Exhibit, Posters 10:50 – 12:00 Noon Workshops (Please Select One) A: Etiology of Serious Fall Related Injuries in Nursing Homes Gail Powell-Cope, PhD, ARNP, FAAN Robert Campbell, PhD, JD, MPH or B: Case Studies of Falls in Transition from Acute to Home Settings June Leland, MD or C: Parkinson’s Disease and Fall Risk Juan R Sanchez-Ramos, MD, PhD or D: Top Ten Reasons why Programs Fail—and What to Do About It Audrey Nelson, PhD, RN, FAAN or E: Technology Integration into Home Environments Margaret Calkins, PhD 12:00 Noon -1:15 PM Lunch (provided)

1:15 - 2:05 PM Break-out Sessions (Please Select One) A: Use of Clinical Nurse Specialists to Decrease Fall Risk in LTC Elizabeth Capezutti, PhD, RN, FAAN or B: Emerging Evidence Base for Effectiveness of Sitters Verdell Marsh, PhD, RN or C: Fall Risk Associated with Osteoarthritis of the Knee Tatjana Bulat, MD, CMD Yvonne Freedman, MA, OTR/L or D: Unit-Based Peer Leaders to Facilitate Fall Program Implementation Gail Powell-Cope, PhD, ARNP, FAAN or E: Helmet Technology to Minimize Head Injuries Associated with Falls John Lloyd, PhD, CPE 2:05 - 2:45 PM Break, Exhibit, Posters 2:45 - 3:35 PM Break-out Sessions (Please Select One) A: Reducing Fall Risk Associated with Mobility Assistive Devices Stephanie Hart-Hughes, PT, NCS or B: Designing a “Safe Room” for Patients at High Risk for Fall-Related Injuries Erin Lawler, BA, MS Suzie Farley, RN or C: Wheelchair Falls in Persons with a Spinal Cord Injury Audrey Nelson, PhD, RN, FAAN or D: VA Toolkit for Fall Prevention and Management Patricia Quigley, PhD, ARNP, CRRN, FAAN or E: Commercially Available Bed Mats to Prevent Bed-Related Fall Injuries Shawn Applegarth, MSME 3:35 – 4:15 PM Break-out Sessions (Please Select One) A: Best Practice Interventions for Falls in LTC Laura Wagner, PhD, RN or B: Risk and Solutions for Preventing Falls at Change of Shift Sonia Collazo, MS, RN or

C: Benchmarking for Falls and Fall-Related Injuries Across Units and Facilities Susan White, PhD, RN, CPHQ, FNAHQ or D: Tips for Customizing Fall Programs across Clinical Settings Audrey Nelson, PhD, RN, FAAN or E: Comparison of Low Beds: Criteria for Making the Best Selection Gail Powell-Cope, PhD, ARNP, FAAN

11:45 AM Closing Remarks, Evaluations 12:00 Noon Adjournment of the Main Conference 12:00 – 1:00 PM Lunch (On Your Own)

Post-Conference 4:15 PM Adjournment

Thursday, May 7th, 2009 7:00 AM – 4:00 PM Registration 7:30 – 8:30 AM Continental Breakfast 7:00 – 8:00 AM Tai Chi on the Beach: This optional session is free and open to all who want to learn more about Tai Chi, experience the direct benefits of Tai Chi, and enjoy the relaxation that comes with the Florida beach in the early morning. This “hand on” session will provide a demonstration of Tai Chi by a trained instructor. Come dressed in comfortable clothes and for weather as appropriate. Robert Campbell, PhD, JD, MPH 8:30 - 9:20 AM Lessons Learned from Post-Fall Assessment of Recurrent Fallers in Long-term Care Deanna Gray-Miceli, PhD, GNP-BC, CRNP, FAANP 9:20 – 10:00 AM Wheelchair Features Contributing to Fall Risk Shirley Fitzgerald, PhD Lauren Rosen, PT, MPT, ATP 10:00 - 10:25 AM Break, Exhibit, Posters 10:25 – 11:05 AM Evidence-Base for Exercise Programs to Prevent Falls David Ganz, MD, PhD

11:05 - 11:45 AM Towards Building a Business Case for Fall Programs Audrey Nelson, PhD, RN, FAAN

1:00 – 4:00 PM (Please Select One) Wheelchair Safety 101 for Nurses Falls and injuries from using a wheelchair are a significant problem. Poor positioning or lack of support in the wheelchair can contribute to these injuries. There are many accessories for wheelchairs that can assist with positioning and reduce injury risk. The healthcare worker who understands what equipment is available and how to use it, will be able to provide better services to their clients. This talk will provide education about these accessories and will include a hands-on session to learn to operate many of the different options available. Lauren Rosen, PT, MPT, ATP or “Getting Started”: Developing an Action Plan in Acute Care Settings This post-conference targets program managers, clinical nurse specialists, and patient safety managers who are responsible for implementing fall prevention programs that are unit or facility, based primarily in acute care. Topics include an overview of effective strategies for implementing evidence-based practices, identification of interventions ready for translation into the clinical arena, examination of selected elements of the National Center for Patient Safety Falls Toolkit, and program evaluation. Participants will leave with a plan for taking action once back at their facilities. Innette Sarduy, MPH, RN, CNAA Patricia Quigley, PhD, ARNP, CRRN, FAAN or “Getting Started”: Developing an Action Plan in Long Term Care Settings This post-conference targets program managers, clinical nurse specialists, and patient safety managers who are responsible for implementing fall prevention programs that are unit or facility, based primarily in acute care. Topics include an overview of effective strategies for implementing evidence-based practices, identification of interventions ready for translation into the clinical arena, examination of selected elements of the National Center for Patient Safety Falls Toolkit, and program evaluation. Participants will leave with a plan for taking action once back at their facilities. Inez Joseph, PhD, ARNP, NHA Gail Powell-Cope, PhD, ARNP, FAAN

Friday, May 8th, 2009 8:00 – 10:00 AM Registration 8:00 – 9:00 AM Continental Breakfast 9:00 AM – 12:00 Noon Please Select One Toolkit for Hip Protector Implementation A workgroup at the VISN 8 Patient Safety Center of Inquiry developed a toolkit for providers to aid in the implementation of hip protectors. Although the scientific evidence is mixed, some large randomized controlled trials have demonstrated their usefulness in nursing home settings for preventing hip fractures in older adults. The goal of this toolkit is to promote the routine use of hip protectors in nursing homes by providing physicians, nurses, therapists and others with information and tools to assist them and overcome barriers to their use. These guidelines were developed based on feedback received from participating sites and research conducted about the barriers and facilitators affecting the use of hip protectors, as well as durability studies in the VISN 8 Patient Safety Center of Inquiry Tatjana Bulat, MD, CMD

or Treatment of Gait and Balance Dysfunction: Beyond the Basics This post-conference is designed to expand the participants’ skills in the integration of gait and balance assessment into the development of appropriate treatment plans. Emphasis will be placed upon gait and balance training skills. A successful model group physical therapy balance training program will be presented in detail. Target audience includes therapists as well as other clinicians with a good knowledge of fundamental balance theories (including those who attended the PreConference on this topic). Stephanie Hart-Hughes, PT, NCS or Toolkit for Launching a Multi-site Hospital Falls Collaborative This post-conference is designed to expand the participants’ knowledge and tools needed to implement a fall prevention program across multiple medical centers as part of a health care system. Emphasis will be placed upon organizational infrastructure and capacity to plan, deploy and evaluate this program. A successful model, SAFE (from) FALLS implemented by the Minnesota Hospital Association will be presented. Target audience includes administrators, clinicians, quality improvement specialists, patient safety officers and risk managers. Julie Apold, MA Patricia Quigley, PhD, ARNP, CRRN, FAAN

Call for Abstracts for Poster Presentations This is a solicitation for posters to be presented at the 2009 Transforming Fall Prevention Practices Conference. Abstracts should be 250 words or less in length and provide a brief, clear summary of the research/project/program. Content should include timely and relevant topics related to all aspects of patient safety (falls, wandering, bed safety). Application information must be completed and received by March 3, 2009. Authors of selected abstracts will be notified by March 30, 2009 No specific application form is required yet applications for abstract submissions must include the following information: • Author(s) • Facility • Contact information • Title • Abstract.

Submissions received electronically are preferred but applications received by mail will be accepted.

Please send completed abstracts to: Stephanie Hart-Hughes, PT, NCS Director Gait and Balance Laboratory VISN 8 Patient Safety Center James A. Haley Veterans’ Hospital 11605 North Nebraska Ave. Tampa, Florida, 33612 (813) 558-3932 [email protected]

Accreditation Nurses (ANCC): The University of South Florida College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is for 23.0 contact hours.

Physicians: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of USF Health and the Patient Safety Center of Inquiry. USF Health is accredited by the ACCME to provide continuing medical education for physicians. USF Health designates this educational activity for a maximum of 23.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacists: The University of South Florida College of Medicine is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program has been approved for 23.0 contact hours. Universal program number is as follows: 230-999-08-013-L04-P. To receive continuing education credit, a pharmacist must attend the accredited sessions and must return the program evaluation instrument. In order to receive full credit, registrants must register no later than 10 minutes after the start of the meeting and must attend the entire meeting. All Participants who are requesting Pharmacy Credit should expect to receive their statement of credit either on-site or within 4 weeks by U.S. Mail upon the conclusion of the activity.

Physical Therapists: The University of South Florida College of Medicine is an approved provider of Continuing Education for Physical Therapists pursuant to the Board of Physical Therapy chapter 64b17-9. The University of South Florida College of Medicine designates this educational activity for up to 28.0 contact hours

Target Audience: This conference is designed to meet the needs of direct health care providers (physicians, advanced practice nurses, pharmacists, physician assistants, nurses, physical therapists, occupational therapists, kinesiotherapists, and pharmacists), managers, administrators, risk managers, educators, and researchers of any discipline who are interested in advancing mobility-related safety. In addition, this conference targets those responsible for developing and implementing unit-based or facility-wide programs to reduce mobility-related adverse events. To meet the needs of a diverse audience, focused tracks have been established for: (A) Evidence-Based Approaches for Long Term Care Settings (B) Evidence-Based Approaches for Acute Care & Community-Based Settings (C) Evidence-Based Approaches for Impairment Groups (D) Unit-Based or Facility-Based Program Implementation (E) Technologies & Practical Techniques

400 Mandalay Avenue Clearwater Beach, FL 33767

Hotel Accommodations Hilton Clearwater Beach Resort is a three-diamond facility with enchanting accommodations overlooking one of the world’s most brilliant white sand beaches. The resort is conveniently located next to Pier 60 and the “Sunsets at Pier 60” daily festival, and is also steps away from a variety of excursions, including dolphin watching expeditions, deep-sea fishing, dinner and dance cruises, and much more. Offering a glimpse of paradise on the beach, this resort has something for everyone. As an added benefit to parents, kids can spend the day with Kamp counselors in the special Fun Factory programs, designed to keep kids active and entertained while offering peace of mind for parents who are attending the conference.

Reservations The special group rate of $199.00 plus the current tax rate of 12% is offered for our meeting dates. This group rate may be available three days before to three days after the official meeting dates, subject to space and rate availability. The room block cut-off date is April 6, 2009 or until the block of rooms is full, whichever comes first. Call the reservations department at 1-800-753-3954 and identify yourself as a member of the University of South Florida 10th Annual Transforming Fall Prevention Practices Conference. Group code is TFPGS. You can also make your reservations online at http://www.hilton.com/en/hi/groups/personalized/PIECBHF-TFPGS20090503/index.jhtml VA or Government Employees A limited number of rooms will be available on a first come first served basis at the official per diem rate for hotel room occupancy. To access the government rate reservations, please log into http://www.hilton.com/en/hi/groups/personalized/PIECBHF-TFPGGS20090503/index.jhtml

Transportation Transportation from the Tampa International Airport to the Hilton Clearwater Beach Resort is available through Super Shuttle Transportation, 800-258-6826. Prices and additional information are available at www.supershuttle.com.

Parking One vehicle parking per hotel guest room is provided. Daily parking for conference attendees is available at a cost of $8.00 per day for valet and $3.00 per day for self-parking. Event parking is limited and not guaranteed. Accommodations for Disabilities Please notify the CPD Office, 12901 Bruce B. Down Blvd., MDC Box 60, Tampa Florida, 33612 or call (813) 974-4296 a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed. Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin disability, age, or Vietnam veteran status as provided by law and in accordance with the University’s respect for personal dignity.

REGISTRATION FORM

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PRE CONFERENCE FEES AND REGISTRATION PRE CONFERENCE FEES AND REGISTRATION MAY 4, 2009, FULL DAY PRE CONFERENCE HAZARDOUS WANDERING: CHALLENGES AND SOLUTIONS FEES: THIS WORKSHOP ONLY $300.00 THIS WORKSHOP WITH REGISTRATION FOR MAIN CONFERENCE $200.00 ONSITE REGISTRATION $350.00 MAY 4, 2009, MORNING PRE CONFERENCE (PLEASE CHOOSE ONE) FALL PREVENTION IN PERSONS WITH DEMENTIA: CHALLENGES AND SOLUTIONS GAIT AND BALANCE 101 FEES: THIS WORKSHOP ONLY THIS WORKSHOP WITH REGISTRATION FOR MAIN CONFERENCE ONSITE REGISTRATION

$150.00 $100.00 $175.00

FOR MAIN CONFERENCE ONSITE REGISTRATION

$100.00 $175.00

ALL REFUNDS ARE SUBJECT TO A $150.00 PROCESSING FEE. THERE WILL BE NO REFUNDS AFTER APRIL 16, 2009. THE UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING RESERVES THE RIGHT TO CANCEL THE PROGRAM DUE TO UNFORESEEN CIRCUMSTANCES, IN WHICH EVENT THE FULL REGISTRATION FEE WILL BE RETURNED. THE SPONSORS WILL NOT BE RESPONSIBLE FOR ANY OTHER COSTS INCLUDING TRAVEL AND HOTEL ACCOMMODATIONS. PLEASE CHECK EACH SECTION YOU SELECTED TO ATTEND: MAY 5, 2009-TUESDAY TRACK A B C D E 1:10 PM 2:30 PM 3:20 PM

MAY 4, 2009, AFTERNOON PRE CONFERENCE (PLEASE CHOOSE ONE) EVIDENCE-BASED FALL SCREENING AND FALL RISK ASSESSMENT PROTOCOLS “GETTING STARTED”: DEVELOPING AN ACTION PLAN IN ACUTE CARE SETTINGS FEES: THIS WORKSHOP ONLY $150.00 THIS WORKSHOP WITH REGISTRATION FOR MAIN CONFERENCE $100.00 ONSITE REGISTRATION $175.00

MAY 6, 2009-WEDNESDAY

MAIN CONFERENCE FEES AND REGISTRATION

ENCLOSED IS MY CHECK MADE PAYABLE TO USF HEALTH PROFESSIONS CONFERENCING CORPORATION (USF HPCC) IN THE AMOUNT OF __________________

EARLY REGISTRATION FEE (BEFORE APRIL 6, 2009) REGULAR REGISTRATION (AFTER APRIL 6, 2009) GROUPS OF THREE OR MORE – COST PER REGISTRANT VISN 8 STAFF (PROPER ID IS REQUIRED) POST CONFERENCE FEES AND REGISTRATION

$450.00 $550.00 $400.00 $250.00

MAY 7, 2009, AFTERNOON POST CONFERENCE (PLEASE CHOOSE ONE) WHEELCHAIR SAFETY 101 FOR NURSES “GETTING STARTED”: DEVELOPING AN ACTION PLAN IN ACUTE CARE SETTINGS “GETTING STARTED”: DEVELOPING AN ACTION PLAN IN LONG TERM CARE SETTINGS FEES: THIS WORKSHOP ONLY $150.00 THIS WORKSHOP WITH REGISTRATION FOR MAIN CONFERENCE $100.00 ONSITE REGISTRATION $175.00 MAY 8, 2009, MORNING POST CONFERENCE (PLEASE CHOOSE ONE) TOOLKIT FOR HIP PROTECTOR IMPLEMENTATION TREATMENT OF GAIT AND BALANCE DYSFUNCTION: BEYOND THE BASICS TOOLKIT FOR LAUNCHING A MULTI-SITE HOSPITAL FALLS COLLABORATIVE FEES: THIS WORKSHOP ONLY $150.00 THIS WORKSHOP WITH REGISTRATION

TRACK 8:30 AM 9:30 AM 10:50 AM 1:15 PM 2:45 PM 3:35 PM

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B

C

D

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REGISTRATION FEES AND PAYMENT

MAIL TO: ATTENTION: PG20094011150 USF HEALTH PROFESSIONS CONFERENCING CORPORATION P.O. BOX 864240 ORLANDO, FL 32886-4240 FAX TO: 813-974-3217 REGISTER ONLINE AT: WWW.CME.HSC.USF.EDU FOR MORE INFORMATION, PLEASE CALL THE OFFICE OF CONTINUING PROFESSIONAL DEVELOPMENT AT 813-974-4296 OR 800-852-5362. CREDIT CARD:

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IN THE AMOUNT OF $

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EXP. DATE

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PG2009486/1150