Cooperative Agreement D261IHS0214

NATIVE HEALTH STRONG STEPS FALL PREVENTION PROGRAM FOR URBAN INDIGENOUS ELDERS IN MARICOPA COUNTY. - NATIVE HEALTH IS A NON-PROFIT 501C3 URBAN INDIAN HEALTH CENTER PROVIDING SERVICES TO THE URBAN INDIGENOUS COMMUNITY IN MARICOPA COUNTY. THE AGENCY PROPOSES TO DELIVER AN EVIDENCE-BASED FALL PREVENTION PROGRAM TO THE URBAN INDIGENOUS POPULATION AGE 55 AND OLDER. ARIZONA AND MARICOPA COUNTY HEALTH DATA SHOWS THAT THIS POPULATION AT HIGHEST RISK FROM FALL-RELATED INJURY AND THIS IS DEMONSTRATED FROM IN-PATIENT HOSPITALIZATION, EMERGENCY DEPARTMENT UTILIZATION, AND DEATH RATES ACROSS THE STATE AND THE COUNTY. THE PROGRAM PROPOSES THE USE OF THE MATTER OF BALANCE FALL PREVENTION PROGRAM AND A TRAIN-THE-TRAINER MODALITY TO INSTITUTIONALIZE MOB IN CHRONIC DISEASE AND OUTREACH PROGRAM WITHIN NATIVE HEALTH. THROUGH THIS PROGRAM NATIVE HEALTH WILL ACHIEVE THE FOLLOWING GOALS AND OBJECTIVES: BY DECEMBER 2030, THE NATIVE HEALTH STRONG STEPS PROGRAM WILL REDUCE THE RATE OF FALL-RELATED EMERGENCY DEPARTMENT (ED) VISITS AMONG AMERICAN INDIAN/ALASKA NATIVE ADULTS AGED 55 AND OLDER IN MARICOPA COUNTY BY 20% THROUGH IMPLEMENTATION AND SCALING OF THE MATTER OF BALANCE EVIDENCE-BASED PROGRAM AT THE NATIVE HEALTH CLINICS. OBJECTIVE 1: BY DECEMBER 2027, TRAIN AT LEAST 2 CERTIFIED MATTER OF BALANCE COACHES AND ENROLL A MINIMUM OF 120 AI/AN ELDERS ACROSS TWO COMMUNITY SITES IN MARICOPA COUNTY, ACHIEVING A PARTICIPANT COMPLETION RATE OF 80% OR HIGHER. OBJECTIVE 2: BY DECEMBER 2030, 80% OF PROGRAM COMPLETERS WILL REPORT INCREASED CONFIDENCE IN MANAGING FALL RISK (MEASURED VIA PRE/POST-SURVEY), AND THE FALL-RELATED EMERGENCY DEPARTMENT VISIT RATE FOR ENROLLED PARTICIPANTS WILL DECREASE BY AT LEAST 15% COMPARED TO BASELINE.