50 Population Health Management DiabetesPrevention Some concerning national statistics underscore why Concord Hospital’s efforts to prevent diabetes are so important. The Centers for Disease Control and Prevention (CDC) estimates that one in three American adults – 86 million people – have pre-diabetes. Of those 86 million people, nine out of 10 do not know they have the condition.Without intervention, within five years, many people with pre- diabetes may join the more than eight percent of the U.S. population that suffers fromType 2 diabetes.That’s why Concord Hospital focuses so much attention on educating the community about pre- diabetes, identifying patients at risk for the condition and taking action. In 2017, Concord Hospital Diabetes Education distributed information about classes and services to all CHMG primary care and specialty practices. In addition, Diabetes Education invited approximately 100 patients who attended previous diabetes prevention classes to attend the CDC Preventing Diabetes Program being offered through the year. Patients have benefited because based on the pre-diabetes notification in their record, providers have been able to follow up with treatment or program options. More than 100 patients also have attended a diabetes prevention program. Soon, some insurance plans will cover registration costs for the CDC Preventing Diabetes Program, enabling more patients to attend and learn how to lower their diabetes risk. Medicare and Anthem Blue Cross Blue Shield plan to pay for this educational program under their preventive benefits. FallsRiskReduction andPrevention Falls are the leading cause of fatal and non-fatal injuries for older Americans and the leading cause, by far, of all traumatic injuries treated at Concord Hospital. A trip and fall at home or a fall from a ladder at work can be devastating – changing lives in an instant and placing a heavy demand on our healthcare system. That’s why programs to help prevent falls in the Hospital and in the community are a top priority. In 2017, our health system extended attention and education on falls prevention into the community. Outreach in collaboration with CRVNA included expanded falls risk screenings and educational presentations, including one at the AltonWoods apartment complex, which was identified as high-risk for falls based on Emergency Medical Services data. Concord Hospital Center for Health Promotion (CHP) also presented falls risk information during Concord’s Market Days Festival. Its community-based programs to reduce falls risk resulted in more than 500 elders educated in falls prevention, an increase of nearly 28 percent over 2016. As a member of the NH Falls Risk ReductionTask Force, Concord Hospital helps focus on promoting Falls Risk initiatives throughout the state and benefits from programs the task force attracts. Prevention information is now available in all CHMG primary care and a number of specialty practice exam rooms, check-out areas and waiting rooms.The information is also available in the Emergency Department andWalk-In Urgent Care. Every physician’s office has received education on the falls risk programs available to patients. In the Emergency Department, patients who express a fear of falling, confirm that they have fallen in the past year or that they have had injuries from falls receive falls information and are advised to follow up with their primary care physician, physical therapy or an exercise program. In addition to its collaboration with CRVNA and CHP, Rehabilitation Services performs falls risk screening on patients who attend outpatient physical and occupational therapy services.When Rehabilitation Services started performing falls risk screening three years ago the screening rate was 49 percent.The most recent screening data from November 2017 indicates that 94 percent of patients over the age of 65 are screened for their falls risk. Tips to reduce falls risks at home: § Make sure throw rugs and railings are secure; § Reduce clutter; § Don’t scatter wires from laptops and other devices on the floor; § Install bathtub handles or use walk-in tubs. record, providers have been able to follow More than 100 patients also have attended registration costs for the CDC Preventing Diabetes Program, enabling more patients