Optional survey questions capture data elements that ACL Falls Prevention Grantees may wish to collect over and above the grant-required data elements. These fields are not included on the OMB-approved data collection forms, but you may add them to the Participant Information Form (pre-survey) and Participant Post Program Survey.
Use this post-program survey to evaluate your falls prevention program.
The purpose of the Participant Information Form is to collect participant demographics, health and disability status, falls history, risk factors, and outcomes information before a participant begins a falls prevention program.
This log serves to capture the number of sessions or intervention dose that each Falls Prevention Program participant is completing. This log should be filled in by the person delivering the program (e.g. leader/instructor/coach etc.).
The Group Leader Script is designed to be read/paraphrased to program participants prior to their completion of the Participant Information Survey to explain the purpose of the data collection and its voluntary nature.
The purpose of the Information Cover Sheet is to collect data about the Falls Prevention Program offered, type of site, leader/instructor/coach information, and start and end dates.
The purpose of the Host Organization Information Form is to collect information about host organizations and program(s) offered.
Join this webinar to learn about changes to the OMB approved data collection forms and related materials for Administration for Community Living/Administration on Aging (ACL/AoA) Falls Prevention Grantees. A live demonstration will be provided to show grantees how to enter data into the National Falls Prevention Database using the new forms. New database related resources and data collection tips will also be shared.
This resource will help you to determine your degree of readiness for billing for Chronic Care Management services.