The economics of preventing hospital falls: Demonstrating ROI through a simple model

Objective: The objective of this study was to assess the cost savings associated with implementing nursing approaches to prevent in-hospital falls.

Background: Hospital rating programs often report fall rates, and performance-based payment systems force hospitals to bear the costs of treating patients after falls. Some interventions have been demonstrated as effective for falls prevention.

Methods: Costs of falls-prevention programs, financial savings associated with in-hospital falls reduction, and achievable fall rate improvement are measured using published literature. Net costs are calculated for implementing a falls-prevention program as compared with not making improvements in patient fall rates.
Results: Falls-prevention programs can reduce the cost of treatment, but in many scenarios, the costs of falls-prevention programs were greater than potential cost savings.
Conclusions: Falls-prevention programs need to be carefully targeted to patients at greatest risk in order to achieve cost savings.