Residents in Jackson County are free from injury Download Data Go Back

% of Jackson County residents who have fallen in the past year

37.8%2015

Story Behind the Curve

The "Story Behind the Curve" helps us understand why the data on falls is the way that it is in our community. When we understand the root causes of our community problems, we have a better chance of finding the right solutions, together.

What's Helping? These are the positive forces are work in our community and beyond that influence this issue in our community.

  • Many fall prevention programs already in place
  • Supportive Department on Aging and Senior Center
  • Relationship with Western Carolina University's Physical Therapy Program
  • Proven ROI on fall prevention programs

Participants at the Senior Center participate in Get Some Balance in Your Life, a balance class developed by UNC's Center for Aging and Health

What's Hurting? These are the negative forces are work in our community and beyond that influence this issue in our community.

  • Aging population
  • Lack of coordination between services-- need for multi-pronged community approach to address falls through fall risk identification, home assessments, balance classes, and more
  • Rural, secluded, spread out population
  • Few transportation opportunities for those who can't drive
Partners

Partners in our Community Health Improvement Process:

Partners With a Role in Helping Our Community Do Better on This Issue:

What Works to Do Better?

The following actions have been identified by the Injury and Substance Abuse Prevention Action Team and community members as ideas for what can work for our community to make a difference on falls.

(A) Actions and Approaches Identified by Our Partners These are actions and approaches that our partners think can make a difference on falls.

(B) What is Currently Working in Our Community These are actions and approaches that are currently in place in our community to make a difference on falls.

(C)Evidence-Based Strategies These are actions and approaches that have been shown to make a difference on falls.

The Injury and Substance Abuse Prevention Action Team completed the "Whole Distance Exercise" to begin the prioritization process and select actions to take to address this health priority. The team answered the following questions:

  • Result: What quality of life conditions do we want for Jackson County residents?
  • Experience: How will we recognize this result in everyday life?
  • Indicators: How can we measure these experiences?
  • Partners: Who has a role to play in this?
  • Current Actions: What are we currently doing to address this?
  • What Works to Do Better: How can we make our numbers better?

The Action Team considered all options including those that were no/low cost and off the wall. After reviewing our "Current Actions" and pairing them with "What Works to Do Better," the Action Team selected strategies to implement based on feasibility, impact, and resources.

Data Holes

We are keeping an eye on tobacco use, alcohol use, overdose, and falls as a way of telling how we are doing as a community in addressing injury and substance abuse and build a community where all Jackson County residents are free from injury. We have also identified other data that is not currently available, but that we would like to develop to help us monitor progress on this result:

  • Opioid overdose death rates
  • Opioid use rates
  • Less self-reported data and more clinically-gathered data on substance use
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