National Falls Prevention
Programme
Scoping the value proposition
Contact me at:
[email protected]
021 424 563
May 2012
Value proposition: value to whom?
Funders /
providers
•
•
•
•
•
•
•
•
•
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Individuals •
treatment costs
rehab costs
home care costs
residential care costs
income support
productivity /operational impacts?
[damage to property]
private contributions to treatment and care
quality adjusted life years
loss of earnings
[damage to property]
[xxx] = will not consider
2
What is a value proposition?
► Why
should we ‘buy’ this?
► what difference can this make to…?
► What is the total potential impact of preventing
falls (that cause injury)?
3
Not only cost avoided …
Avoided
costs, pain,
suffering
benefits
>
costs?
Cost of
programme
What difference does this programme make to falls and their
impact, compared to the costs of running the programme?
4
Have volumes, sort of, but need values
Place
Volume
Costs
Sources
Inpatients
2,600 (NMDS)
2,600 (ACC)
6,700 (NMDS)
?
MOH
ACC claims
DHB
ARC
10,500
?
ACC claims
ARC
Community
550,000
(281,000 at
home)
Claim costs
1k all
9k entitlement
ACC claims
Full coverage?
Overlap?
Additional costs
QALY impacts
Public + private
Local studies
Literature
Data analysis
5
Can we capture different pathways?
Fall
Fall in
community
Treatment
Recovery
(full or partial)
Fall in
community
Treatment
Aged care
Fall in
hospital
Extra
Treatment
Recovery
(full or partial)
Fall in
hospital
Extra
Treatment
Aged care
Treatment
Partial
Recovery
Fall
More care
Targeting efforts
Issues
• Which falls where are most costly
(80/20)?
Falls
• Which falls can be reduced?
• What further gains possible (given
existing efforts)?
• Where/what sector the biggest
gain for cost/effort (VFM)?
Cost
• What does that mean for where to
put (most) effort (first)?
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Next steps
► Follow
up on references provided
► Document data sources and their +/► Describe what we know, particularly about public
and private costs, and health outcome impacts
► Recommend what is needed to complete value
proposition
► Provide high level project plan for any next stage
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