HOUSE OF REPRESENTATIVES

H.C.R. NO.

23

TWENTY-SIXTH LEGISLATURE, 2011

 

STATE OF HAWAII

 

 

 

 

 

HOUSE CONCURRENT

RESOLUTION

 

 

ESTABLISHING A HAWAII STATE FALL PREVENTION AND EARLY DETECTION TASK FORCE TO DEVELOP A STATEWIDE APPROACH TO REDUCING FALLS AMONG OLDER ADULTS.

 

 


     WHEREAS, the Legislature finds that too many of our seniors suffer devastating and often fatal injuries due to falls; and

 

     WHEREAS, one third of our kupuna fall each year; and

 

     WHEREAS, every five hours a senior is injured so severely by a fall that the senior must be hospitalized, often never returning home; and

 

     WHEREAS, among older adults, falls in Hawaii are the leading cause of fatal injuries (45 per cent), injury-related hospitalizations (83 per cent), injury-related emergency department visits (59 per cent), and injury-related emergency medical service calls (81 per cent).  Annually, among Hawaii seniors, falls result in 78 deaths and nearly 1,800 hospitalizations; and

 

     WHEREAS, monetary cost notwithstanding, the physical and emotional cost of senior falls to our families is incalculable; and

 

     WHEREAS, such falls are preventable and are not inevitable due to aging; and

 

     WHEREAS, balance screening, medication reviews, and vision examinations are just some of the programs that can help determine those seniors who are at risk of falling; and

 

     WHEREAS, a variety of evidence-based best practice programs can prevent falls, especially when incorporated with tai chi or other exercise programs; and

 

     WHEREAS, in addition to the prevention of falls, early detection of fall occurrences is critical to expedite treatment, minimize serious long-term consequences, mitigate suffering, reduce the extent of the injury, and in some instances, avoid death; now, therefore,

 

     BE IT RESOLVED by the House of Representatives of the Twenty-sixth Legislature of the State of Hawaii, Regular Session of 2011, the Senate concurring, that the University of Hawaii Center on Aging is requested to convene a Hawaii State Fall Prevention and Early Detection Task Force (Task Force) to develop a statewide approach to reducing falls among older adults by:

 

     (1)  Investigating and examining the immediate and long-term dangers of fall injuries on our senior population;

 

     (2)  Examining the fiscal impact of senior falls on our medical system and health care costs;

 

     (3)  Recommending appropriate interventions and prevention programs to reduce falls and health care costs associated with falls;

 

     (4)  Investigating the most effective means to enhance public awareness that falls are preventable;

 

     (5)  Reviewing the potential for increasing for the elderly and their caregivers, on a statewide basis, the availability and accessibility of fall prevention and early detection services and programs that effectively use community resources;

 

     (6)  Recommending measures that will promote early detection of falls, particularly for those who live alone or in circumstances where the likelihood of not being discovered soon after a fall is great; and

 

     (7)  Investigating the best way to expand the role of medical and health care professionals in screening, educating, and referring elderly persons to fall prevention and early detection services and programs; and

 

     BE IT FURTHER RESOLVED that the Task Force consist of five members appointed by the Governor, five members appointed by the President of the Senate, five members appointed by the Speaker of the House of Representatives, and six additional members who are leaders in their industry or directors of their departments, or their designees, and who shall collaborate with and support the work of the Task Force as requested.  These additional six members are to include:

 

     (1)  The Medical Director or Corporate Executive Officer of the Hawaii Health Systems Corporation;

 

     (2)  The Dean of Geriatric Medicine of the John A. Burns School of Medicine;

 

     (3)  A representative of the Hawaii Fall Prevention Consortium;

 

     (4)  The Director of Health or the Director's designee;

 

     (5)  The Director of the Executive Office on Aging or the Director's designee; and

 

     (6)  The County Executive of the Elderly Affairs Division of the City and County of Honolulu or the County Executive's designee; and

 

     BE IT FURTHER RESOLVED that the Director of the Executive Office on Aging is designated as the chair of the Task Force; and

 

     BE IT FURTHER RESOLVED that members of the Task Force have a background in elderly services, geriatric medicine, geriatric pharmacology, business, insurance, health care, long-term care, hospital administration, risk management, or public policy development, or be an advocate for or consumer of elderly care services; and

 

     BE IT FURTHER RESOLVED that members of the Task Force be appointed as soon as practicable, but by no later than July 1, 2011; and

 

BE IT FURTHER RESOLVED that:

 

     (1)  The Task Force is requested to convene before August 15, 2011, whether or not all membership appointments have been made at that time, at a place chosen by the convener;

 

     (2)  The Department of Health and Executive Office on Aging is requested to provide administrative support to the Task Force; and

 

     (3)  The Legislative Reference Bureau is requested to draft any legislation resulting from the Task Force; and

 

     BE IT FURTHER RESOLVED that if the Task Force has any vacancies in its membership on or after August 15, 2011, the Task Force may appoint persons to fill those vacancies; and

 

     BE IT FURTHER RESOLVED that the Task Force is requested to collaborate with interested stakeholders, including health care facilities, community coalitions, government agencies, and organizations concerned with protecting kupuna and preventing and detecting falls; and

 

     BE IT FURTHER RESOLVED that the Task Force submit an interim report to the Legislature no later than twenty days before the convening of the Regular Session of 2012, describing the progress made by the Task Force, including its review of fall prevention data and the impact of senior falls on the State's medical system and health care costs; and

 

     BE IT FURTHER RESOLVED that the Task Force submit a final report, including any proposed legislation, to the Legislature no later than twenty days prior to the convening of the Regular Session of 2013; and

 

     BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Governor, the President of the Senate, the Speaker of the House of Representatives, the Medical Director of the Hawaii Health Systems Corporation, the Dean of Geriatric Medicine of the John A. Burns School of Medicine, the Hawaii Fall Prevention Consortium, the Director of Health, the Director of the Executive Office on Aging, the Director of the University of Hawaii Center on Aging, the County Executive of the Elderly Affairs Division of the City and County of Honolulu, and the Director of the Legislative Reference Bureau.

 

 

 

 

OFFERED BY:

_____________________________

 

 

Report Title: 

Fall Prevention Task Force; Kupuna Caucus