Safe Steps at Home

The Program  |  Goals  |  Eligibility  |  The Facts  |  Referrals & Payment  |  Service Area

The Safe Steps at Home program assists physicians in identifying patients at risk and teaches these patients interventions to reduce their fall risk.


The Program

Program Description:

The comprehensive evaluation assesses the following:

  • objective balance tests with normative data - Berg Balance, Traditional Manual & Cognitive, Timed Up and Go, functional reach, modified Clinical Test of Sensory Integration and Balance, and Modified Falls Efficacy Scale
  • posture
  • functional limitations
  • pain, strength, and range of motion
  • neurologic assessment of sensation, proprioception, kinesthesia and the vestibular system
  • home safety assessment
  • medication reconciliation

Treatment Approach:

  • balance, gait, and transfer training
  • exercise progression to restore function, strength, and range of motion
  • progressive task and functionally based home exercise program
  • education on home environment to improve safe function/mobility in home
  • integration of sensory systems to improve dynamic balance

The clinician will apprise the physician of the patient evaluation findings, including a normative data comparison, and will provide recommendations for a plan of care.

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Goals

Hartford HealthCare at Home professionals help you reduce your risk for falls by addressing your problem areas.

During your first visit, your therapists will conduct a complete evaluation that will assess your:

  • Posture
  • Strength
  • Sensation
  • Walking
  • Balance
  • Daily activities of living

Your therapists work with you and your physician to develop a customized plan of care that will fit your needs and lifestyle:

  • Exercise
  • Gait training
  • Home exercise program
  • Vestibular training
  • Home environment education
  • Education on fall prevention

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Eligibility

You may be at risk for falling...

  • Are you over 65 years of age?
  • Do you have osteoporosis?
  • Do you have visual impairments?
  • Do you use an assistive device?
  • Do you have muscle weakness?
  • Do you have frequent loss of balance?
  • Have you had a previous fall?
  • Do you have difficulty walking?
  • Do you use four or more medications per day?
  • Do you have complaints of dizziness?
  • Do you have foot problems such as pain or deformities?
  • Do you need to look at the floor to know where your feet are when walking?
  • Do you have difficulty getting out of a chair?
  • Are you unable to get up from the floor or toilet?
  • Are you able to stand on one leg for at least five seconds?

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The Facts

Balance and Fall Prevention: Did you know that...

  • Falls are not a normal sign of aging and are a major risk factor as people age.
  • Every day, every 29 minutes an older person dies from a fall.
  • Falls and related injuries are the most frequent preventable cause of nursing home placement.
  • Falls are a major risk factor in the aging population.
  • Falls cause over 90% of broken hips in the older population.
  • More than 30% of community living residents over 65 years of age fall each year, and of those, half will fall more than once.

Reference: Connecticut Collaboration for Fall Prevention

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Referrals & Payment

Referral and Payment Information:

  • Medicare patients will have 100% coverage if meeting homebound requirements.
  • Some insurers require pre-authorization.
  • In referral please include all disciplines that may benefit patient (PT, OT and/or RN) and why they should be seen (i.e. gait assessment, medication reconciliation, improved dynamic balance, etc.)

A patient with any of the following symptoms is a candidate for Safe Steps:

  • a previous fall
  • impaired gait and/or difficulty in transferring or getting up
  • use of four or more medications per day
  • postural hypotension
  • footwear or foot problems including pain or deformities
  • impaired lower extremity sensory impairments
  • inability to stand on one leg for five seconds

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Service Area

The Most Comprehensive Provider of In-Home Care in Our Region. Services can be packaged to create a customized plan of care to optimize clinical outcomes, maximize independence and improve quality of life.

We are a not-for-profit community-based home health and hospice organization serving more than100 communities in Connecticut. Founded in 1901, Hartford HealthCare at Home is part of an integrated health care system known as Hartford HealthCare. Hartford HealthCare at Home fulfills its mission by enabling individuals to achieve maximum independence, to participate in their own plan of care, and to live with dignity while receiving quality care in their own homes.

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