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| Falls Management Group | |
|---|---|
| Name | Falls Management Group |
| Type | Private |
| Industry | Healthcare services |
| Founded | 2004 |
| Headquarters | Boston, Massachusetts, United States |
| Key people | Robert Applebaum, Louis Reznick |
| Products | Fall prevention programs, clinical protocols, training |
| Num employees | 500–1,000 |
Falls Management Group Falls Management Group is a privately held healthcare company specializing in fall prevention, risk assessment, and clinical protocols for long-term care and post-acute settings. The organization develops assessment tools, staff training, and quality improvement programs used by nursing homes, assisted living facilities, and rehabilitation centers across the United States. Its work intersects with clinical geriatrics, nursing practice, regulatory compliance, and patient safety initiatives.
Founded in 2004, the company emerged amid heightened regulatory scrutiny following landmark events such as the Institute of Medicine reports on patient safety and influential litigation involving elder care providers. Early growth paralleled policy shifts influenced by the Centers for Medicare & Medicaid Services and inspection regimes such as the Omnibus Budget Reconciliation Act of 1987 amendments affecting long-term care. During the 2000s and 2010s the firm expanded through collaborations with academic centers including Boston University, Harvard Medical School, and Tufts University researchers focused on gerontology and epidemiology. Major milestones included deployment of standardized fall risk instruments, scaling of training programs after publicized outbreaks of patient-safety incidents at chains like Life Care Centers of America, and integration with quality-improvement frameworks promoted by The Joint Commission.
The company markets comprehensive fall prevention services: risk-assessment instruments, individualized intervention plans, electronic documentation templates compatible with vendors such as Cerner and Epic Systems Corporation, and continuing education modules for licensed practical nurses and registered nurses. Products include staff competency checklists, environmental hazard assessment tools, assistive device protocols referencing manufacturers like Invacare Corporation and Drive DeVilbiss Healthcare, and analytics dashboards for quality metrics used by health systems including Montefiore Medical Center and Mayo Clinic. Services extend to root-cause analysis for sentinel events, mock surveys aligned with Centers for Medicare & Medicaid Services survey processes, and implementation support for clinical pathways informed by trials published in journals such as The New England Journal of Medicine and JAMA.
The organization is structured with executive leadership, clinical affairs, research and development, operations, and client services divisions. Executives have backgrounds at institutions like Massachusetts General Hospital, Brigham and Women's Hospital, and consulting firms such as McKinsey & Company. The clinical team includes geriatricians, nurse educators, and physical therapists with affiliations to American Geriatrics Society and American Nurses Association. The research arm collaborates with university-based biostatistics groups at Johns Hopkins University and University of Pennsylvania for program evaluation and outcomes measurement.
Clinical protocols promoted draw on randomized trials and systematic reviews from Cochrane and guidelines by American Geriatrics Society and Centers for Disease Control and Prevention. Core elements emphasize multifactorial risk assessment, medication review referencing the Beers Criteria, strength and balance training based on studies by researchers affiliated with University of California, San Francisco and University of Pittsburgh, and environmental modifications rooted in work by World Health Organization fall-prevention recommendations. The firm cites peer-reviewed outcomes demonstrating reductions in incident fall rates and injury severity published in Journal of the American Medical Directors Association and Age and Ageing.
The company has partnered with healthcare systems, academic centers, and technology vendors. Collaborations include pilot programs with Yale School of Medicine, quality partnerships with chains such as Genesis HealthCare, and integration projects with electronic health record vendors including Allscripts. It has worked with payer organizations like Centers for Medicare & Medicaid Services demonstration initiatives and with advocacy groups such as AARP on public education campaigns. International linkages include consultative work informed by fall-prevention strategies promoted by the World Health Organization and exchanges with research groups at Karolinska Institutet.
Clients report measurable reductions in fall incidence, improved regulatory survey performance, and enhanced staff competencies, with outcomes disseminated in presentations at conferences such as the American Geriatrics Society Annual Meeting and Gerontological Society of America. Health system leaders at institutions like Cleveland Clinic and Kaiser Permanente have referenced the firm’s materials in internal toolkits. Peer reviewers have acknowledged contributions to implementation science in fall prevention while policymakers cite such programs when discussing quality metrics in long-term care reform debates involving the Centers for Medicare & Medicaid Services.
Critics have raised concerns about commercial influence on clinical practice, citing tensions similar to debates around proprietary tools used by organizations linked to Pharmaceutical Research and Manufacturers of America. Questions have been posed regarding the generalizability of internal evaluations versus independent randomized trials published in journals such as BMJ and about potential conflicts when proprietary protocols are bundled with vendor services provided by firms like Accenture. Regulatory scrutiny has occasionally focused on documentation practices in facilities adopting proprietary templates during Centers for Medicare & Medicaid Services surveys. Some advocacy groups, including chapters of National Consumer Voice for Quality Long-Term Care, have argued for greater transparency and independent validation.