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Home Health Care Safety Checklist

Minimize fall risks and ensure the safety of your in-home health care patients.

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Every year, one in four Americans over the age of 65 will fall while at home, resulting in an emergency room visit every 11 seconds, according to the National Council on Aging. Protect your patients who choose to receive home health care with this template. This thorough checklist covers all areas of safety within the home, including bathrooms, bedrooms, stairs, and living areas. Use this checklist at least once a quarter to minimize patient falls and improve their safety.

Easy to Edit

Easy to Edit

Customize this form to fit your needs with Formstack's simple drag-and-drop form builde r. No coding knowledge necessary! You have the power to build, edit, or update forms at anytime without the help of your IT department. With more than 200 templates to choose from, you're able to streamline many different forms and processes, from patient intake forms and insurance submissions to feedback surveys and pain assessments.

Automate Notifications

Automate Notifications

Data management is incredibly easy with Formstack. Set up automated email notifications to send results to specified email addresses when the home health care safety checklist is complete. You can personalize theseconfirmation emails, making it easy to send customized messages to patients, family members, and other home health care employees. If a manager needs to approve checklist submissions, Approvals makes it a breeze to automate any necessary form sign-offs.

Eliminate Paper

Eliminate Paper

Eliminate the waste, disorganization, and unnecessary steps that come with paper forms by converting to digital. Formstack has a wide array of tools that help you save time and money, freeing up your employees to focus on the most important aspects of their job. Ditch paper and digitize your forms to allocate resources effectively, accomplish more tasks, and keep important initiatives on track.

Available Anywhere

Available Anywhere

It's not uncommon to go without Wi-Fi or internet access at the homes of patients. With the Offline Forms add-on and the Formstack Go app, your team can submit this home health care safety checklist from anywhere at anytime, regardless of internet availability. No need to bring a paper checklist and clipboard anymore! This checklist can be accessed from a laptop, desktop, mobile phone, or tablet, making data collection easy during home visits.

Social Proof

"Having the information electronically has allowed us to speed up the process, cut down on redundant work, and we've saved a few trees at the same time!"

Melanie Tart,
The Honeywell Foundation

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