Home Health Care Safety Checklist

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

Simplify your workflows

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.

Customize to your needs

Tweak this form to fit your needs with Formstack's simple drag-and-drop form builder. No coding knowledge necessary! You have the power to build, edit, or update forms at any time 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

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 these confirmation 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 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.

Collect anywhere

There's no need to bring paper and a clipboard with you during patient visits. This home health care safety checklist can be accessed from a laptop, desktop, mobile phone, or tablet, making data collection easy during home visits. Quickly gather the information you need while on the go, allowing your team to place more focus on patients instead of a pile of paper forms. You can even collect digital patient signatures by adding an Electronic Signature field to your template.

Using Formstack reduces failure when bringing in new patients. It increases efficiency and cuts down on data entry for both patients and staff.
Dr. Chris Bojrab
President of Indiana Health Group

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