Administrators strive to improve the quality of patient care and control healthcare cost. F2 Solutions' algorithms help administrators improve patient care, reduce liability and increase profitability.

Hospitals compete for market share in their communities. Patients with Faint or Fall present both a challenge and an opportunity. Utilization of F2 Solutions' algorithms will help hospitals improve their patient care and outcomes, as well as contribute to higher profitability.

Magnitude of Faint and Fall Problem

Fainting spells account for 1% to 6% of all hospital admissions and up to 3% to 5% of emergency department (ED) visits in the US. Similar to faint, fall related injuries are the leading cause of ED visits, hospitalization and the second leading cause of injury related death. Accidents or unintentional injuries are the 5th leading cause of death in the US and the 3rd leading cause of death in Utah with falls accounting for two-thirds of these accidents. Apart from physical injuries and the increased morbidity and mortality, unexplained falls represent a common cause of institutionalizing in an otherwise independent elderly person. There is considerable overlap between faint and unexplained falls in the elderly person due to amnesia and absence of witnesses.

Recent data support the notion that a designated Syncope Facility, in either the emergency department or hospital, can provide more efficient and effective triage and evaluation of patients than is accomplished by conventional approaches. In general, a considerable improvement in diagnostic yield and cost effectiveness i.e. cost per reliable diagnosis was achieved in comparison to the usual practice. The benefit was particularly high if a structured evaluation algorithm was used. In recent studies performed in Italy, physicians of syncope facilities were provided with web-based on-line interactive decision-making software. This web-based software helped physicians to collect data on patient’s history and diagnostic work-up in a logical standardized format and also acted as the database for analysis of results. It is noteworthy that two thirds of patients referred to Syncope Facilities were referred from out-of-hospital services, thus expanding the referral base to the hospital.

Benefits of Standardized Protocols

Despite the high rate of patients admitted to hospital for Faints or Falls, epidemiological data show that the vast majority of these patients are seen in the out-patient setting or do not seek medical assistance at all. Unfortunately, most patients do not undergo a comprehensive approach resulting in a low-yield to diagnosis and a high recurrence rate. The rate of unexplained faints is as high as 42%-54% in non-standardized clinical practice settings but is as low as 17%-24% following the adoption of standardized algorithms. Similarly, the approach to patients with Fall is often not comprehensive leading to a low diagnostic yield. In a recent study conducted at the University of Utah Hospital, the prevalence of cardiovascular risk assessment, orthostatic testing and carotid sinus massage were low at 56%, 5% and 0%, respectively. In these patients recurrence rate and risk of related injuries remain elevated despite all the negative studies and the repeated visits. These studies strongly support the adoption of a standardized framework for patients with Faint and Fall.

Faint and Fall Clinic

F2 Solutions algorithms were derived from the European Society of Cardiology and American Heart Association guidelines. F2 Solutions provides the hospital with the most important tools needed to establish a “Faint and Fall Clinic”.

F2 Solutions Incremental Value to Hospitals

1. Automatic billing of patient visits, compliant with level of documentation
2. Greater market share by providing the tools needed to establish a “Faint and Fall Clinic” including the Faint and Fall-Clinician module and training for staff and health care providers
3. An electronic system that generates a clinic note immediately following the patient encounter and assessment, thus ensuring proper documentation for reimbursement
4. A database that allows all types of queries
5. Specific forms for follow-up visits