Stay seated: Hawaii will pay $81K for fall-prevention coordinator

by Malia Zimmerman, Watchdog.org, July 3, 2014 

HONOLULU — Take careful steps.

When possible, stay in your seat and, by all means, grab hold of that railing.

Simple advice, apparently from much simpler times.

Today, Hawaii seems compelled to pay someone — rather handsomely — to offer such ubiquitous and common-sense advice.

Of course, common sense and government oftentimes are mutually exclusive.

Hawaii taxpayers will spend $81,000 in 2015 on a new government position — fall prevention coordinator, who will teach Hawaii’s senior citizens, well, how not to fall.

Gov. Neil Abercrombie, D-Hawaii, signed House Bill 2053 into law this week, which creates the new fall prevention and early detection coordinator position within the Department of Health’s Emergency Medical Services and Injury Prevention branch.

The Department of Health already has a volunteer coordinator but thinks the full-time position will help Hawaii’s seniors remain healthy, productive and active and — get this — save taxpayers money in the long run.

Lawmakers backing the plan note Hawaii’s population of senior citizens grew 116 percent during the past two decades — more than double the national pace of 47 percent. What’s more, Hawaii’s population of people 65 and older is expected to reach 20 percent of the population by 2030.

Some 8,700 of Hawaii’s senior citizens go to the emergency room each year, costing the state $10 million annually in transportation alone. Another $90 million is spent on emergency room and hospital visits for seniors who took serious falls in which they broke their hips or hit their heads, with rehabilitation costs of about another $90 million.

Senate Human Services Committee Chair Suzanne Chun Oakland said no nonprofit or private entity could coordinate fall prevention in the state with the authority of the state government.

Stanley Michaels Jr., 73, an employee with the state Department of Health, is the state’s part-time, volunteer falls prevention coordinator.

Michaels, who took a bad fall himself leading to a hip replacement, gives presentations to seniors and caregivers, recommending seniors get their vision checked annually and review all medication side effects with a doctor or pharmacist; “safety proof” their homes by removing clutter, extension cords, throw rugs or items on the floor;  exercise; and carry an electronic monitoring device.

The suggestion to expand his presentations through a state-funded full-time falls prevention coordinator and a taxpayer-funded educational campaign emerged from task force that met for more than year to study the issue and determine possible solutions, Michaels said.

Senate Minority Leader Sam Slom, R-Hawaii Kai-Diamond Head, opposes the added cost and is skeptical of the plan.

“There is no question that falls are a major problem for seniors, but this bill, which has been pushed for years, will not prevent falls,” Slom said. “Government wants a coordinator for all of life’s risk,  but taxpayers shouldn’t have to fund it.”

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