How do we know that falls are an issue in Wisconsin?
From the data! Data shows us that falls are happening frequently; they are expensive and they have enormous health and community implications. By looking at the data, you can get a better understanding of the impact of falls nationwide, in Wisconsin, and your local area, and make the case for falls prevention.
Falls Data by County
Green counties have seen an improvement (reduction in fall deaths as indicated by the age-adjusted rate) between 2016-2020. Click on a county to see data for number of emergency department visits and hospitalizations, as well as cost of falls due to emergency department visits and hospitalizations.
Age-adjusted rate is recommended to be used when making comparisons between two different time periods. Age-adjustment accounts for differences in age composition across populations and time.
Source: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Interactive Statistics on Health (WISH) data query system
Data: Injury-related mortality, unintentional fall-related deaths
Available Data Sources:
The CDC has falls data available by state, including cost of falls, for adults aged 65 and older.
Used by ambulance service providers to enter and submit their ambulance run data. Only people with certain credentials can have access (a username and password is required to access the system). However, you can do an open records request with the State (Open Records: Wis. Stat. §§ 19.31 – 19.39 | Wisconsin Department of Health Services).
WHA has access to hospital and ambulatory surgery center discharge sets and the Wisconsin Health Information Organization (WHIO) DataMart. Health Care Data Reports are generated each year. Custom reports can be requested. There may be a charge to get this data.
Injury-related health outcomes (including unintentional falls), are one of the many health indicators that you can query on this site. You can put together your own report with the factors you want to know by year, age range, county, etc.
Contains injury information from patients presenting to local hospitals. Wisconsin Admin. Code § DHS 118.09(3) directs all hospitals, ambulance service providers and first responder services submit data on a quarterly basis. Only trauma staff from a hospital can have access (you must request a username and password for an account to access to view the data). The public can view trauma data reports here: Wisconsin Trauma Care System: Data and Reports | Wisconsin Department of Health Services.
The Wisconsin Trauma Report: 2023 Year in Review has information on the trends of traumatic injury throughout Wisconsin, with a focus on falls. All data for this report is from Wisconsin’s Trauma Registry and meets the Trauma Registry Inclusion Criteria as found in the Wisconsin State Trauma Registry Data Dictionary. Only hospitals with trauma level classifications are required to submit data to Wisconsin’s Trauma Registry.
The National Association of County and City Health Officials (NACCHO) developed this guide Using NEMSIS Data to Address Older Adult Falls at the Local Level with the National Association of State EMS Officials (NASEMSO). It provides an introduction for local health departments interested in accessing emergency medical services data to address older adult falls prevention within their communities. The guide describes the characteristics of the data that may be available to evaluate the prevalence of older adult falls that occur within their jurisdiction and to monitor data trends over time for evaluation purposes
Local Data
You may be able to get local data right from the source of your healthcare system or emergency services provider. Ask your local providers what falls data they collect. Consider requesting regular reports and monitoring for changes in trends over time.
Limitations of Data
Just like humans, data isn’t perfect. Each data set may have its own limitations. Be sure to look at the definitions of the data, where the numbers come from, what geographic area the numbers cover and more. Consider the effect of the COVID-19 pandemic or other factors that may have impacted the data.