Establishing a Falls Clinic

Falls Clinic


  • Specialist opinion for patients
  • Early, accurate, and efficient diagnosis
  • Timely treatment
  • Better application of recommended guidelines
  • Less duplication and fragmentation of services
  • Single source of communication for all stakeholders
  • Reduction of total care costs
  • Better systems for monitoring and evaluating practice at local, national, and international levels
  • High-quality, evidence-based data for research
  • Evidence-based innovation in diagnosis, treatments, and healthcare model


  • Underestimation of consequences of falls
  • Access for older adults in rural settings
  • Lack of awareness of benefit of a falls clinic on quality-of-life
  • Low numbers of providers specialized in assessing patients with falls
  • Lack of formal fall risk programs
  • Wide age range of patients and comorbidities
  • Skill sets required in many domains (eg, geriatrics, cardiology, neurology, psychiatry, orthopedics, pharmacology)
  • Falls is not a recognized subspecialty
  • Reluctance to introduce innovative proposals
  • Necessity to engage multiple stakeholders
  • Inadequate reimbursement of fall assessment and management
  • Fear of increasing costs by developing a new structure (instead of reducing costs)