{
  "schema": "https://solvinghealth.com/schemas/agent-manifest-v1",
  "name": "FallRisks",
  "url": "https://fallrisks.com",
  "updated": "2026-10-05",
  "summary": "The CDC STEADI 12-question fall-risk checklist, scored on the device, a 20-second phone walk test, and practice conversations for families after a fall. No login, and nothing is sent: a person can choose to save the score in this browser, on this device only. Part of the SolvingHealth care network.",
  "publisher": {
    "name": "SolvingHealth",
    "url": "https://solvinghealth.com"
  },
  "audience": [
    "family-caregiver",
    "older-adult",
    "clinician"
  ],
  "jobs_to_be_done": [
    "Know a parent's fall risk before something happens, not after",
    "Check whether a loved one's walking is actually getting worse",
    "Get the exact next step after a score at or above the CDC cut point",
    "Practice the hard conversation after a fall: with the parent, and with their doctor",
    "Pull evidence-based cutoffs and exercise dosing for a clinical fall-risk workup"
  ],
  "actions": [
    {
      "id": "steadi_screener",
      "label": "CDC STEADI 12-question fall-risk checklist (Yes/No, scored 0-14; 4 or more = may be at risk), on the homepage",
      "url": "https://fallrisks.com/",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "steadi_checklist_page",
      "label": "The same CDC checklist on its own page: printable, no analytics, accepts a gait_check from healthgait.com as context",
      "url": "https://fallrisks.com/screener",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "practice_the_talk",
      "label": "Practice the talk after a fall: 3 scripted conversations (a parent who hid a fall, a parent and the cane, the doctor visit) with an in-browser phrase-checker; not an AI, nothing sent",
      "url": "https://fallrisks.com/talk",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "walk_test",
      "label": "20-second phone walk test (on-device motion sensor)",
      "url": "https://fallrisks.com/walk-test",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "home_safety_checklist",
      "label": "Room-by-room home safety assessment (46 items, 6 rooms)",
      "url": "https://fallrisks.com/assessment",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "clinical_reference",
      "label": "Clinical reference: cutoffs and evidence-based exercise dosing",
      "url": "https://fallrisks.com/clinical",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "save_on_this_device",
      "label": "Save the checklist score and date in this browser, on fallrisks.com only (optional; nothing is sent to a server, other sites cannot see it)",
      "url": "https://fallrisks.com/",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true,
      "agent_may_submit": false
    },
    {
      "id": "medication_safety",
      "label": "Medicines linked to falls, with a printable list to bring to a pharmacist (not a reason to stop a medicine alone)",
      "url": "https://fallrisks.com/medication-safety",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "resources",
      "label": "Evidence-based programs (Otago, Tai Chi, A Matter of Balance) and home-modification funding sources",
      "url": "https://fallrisks.com/resources",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    }
  ],
  "facts": {
    "falls_per_year_65plus": "Over 14 million, or 1 in 4 adults 65+, report a fall each year; about 4.5 million emergency department visits for older adult falls and over 43,000 deaths in 2024, the leading cause of injury death at 65+; the age-adjusted fall death rate rose 21%, from 64.7 to 78.4 per 100,000, between 2018 and 2024; falls are among the costliest injuries in older adults (CDC Older Adult Fall Prevention pages, read 2026-10-01)",
    "fall_rate_with_intervention": "Exercise programs: about 48 of every 100 people fell within a year without one vs about 41 with one; 23% fewer falls and 15% fewer fallers (Cochrane 2019, Sherrington et al., CD012424)",
    "medication_related_falls": "CDC STEADI lists medicines linked to falls (sedative-hypnotics, benzodiazepines, antidepressants, antipsychotics, opioids, anticonvulsants, anticholinergics, antihistamines, muscle relaxants, blood-pressure medicines). Psychotropic withdrawal cut the rate of falls 66% in one 93-person RCT but was hard to sustain (Campbell et al., J Am Geriatr Soc 1999); a GP prescribing-review program lowered the odds of a fall 39% (Pit et al., Med J Aust 2007); medication review on its own did not reduce fallers in pooled trials (Seppala et al., Age Ageing 2022)",
    "exercise_effect": "Exercise: 23% fewer falls, 15% fewer fallers (Cochrane 2019); balance-challenging programs with more than 3 h/week of exercise: 39% fewer falls (Sherrington et al., BJSM 2017); tai chi: 20% fewer fallers across 8 trials (Cochrane 2019); tai ji quan vs conventional mixed exercise: 31% fewer falls in one 670-person RCT (Li et al., JAMA IM 2018)",
    "screener_basis": "CDC STEADI 'Stay Independent' checklist: 12 Yes/No statements, points as CDC prints them (2,2, then ten at 1), total 0-14; 4 or more = may be at risk for falling. Validated by Rubenstein et al., J Safety Res 2011;42(6):493-499. Source checked 2026-09-29: https://www.cdc.gov/steadi/pdf/steadi-brochure-stayindependent-508.pdf",
    "nature": "screening signal, not a diagnosis",
    "hip_fracture": "Nearly 319,000 older people are hospitalized for hip fractures each year; 83% of hip-fracture deaths were caused by falls (CDC falls facts, read 2026-10-01)",
    "one_in_ten": "1 in 10 falls leads to an injury that limits activity for a day or more or sends the person for care (CDC falls facts, read 2026-10-01)"
  },
  "llms_txt": "https://fallrisks.com/llms.txt",
  "machine_readable_claims": "MedicalWebPage + FAQPage JSON-LD in the homepage head",
  "review_model": "FallRisks itself only screens — a self-report questionnaire and an on-device motion test. It does not diagnose, bill, or issue medical records, so nothing here needs a clinician's signature. It does not route anyone to paid care: a higher-risk result points to co-op.care's needs assessment (no account), which is not a caregiver match — co-op.care is forming in Boulder and its paid care has not started. It makes no HSA/FSA promise: eligibility is decided case by case (IRS IR-2024-65), and a Letter of Medical Necessity documents a need; it does not unlock funds. Coverage questions go to comfortcard.org/covered, which can answer no.",
  "pollen": {
    "schema": "estate-pollen/1",
    "sends": [
      {
        "kind": "fall_screener",
        "from": [
          "https://fallrisks.com/",
          "https://fallrisks.com/screener"
        ],
        "to": [
          "https://healthgait.com/check",
          "https://fallprevention.help/visit",
          "https://familycaregive.com/plan/",
          "https://comfortcard.org/family"
        ],
        "data": [
          "score",
          "max",
          "band"
        ],
        "note": "max is 14; band lower (0-3) / moderate (4-7) / higher (8-14). CDC's one cut point is 4; the split at 8 is this site's own and not validated. By click only; also downloadable as a file."
      }
    ],
    "accepts": [
      {
        "kind": "gait_check",
        "at": "https://fallrisks.com/screener",
        "uses": "shows walking speed (and band, gait age) beside the checklist result as context; nothing is stored"
      }
    ],
    "receive_at": "https://fallrisks.com/screener"
  },
  "hand_offs": [
    {
      "need": "measure the walking itself (a speed trend, not a checklist)",
      "to": "https://healthgait.com/check",
      "carries": "fall_screener {score, max, band}, by the person's click"
    },
    {
      "need": "take the result to the doctor visit",
      "to": "https://fallprevention.help/visit",
      "carries": "fall_screener, by click"
    },
    {
      "need": "plan the family's next steps after a higher result",
      "to": "https://familycaregive.com/plan/",
      "carries": "fall_screener, by click"
    },
    {
      "need": "keep it with the family file on the device",
      "to": "https://comfortcard.org/family",
      "carries": "fall_screener, by click"
    },
    {
      "need": "say, ahead of a fall, what a parent would want",
      "to": "https://caregoals.com/conversation",
      "carries": "nothing"
    },
    {
      "need": "a higher result and the question of what support at home would fit",
      "to": "https://co-op.care/assess",
      "carries": "nothing; a needs assessment, not a caregiver match"
    },
    {
      "need": "see the walk on camera (cadence, symmetry, rhythm; nothing uploaded)",
      "to": "https://motionsole.com/live",
      "carries": "nothing; a link in the footer of every page"
    },
    {
      "need": "joint pain that changes the walk: mechanical or inflammatory, which specialist",
      "to": "https://arthritisrisk.com/",
      "carries": "nothing; a link in the footer of every page"
    }
  ],
  "siblings_by_need": {
    "walking": "healthgait.com",
    "after_a_fall_at_the_doctor": "fallprevention.help",
    "family_plan": "familycaregive.com",
    "family_file": "comfortcard.org",
    "care_wishes": "caregoals.com",
    "support_at_home": "co-op.care",
    "gait_on_camera": "motionsole.com",
    "joint_pain": "arthritisrisk.com"
  },
  "device": {
    "installable": true,
    "manifest": "https://fallrisks.com/manifest.json",
    "service_worker": "https://fallrisks.com/sw.js",
    "works_offline_after_first_visit": [
      "/",
      "/screener",
      "/walk-test",
      "/talk",
      "/assessment"
    ],
    "stores": "nothing a person answers leaves the device; the service worker only keeps the site's own files"
  },
  "words": {
    "say": [
      "no account",
      "nothing is sent",
      "a screening signal, not a diagnosis",
      "988 before anything else in a crisis; 911 for an injury"
    ],
    "never": [
      "free (as an offer)",
      "diagnosis",
      "prediction",
      "a price",
      "a caregiver match",
      "a name where a role belongs"
    ]
  }
}
