ANZHFR 2021 Annual Report
The ANZHFR is very pleased to be able to provide you with the 2021 Annual Report. We would like to express our appreciation to all the people who have been involved in collecting, collating and analysing the data for this report and those who have put in a great effort progressing it to completion. We hope you will find the Annual Report enlightening and useful as you continue in your endeavours to improve the quality of hip fracture care for your patients. The Australian State report is included in both the Clinical Care Standard Report and the Full e-Report, rather than as a separate Supplementary report as in previous years. For the first time, the reports also include an Outlier Report, which monitors hospital performance against the quality indicators and enables sites to easily see areas of high quality care or those that require review. A PowerPoint slide pack has also been provided should you wish to use it. The slides follow the structure of the Clinical Care Standard Report (excluding Australian State Report and they can be customised to highlight your hospital’s performance and add in any other relevant information e.g., additional figures from the full report or other site-specific information. There is included a pull-out text box and pointer for the hospital level charts. These can be moved down the axis, to line up with your hospital. The pointer and text box can also be positioned separately – simply click on the text box if you need to move it whilst leaving the pointer in place. This is useful towards the bottom of each slide. If you want to highlight more than one hospital, the pointer and text box can be copied and pasted
The ANZHFR is very pleased to be able to provide you with the 2021 Annual Report. We would like to express our appreciation to all the people who have been involved in collecting, collating and analysing the data for this report and those who have put in a great effort progressing it to completion. We hope you will find the Annual Report enlightening and useful as you continue in your endeavours to improve the quality of hip fracture care for your patients.
The Australian State report is included in both the Clinical Care Standard Report and the Full e-Report, rather than as a separate Supplementary report as in previous years. For the first time, the reports also include an Outlier Report, which monitors hospital performance against the quality indicators and enables sites to easily see areas of high quality care or those that require review.
A PowerPoint slide pack has also been provided should you wish to use it. The slides follow the structure of the Clinical Care Standard Report (excluding Australian State Report and they can be customised to highlight your hospital’s performance and add in any other relevant information e.g., additional figures from the full report or other site-specific information. There is included a pull-out text box and pointer for the hospital level charts. These can be moved down the axis, to line up with your hospital. The pointer and text box can also be positioned separately – simply click on the text box if you need to move it whilst leaving the pointer in place. This is useful towards the bottom of each slide. If you want to highlight more than one hospital, the pointer and text box can be copied and pasted
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Indicator 1a: Evidence of local arrangements for the management of patients
with hip fracture in the Emergency Department (ED)
Protocols and pathways are interventions used in
the provision of health care that aim to improve the
quality, cost and satisfaction of that care. They help
to sequence specific aspects of care for a given
condition, such as hip fracture, and therefore improve
communication and collaboration between health care
professionals. Figures 1 and 2 detail results from the
9th Facility Level Audit of Australian and New Zealand
hospitals undertaking definitive management of older
people with a hip fracture. The aim of the audit is to
document the services, resources, policies, protocols
and practices that exist across both countries over
time. This year, 117 hospitals have completed the audit
and the results are provided throughout the report
against the relevant clinical care indicator. Where data is
available, results have been reported from 2013-2020.
HIP FRACTURE PATHWAY
In 2020, 91% (106/117) of facilities reported having a
hip fracture pathway. Figure 1 shows the proportion of
hospitals in Australia and New Zealand with a hip fracture
pathway over time. While the overall proportion of
facilities is similar to last year, there has been an increase
in hospitals reporting a hip fracture pathway for the whole
acute journey from 60% in 2019 to 68% in 2020.
Figure 1 Hip fracture pathway as a reported element of hip fracture care in Australia and New
FIGURE 1 Hip fracture pathway as a reported element of hip fracture care in
Zealand 2O13-2O2O
Australia and New Zealand 2O13-2O2O
100
90
80
% proportion of hospitals
70
60
50
40
30
20
10
0
2013 2014 2015 2016 2017 2018 2019 2020
Year
Hip fracture pathway (NZ)
Hip fracture pathway (AUS)
Figure 2 CT/MRI protocol as a reported element of hip fracture care in Australia and New
Zealand 2O13-2O2O
ANZHFR / ANNUAL REPORT 2021
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