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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 2a: Evidence of local arrangements for timely and effective pain management for

hip fracture

PAIN PATHWAY

In 2020, the facility level audit showed a protocol or pathway for pain was available at 86% (101/117) of hospitals:

64 hospitals for the whole acute journey and 37 hospitals in the Emergency Department (ED) only. These results

demonstrate an increase in the overall proportion of hospitals using a pathway with the greatest change in the

proportion of respondents reporting a pathway for the whole acute journey.

The facility level audit also asks respondents if patients are offered local nerve blocks as part of preoperative and

postoperative pain management. This year, 98% (115/117) responded that patients were offered nerve blocks

preoperatively and 86% (101/117) responded that patients were offered nerve blocks for postoperative pain relief

‘always’ or ‘frequently’, an increase from 78% in 2019.

Indicator 2a: Evidence of local arrangements for timely and effective pain

management for hip fracture

Pain pathway

In 2020, the facility level audit showed a protocol or pathway for pain was available at 86% (101/117) of hospitals: 55%

for the whole acute journey and 32% in the emergency department only. These results demonstrate an increase in the

overall proportion of hospitals using a pathway with the greatest change in the proportion of respondents reporting a

pathway for the whole acute journey.

The facility level audit also asks respondents if patients are offered local nerve blocks as part of preoperative and

postoperative pain management. This year, 98% (115/117) responded that patients were offered nerve blocks

preoperatively and 86% (101/117) responded that patients were offered nerve blocks for postoperative pain relief

‘always’ or ‘frequently’, an increase from 78% in 2019.

FIGURE 4 Pain pathway reported as an element of care

Figure in Australia 4 – Pain pathway and New reported Zealand as an 2O13-2O2O

element of care in in Australia and New Zealand 2013-2020

100

90

80

% proportion of hospitals

70

60

50

40

30

20

10

0

2013 2014 2015 2016 2017 2018 2019 2020

Year

24 ANNUAL REPORT 2021 / ANZHFR

Pain pathway (NZ)

Pain pathway (AUS)

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