ANZHFR 2021 Annual Report

Recommendations

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3a. Evidence of orthogeriatric (or alternative physician or medical practitioner)management during an admitted patient’s hip fracture episode of careIndicator 3a. Evidence of orthogeriatric (or alternative physician or medical practitioner)management during an admitted patient’s hip fracture episode of careGeriatricians continue to be increasingly involved in the management of older people who have fractured their hip,represented Geriatricians by continue the growing to be increasingly number of ANZ involved hospitals in the reporting management shared of older care arrangements people who have or regular fractured input their by hip, anorthogeriatric represented by liaison the growing service, number the two of most ANZ common hospitals models reporting of shared care reported. care arrangements In 2020, shared or regular care input arrangements by an werereported orthogeriatric in 31% liaison of New service, Zealand the two and most Australian common hospitals models (36/117). of care reported. A weekday In orthogeriatric 2020, shared care liaison arrangements service wasreported were reported in 29% in (34/117) 31% of New of New Zealand Zealand and and Australian Australian hospitals hospitals. (36/117). Fewer A weekday hospitals orthogeriatric reported that liaison no formal servicearrangements was reported in for 29% review (34/117) exist of (Figure New Zealand 7). and Australian hospitals. Fewer hospitals reported that no formalarrangements for review exist (Figure 7).Figure 7 - Orthogeriatric care service model by hospital (New Zealand and Australia combined) 2013-2020 FIGURE 7 Orthogeriatric care service model by hospital(New Zealand and Australia combined) 2O13-2O2O2013201420152016Year20172018201920200 10 20 30 40 50 60 70 80 90 100% proportion of hospitals1 2 3 4 5 6 7 8 91. A shared care arrangement where there is joint responsibility for the patient from admission between orthopaedics and geriatric medicine for all older hipfracture patients.2. An orthogeriatric liaison service where geriatric medicine provides regular review of all older hip fracture patients (daily during working week)1. A shared care arrangement where there is joint responsibility for the3. A medical liaison service where a general physician or GP provides regular review of all older hip fracture patients (daily during working week)patient from admission between orthopaedics and geriatric medicine for4. An orthogeriatric liaison service where geriatric medicine provides intermittent review of all older hip fracture patients (2-3 times weekly)all older hip fracture patients.5. A medical liaison service where a general physician or GP provides intermittent review of hip fracture patients (2-3 times weekly)2. An orthogeriatric liaison service where geriatric medicine provides regular6. An orthogeriatric liaison service (2014) / geriatric service (2015) where a consult system determines which patients are reviewedreview of all older hip fracture patients (daily during working week)7. A medical liaison service (2014) / medical service (2015) where a consult system determines which patients are reviewed3. 8. A medical No liaison formal service service where exists a general physician or GP provides9. regular Other review of all older hip fracture patients (daily duringworking week)4. An orthogeriatric liaison service where geriatric medicine providesintermittent review of all older hip fracture patients (2-3 times weekly)5. A medical liaison service where a general physician or GP providesintermittent review of hip fracture patients (2-3 times weekly)6. An orthogeriatric liaison service (2014) / geriatric service (2015) where aconsult system determines which patients are reviewed7. A medical liaison service (2014) / medical service (2015) where a consultsystem determines which patients are reviewed8. No formal service exists9. Other30 ANNUAL REPORT 2021 / ANZHFR
FIGURE Figure 8 8 – Assessed by geriatric medicine medicine during during acute admission acute admissionIn New Zealand, 82% of hip fracture patients saw a geriatrician during their acute hospital stay compared with 87% inIn New Zealand, 82% of hip fracture patients saw a geriatrician during their acute hospital stay compared withAustralia.87% in Australia.NZ Avg 2016NZ Avg 2017NZ Avg 2018NZ Avg 2019NZ Avg 2020WLGPMRDUNACHMMHWKOCHCTGANSHHUTINVWRETIUNSNWHKMROTARBHEHKBGISWAGROTAus Avg 2016Aus Avg 2017Aus Avg 2018Aus Avg 2019Aus Avg 2020CRGLMHPCHRHHSCGWGGPAHTSVREDIPSSCURPHH01FSHH03BKLJHCPOWTAHTNHFOOTWBDDHFMCRNSJHHRPAQEHLIVQIITWHROBSVDRAHLOGSTGABACNSHKHLBHBOXNEPTSHMARWMDCAMLGHH04GOSPMBCFSOHSH06H02H07FRATAMMSBGCHDBOTMHARMH05ROK0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%Yes No No geriatric medicine service available Not knownANZHFR / ANNUAL REPORT 202131
Page 1 and 2: ANNUALREPORT2O21
Page 3 and 4: CONTENTS2 ABBREVIATIONS4 CO-CHAIRS
Page 5 and 6: The 2021 report provides the larges
Page 7 and 8: Whilst 90% of patients werereported
Page 9 and 10: FACILITY LEVEL REPORT91%of hospital
Page 11 and 12: ANZHFRPARTICIPATIONHospitals in Aus
Page 13 and 14: The patient level report includes d
Page 15 and 16: QUALITY STATEMENT 4:Timing of surge
Page 17 and 18: QUALITYSTATEMENT 1Care atpresentati
Page 19 and 20: Indicator 1a: Evidence of local arr
Page 21 and 22: Indicator 1b: Proportion of patient
Page 23 and 24: QUALITYSTATEMENT 2PainmanagementA p
Page 25 and 26: Indicator 2b. Proportion of patient
Page 27 and 28: COLLABORATING TO ENHANCE HIP FRACTU
Page 29: COVID’S IMPACT AT FRANKSTON HOSPI
Page 33 and 34: Indicator 4a: Proportion of patient
Page 35 and 36: GOSFORD - TIME TO SURGERY AND THEAT
Page 39 and 40: FIGURE 12 Actual first day mobilisa
Page 41 and 42: Indicator 5b: Proportion of patient
Page 43 and 44: Indicator 5d: Proportion of patient
Page 47 and 48: Our hospital’s storydemonstrates
Page 49 and 50: Indicator 7a: Evidence of local arr
Page 51 and 52: 7b. Proportion of patients with a h
Page 53 and 54: FIGURE 21 Australian hospital data
Page 55 and 56: The outlier report monitorshospital
Page 57 and 58: FIGURE 24 Adjusted mortality rate a
Page 59 and 60: FIGURE 28 Funnel plot of adjusted m
Page 61 and 62: FIGURE 32 Funnel plot of adjusted m
Page 63 and 64: 0% 10% 20% 30% 40% 50% 60% 70% 80%
Page 65 and 66: SAAus Avg 2019NSWTASAus Avg 2020VIC
Page 67: THANK YOU TO ALLTHE TEAMS WORKINGAC

ANZHFR 2021 Annual Report

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