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 4a: Proportion of patients with a hip fracture receiving surgery within
48 hours of presentation with the hip fracture
Figures 9 and 10 include both transferred patients and patients admitted directly to the operating hospitals.
Prompt hip fracture surgery has been demonstrated to reduce morbidity, hasten functional recovery and reduce length of
stay. Figure 9 shows that 83% of patients in New Zealand and 80% of patients in Australia who underwent surgery were
operated on within 48 hours of presentation to the first hospital. This is unchanged from 2019.
Figure 10 provides useful information for hospitals and health services wishing to improve the proportion of patients
treated within 48 hours as it highlights causes for surgical delay. The primary modifiable reasons for delay are access to
theatres and deemed medically unfit.
Figure 9 – Surgery Figure within 9 – Surgery 48 hours within 48 hours Figure 10 – Reason Figure for 10 delay – Reason > 48 hours for delay > 48 hours
FIGURE 9 Surgery within 48 hours
FIGURE 1O Reason for delay > 48 hours
NZ Avg 2016
NZ Avg 2017
NZ Avg 2018
NZ Avg 2019
NZ Avg 2020
NSN
NSH
ROT
WAG
BHE
HUT
GIS
TAR
ACH
MMH
WHK
WRE
TIU
INV
TGA
DUN
CHC
WLG
HKB
WKO
MRO
PMR
Aus Avg 2016
Aus Avg 2017
Aus Avg 2018
Aus Avg 2019
Aus Avg 2020
RNS
POW
ABA
H06
LMH
H02
SVD
FSH
LGH
ROB
DBO
RAH
TAH
HKH
STG
QEH
BKL
FMC
RHH
SCG
RPH
LOG
TSH
MSB
LBH
RPA
ROK
SCU
TSV
BOX
WMD
H04
MAR
GCH
FOO
LIV
QII
ARM
RED
WGG
JHH
JHC
CRG
NEP
CFS
PMB
CNS
PCH
PAH
TMH
H03
FRA
H01
TWH
H05
H07
CAM
IPS
TAM
TNH
OHS
TWB
GOS
DDH
NZ Avg 2016
NZ Avg 2017
NZ Avg 2018
NZ Avg 2019
NZ Avg 2020
NSN
NSH
ROT
WAG
BHE
HUT
GIS
TAR
ACH
MMH
WHK
WRE
TIU
INV
TGA
DUN
CHC
WLG
HKB
WKO
MRO
PMR
Aus Avg 2016
Aus Avg 2017
Aus Avg 2018
Aus Avg 2019
Aus Avg 2020
NZ Avg 2016
NZ Avg 2017
NZ Avg 2018
NZ Avg 2019
NZ Avg 2020
NSN
NSH
ROT
WAG
BHE
HUT
GIS
TA
ACH
MMH
WHK
WRE
TIU
INV
TGA
DUN
CHC
WLG
HKB
WKO
MRO
PMR
Aus Avg 2016
Aus Avg 2017
Aus Avg 2018
Aus Avg 2019
Aus Avg 2020
RNS
POW
ABA
H06
LMH
H02
SVD
FSH
LGH
ROB
DBO
RAH
TAH
HKH
STG
QEH
BKL
FMC
RHH
SCG
RPH
LOG
TSH
MSB
LBH
RPA
ROK
SCU
TSV
BOX
WMD
H04
MAR
GCH
FOO
LIV
ARM
QII
RED
WGG
JHH
JHC
CRG
NEP
CFS
PMB
CNS
PCH
PAH
TMH
H03
FRA
H01
TWH
H05
H07
IPS
CAM
TAM
TNH
OHS
TWB
GOS
DDH
NZ Avg 2016
NZ Avg 2017
NZ Avg 2018
NZ Avg 2019
NZ Avg 2020
NSN
NSH
ROT
WAG
BHE
HUT
GIS
TA
ACH
MMH
WHK
WRE
TIU
INV
TGA
DUN
CHC
WLG
HKB
WKO
MRO
PMR
Aus Avg 2016
Aus Avg 2017
Aus Avg 2018
Aus Avg 2019
Aus Avg 2020
RNS
RNS
POW
POW
ABA
ABA
H06
H06
LMH
LMH
H02
H02
SVD
SVD
FSH
FSH
LGH
LGH
ROB
ROB
DBO
DBO
RAH
RAH
TAH
TAH
HKH
HKH
STG
STG
QEH
QEH
BKL
BKL
FMC
FMC
RHH
RHH
SCG
SCG
RPH
RPH
LOG
LOG
TSH
TSH
MSB
MSB
LBH
LBH
RPA
RPA
ROK
ROK
SCU
SCU
TSV
TSV
BOX
BOX
WMD
WMD
H04
H04
MAR
MAR
GCH
GCH
FOO
FOO
LIV
LIV
QII
QII
ARM
ARM
RED
RED
WGG
WGG
JHH
JHH
JHC
JHC
CRG
CRG
NEP
NEP
CFS
CFS
PMB
PMB
CNS
CNS
PCH
PCH
PAH
PAH
TMH
TMH
H03
H03
FRA
FRA
H01
H01
TWH
TWH
H05
H05
H07
H07
IPS
IPS
CAM
CAM
TAM
TAM
TNH
TNH
OHS
OHS
TWB
TWB
GOS
GOS
0%
DDH
DDH
50% 100%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
0% 50% 100%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
≤ 48 hours > 48 hours
Delay due to theatre availability
Delay due to surgeon availability
≤ 48 hours > 48 hoursDelay due to patient deemed Delay due medically to theatre unfit availability Delay due to issues with Delay anticoagulation
due to surgeon availability
Delay due to delayed Delay diagnosis due to of patient hip fracture deemed Other medically type of unfit delay Delay due to issues with anticoagulation
Not known Delay due to delayed diagnosis of hip fracture Other type of delay
Not known
33
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