09.02.2022 Views

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 5d: Proportion of patients with a hip fracture returning to pre-fracture mobility

Functional recovery, including a return to pre-fracture mobility, is a vitally important outcome for people after a hip fracture.

Currently, this is captured as part of 120 day follow-up at sites where follow-up occurs. Figure 15 reports only hospitals

with > 80% follow-up completed. In New Zealand, 51% of patients reported to have returned to their pre-fracture mobility,

compared with 43% in Australia. Low rates of follow-up in Australia suggest caution with interpretation of results.

Figure 15 – Return to pre-fracture mobility at 120 days

FIGURE 15 Return to mobility at 12O days

NZ Avg 2016

NZ Avg 2017

NZ Avg 2018

NZ Avg 2019

NZ Avg 2020

ROT

INV

GIS

WRE

TGA

MMH

WAG

NSH

HKB

WKO

MRO

CHC

WHK

WLG

DUN

PMR

HUT

TAR

ACH

BHE

NSN

TIU

Aus Avg 2016

Aus Avg 2017

Aus Avg 2018

Aus Avg 2019

Aus Avg 2020

JHC

LMH

TNH

GOS

GCH

QII

ROB

PAH

RNS

CNS

JHH

WMD

POW

H01

CRG

ABA

TWB

TSV

RHH

TAM

FSH

CFS

PCH

ARM

BKL

BOX

CAM

DBO

DDH

FMC

FOO

FRA

H02

H03

H04

H05

H06

H07

HKH

IPS

LBH

LGH

LOG

LIV

MAR

MSB

NEP

OHS

PMB

QEH

RAH

RED

ROK

RPA

RPH

SCG

SCU

STG

SVD

TAH

TMH

TSH

TWH

WGG

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Returned to preadmission walking ability at 120 days Not returned to preadmission walking ability at 120 days

Not known

ANZHFR / ANNUAL REPORT 2021

43

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