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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OUTLIER
REPORT
The 16 quality indicators in the Hip Fracture Care Clinical Care Standard focus on the priority areas for quality
improvement in hip fracture care and, as such, were selected for the identification of outliers of hospital-level
performance and subsequent investigation of the causes of variation by participating hospitals.
Outliers constitute unusually low or high values for an indicator of clinical care quality. Information on Indicators 1a,
2a, and 7a are obtained from the annual facility level survey and are reported as either ‘evidence provided’ (green)
or ‘evidence not provided’ (red). Information on the remaining indicators (excluding Indicator 6b that is not currently
collected, and 8b that is reported separately) is obtained from the patient-level data. All clinical care quality indicators
are reported as a percentage for each hospital in the ANZHFR annual report, where:
Excellence is in the top 2.5th percentile from the average performance of all hospitals
Normal variation is less than 2 standard deviations from the average performance of all hospitals
An alert is between 2 and 3 standard deviations from the average performance of all hospitals
An outlier is greater than 3 standard deviations from the average performance of all hospitals for the indicator
The ANZHFR data outlier review protocol details the identification and management of outlier values for binational
indicators of hip fracture care at the level of the participating hospital. It can be found at www.anzhfr.org
FIGURE 2O New Zealand hospital data indicators
1b 2b 3aA 3aB 4a 5a 5b 5c 5d 6a 7b 8a
ACH
BHE
CHC
DUN
GIS
HKB
HUT
INV
MMH
MRO
NSH
NSN
PMR
ROT
TAR
TGA
TIU
WAG
WHK
WKO
WLG
WRE
Outlier Normal variation Excellence Not recorded
52 ANNUAL REPORT 2021 / ANZHFR
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