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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NSW
QLD
VIC
Hours
0 5 10 Average Time 15 to Surgery 20 Median 25 Time to 30 Surgery 35 40 45
Hours
Average Time to Surgery
Median Time to Surgery
Figure FIGURE 76 – 38 Surgery Surgery within within 48 hours by state FIGURE Figure 39 Reason 77 – Reason for for delay > longer 48 hours than by 48 state hours by state
48 hours Figure by 34 – state Surgery within 48 hours by state Figure 35 – Reason for delay > 48 hours by state
Aus Avg 2017 Aus Avg 2017
Aus Avg 2018 Aus Avg 2018
Aus Avg 2019 Aus Avg 2019
Aus Avg 2020
Aus Avg 2020
Aus Avg Aus 2017 Avg 2017
Aus Avg Aus 2018 Avg 2018
Aus Avg Aus 2019 Avg 2019
Aus Avg 2020
Aus Avg 2020
WA
SA
WA
TAS
SA
NSW TAS
QLD NSW
VIC QLD
VIC
0% 50% 100%
0% 50% 100%
≤ 48 hours > 48 hours
≤ 48 hours > 48 hours
WA
WA
SA
SA
TAS
TAS
NSW
QLD
NSW
VICQLD
VIC
0% 20% 40% 60% 80% 100%
0% 20% 40% 60% 80% 100%
Delay due to theatre availability
Delay due to surgeon availability
Delay due to patient deemed medically unfit Delay due to issues with anticoagulation
Delay due to theatre availability
Delay due to surgeon availability
Delay due to delayed diagnosis of hip fracture Other type of delay
Delay due to patient deemed medically unfit Delay due to issues with anticoagulation
Not known
Delay due to delayed diagnosis of hip fracture Other type of delay
Not known
Figure
FIGURE
36
4O
– Opportunity
Opportunity
for first
for
day
first
mobilisation
day mobilisation
by state
by state
Aus Avg 2017
Aus Avg 2018
Aus Avg 2019
Aus Avg 2020
QLD
WA
SA
NSW
TAS
VIC
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Opportunity given day 1 post surgery Opportunity not given day 1 post surgery Not known
Figure 37 – Actual first day mobilisation by state
Aus Avg 2020
NSW
WA
SA
QLD
VIC
TAS
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Yes No Not known
64 ANNUAL REPORT 2021 / ANZHFR
Figure 38 – Bone protection medication on discharge by state
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