Hip Fracture Care

Hip fracture is the most serious and costly fall related injury in older people. There is a high risk of post-operative complications, within a year approximately 20-25% of patients will no longer be alive and less than half return to their previous function[1]. Collaboration and communication within the multidisciplinary team is necessary to ensure that all patients receive the best value and evidence-based care.

The management and care of older people with a hip fracture has been a priority area for NSW Health for a number of years. In addition to NSW strategies, national organisations and the Commonwealth have also supported initiatives to improve the care of older Australians with a hip fracture.

The ACI is addressing hip fracture care as a priority issue through the Leading Better Value Care program. The ACI is supporting hospitals in their existing efforts to meet the Australian Commission on Safety and Quality in Health Care (ACSQHC) Hip Fracture Care Clinical Care Standard[2]. This standard outlines the care that should be available to patients with a suspected hip fracture from emergency department presentation through to completion of treatment in hospital.

Core Documents

References

1. Ireland AW, Kelly PJ, Cumming RG. Total hospital stay for hip fracture: measuring the variations due to pre-fracture residence, rehabilitation, complications and comorbidities. BMC Health Services Research. 2015;15:17

2. Australian Commission on Safety and Quality in Health Care. Hip Fracture Care Clinical Care Standard. Sydney: ACSQHC, 2016.

Last updated: 22 Feb 2019

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Contact

Jane Montgomery
Implementation Officer, ACI Implementation Team
02 9464 4652
jane.montgomery@health.nsw.gov.au