About Us


ANZHFR Steering Group

Background

There are approximately 22,000 new hip fractures in Australia and 4,000 in New Zealand annually.

The cost of the event is enormous, both for the individual and their family as well as the healthcare systems in both countries. We know there is variation in practice models within and between States and Territories (Australia) and District Health Boards (New Zealand) and that much of what happens in the acute and rehabilitation settings impacts directly on the longer term outcomes for the person with the fracture.

The ANZHFR is a clinical registry that collects data on the care provided, and the outcomes of care, to older people in Australia and New Zealand, admitted to hospital with a fracture of the proximal femur. The registry is a collaborative project between several professional societies and is one of a number of complementary initiatives designed to improve hip fracture care bi-nationally.

The other initiatives undertaken to improve hip fracture care in Australia and New Zealand include:

  • The Australian and New Zealand Guideline for Hip Fracture Care: Improving Outcomes in Hip Fracture Management of Adults, September 2014
  • The Australian Commission on Safety and Quality in Health Care Hip Fracture Care Clinical Care Standard and quality indicators, September 2016
  • A Hip Fracture Patient Information Pack is under development

Oversight

The ANZHFR Steering Group is comprised of clinicians and experts in the field with representation from a number of key professional organisations. The ANZHFR Steering Group oversees the development, implementation, maintenance and reporting of the Registry and its data. The Group provides strategic direction to the operations of the Registry to ensure its objectives are met. The terms of reference are available here.

The Steering Group is Co-Chaired by a nominated representative of the Australian and New Zealand Society for Geriatric Medicine (ANZSGM), and a nominated representative of either the Australian Orthopaedic Association (AOA) or the New Zealand Orthopaedic Association (NZOA). The Co-Chairs are currently Professor Jacqueline Close (ANZSGM) and Professor Ian Harris AM (AOA).

Sub-committees of the ANZHFR Steering Group include the New Zealand Implementation Committee, the Australian Management Committee, and the Data Management Committee. The Data Management Committee provides advice to the Steering Group on requests for access to data, data definitions, and any questions relating to the collection of data for the Registry. It has representation from both sides of the Tasman.

Steering Group Representation

Professor Jacqueline Close Co-Chair, Australian and New Zealand Society for Geriatric Medicine
Professor Ian Harris AM Co-Chair, Australian Orthopaedic Association
Dr Laura Ahmad Royal Australasian College of Physicians
Dr John Barry Australian and New Zealand College of Anaesthetists
Dr John Batten Royal Australasian College of Surgeons
Mr Brett Baxter Australian Physiotherapy Association
Professor Ian Cameron Australasian Faculty of Rehabilitation Medicine
Dr Mellick Chehade Australian and New Zealand Bone and Mineral Society (ANZBMS)
Professor Ross Crawford Australian Orthopaedic Association (co-opted)
Dr Owen Doran Australasian College for Emergency Medicine
Dr Kerrin Fielding Osteoporosis Australia
Mr Stewart Fleming Webmaster ANZHFR
Ms Christine Gill Osteoporosis New Zealand
Dr Roger Harris Australian and New Zealand Society for Geriatric Medicine (NZ)
A/Professor  Raphael Hau Australian Orthopaedic Association (co-opted)
A/Professor Rebecca Mitchell Injury Epidemiologist
Dr Jacob Munro New Zealand Orthopaedic Association
Dr Gretchen Poiner Consumer Representative
Dr Hannah Seymour Australian and New Zealand Society for Geriatric Medicine (Aus)
Dr Ralph Stanford Australian Orthopaedic Association
Ms Anita Taylor Australian and New Zealand Orthopaedic Nurses Association
Ms Elizabeth Armstrong Registry Manager Australia, NeuRA
Ms Chris Pegg Registry Manager New Zealand, NZOA

Aim and Objectives

The aim of the ANZHFR is to use data to improve performance and maximise outcomes for older people who have sustained a hip fracture. This will be achieved by:

  • Reporting annually on the current state of hip fracture care;
  • Identifying variation between hospitals in care and the outcomes of care and across the health care systems and using this information to drive system-level improvements in care;
  • Monitoring secondary prevention interventions to reduce the likelihood of future falls and fractures;
  • Addressing barriers to the use of the best available evidence and therefore standardizing hip fracture care across Australia and New Zealand;
  • Evaluating the care provided by hospitals with the Australian and New Zealand Hip Fracture Care Clinical Care Standard and its Quality Indicators;
  • Enabling participating hospitals to access data that can be used to improve the hip fracture care they provide to their communities;
  • Providing opportunities to answer research questions that address high quality and safe care for people suffering a hip fracture.

Eligibility

Hospitals in Australia and New Zealand that provide surgical treatment to patients admitted with a minimal trauma fracture of the proximal femur are eligible to contribute data.

Inclusion Criteria

  • Men and women aged 50 years and over
  • Primary fracture of the neck of femur from a minimal trauma injury (maximum of two admissions – fracture of the right and left neck of femur)
  • Surgical or non-surgical management of the fracture

Exclusion Criteria

  • Person aged under 50 years and admitted with a neck of femur fracture

For more information on participation and the ethics and governance requirements, please contact the ANZHFR.

Requests to Access Data

The ANZHFR Steering Group encourages the use of accumulated data for appropriate and relevant research to improve and enhance outcomes for older people, however, requests for access to data are subject to protocols designed to protect the privacy of individuals. All requests will be reviewed by the Data Management Committee prior to tabling at the next scheduled Steering Group meeting.

Prior to submitting a request for data, please review the ANZHFR Data Access Policy and the Data Dictionary. There is also a Step-by-Step Guide to help with the request process.

Steering-GroupAus mapMore than 22,000 Australians and almost 4,000 New Zealanders break their hip every year, incurring hospital costs of AU$579 Million and NZ$105 Million, respectively.