X

Welcome to the 2020 Annual Report which includes the fifth patient level report and the eighth facility level report.

This year, 77 hospitals have contributed patient level data and 117 hospitals have provided facility level data to the report.

We are enormously grateful to all of the teams working in our hospitals across Australia and New Zealand who give of their time to enter data to the Registry.

ANZHFR Annual Report 2020

ANZHFR Annual Report 2020: Supplementary Report

Welcome to the 2019 Annual Report. The 2019 Annual Report contains patient level data from 67 hospitals and facility level data from 118 hospitals across Australia and New Zealand. It is the fourth year of reporting patient level information and the seventh year of reporting facility level elements of care provided by hospitals to patients with a fractured hip.

There has been steady progress in hospital participation from 24 hospitals reported in the first patient level report. The commitment to improving hip fracture care from clinical, administrative or executive staff is evident by this continued growth of the Registry. We recognise the time commitment and challenges of collecting data at each contributing site. Thank you to all those who have provided data for the facility level and/or patient level reports.

The 2019 Annual Report shows significant national improvement in hospital pain management and early rehabilitation for people being treated for a broken hip. It shows 87% of patients in Australia receive a nerve block injection to help manage pain after a hip fracture, up from 59% when annual reporting began in 2015. Hospitals have also improved early rehabilitation activities, with 91% of patients now being offered treatment to get out of bed and start walking the day after surgery.  This is an increase from 85% in 2015.

ANZHFR Annual Report 2019

ANZHFR Annual Report 2019: Supplementary Report

ANZHFR Annual Report 2019: Erratum

Welcome to our third patient level and sixth facility level report. Over the past year, we have continued to see additional sites join and contribute data to the Registry.

The facility level report contains information from all 116 public hospitals across Australia and New Zealand that operate on people with a hip fracture. We welcome the addition of two private hospitals that have joined us in 2017.

The report also contains data from 56 hospitals contributing patient level data, a figure that has risen from 34 hospitals in the previous year and continues to increase. We now have over 20,000 data-sets in the Registry and opportunities exist to explore this data in more detail.

For the first time, we are identifying hospitals. New Zealand has elected to publish the names of all hospitals entering patient-level data, whilst Australia is identifying hospitals where individual site level approval has been obtained.

Pleasingly, 83% of Australian hospitals agreed to be identified in this report. Our hope is that more clinicians of all professions will see their own data and use the data to drive change at a local level. Equally, we want teams to share their successes and learnings with other Registry sites. What remains apparent is the marked variation in a number of the process measures, including indicators, which have a real impact for the patient: assessment and management of pain, time to surgery and secondary fracture prevention.

ANZHFR Annual Report 2018

ANZHFR Annual Report 2018: Supplementary Report

It is with great pleasure that we welcome you to the second Australian and New Zealand combined patient and facility-level report. This is the 5th year we have provided an annual report on activities within facilities across both countries but only the second year that we have included patient-level data.

These reports build on the groundwork of the ANZHFR since its inception in 2012, including the production of the Australian and New Zealand Guideline for Hip Fracture Care. The release in 2016 of the Hip Fracture Care Clinical Care Standard and its associated quality indicators – a combined effort from the Australian Commission on Safety and Quality in Health Care and the Health Quality and Safety Commission New Zealand, has allowed us to align our reporting to those standards.

This provides hospitals with clear information regarding their standard of care for each of the quality statements. The patient-level audit (the first part of this report shows data grouped by hospital so that hospitals can be compared. Each hospital is numbered (anonymised) for this report but each hospital is provided with their identification number. In future, and with the agreement of participating hospitals, we aim to include hospital names in this report to provide transparency and to give hospitals a greater incentive to improve their performance.

Data are also grouped by country, and we have provided overall results for each country for 2016 and 2017 to show any changes that have occurred between the two reports. We hope that in future, this will map the improvements made to hip fracture care since inception of the Registry.

For the first time, the report incorporates patient health outcomes beyond discharge. Information on rates of death and on walking ability are included under 30 day and 120-day outcomes, although not all sites are collecting this information.

ANZHFR Annual Report 2017

Here is the first annual report for the Australian & New Zealand Hip Fracture Registry.

Hip fracture is the most serious and costly fall-related injury suffered by older people. There were an estimated 19,000 admissions to hospital for a hip fracture among Australians aged over 50 in 2011-12, an increase of 22% in absolute number since 2002-03. 1 In New Zealand, 3803 people were admitted to hospital with a hip fracture in 2007. 2 Almost everyone who fractures their hip will be admitted to a hospital, and a large majority will undergo a surgical procedure. In Australia, this means that more than 50 people are admitted every day to a hospital with a hip fracture. 1,3 The individual consequences are significant: 5% of those admitted will die in hospital; over 10% will be discharged directly to an aged care facility; after 12 months, fewer than 50% of people will be walking as well as they did before their injury; and another 15-20% will have died. In addition, the health and social care systems bear considerable costs associated with the acute treatment of hip fractures, ongoing costs of rehabilitation, assistance with day-to- day living activities, and the impact of long term care placement.

ANZHFR Annual Report 2016