Registry Reports
ANZHFR Annual Report 2023
The ANZHFR released its 2023 Annual Report on Monday 11 September at the Binational Hip Festival.
The release coincided with the launch of the updated Hip Fracture Clinical Care Standard.
The ANZHFR is grateful to the clinical teams and their health services for their contribution to the Registry, and their commitment to improving care and outcomes for older people after hip fracture.
ANZHFR 2023 Annual Report Slide Pack
Can be customised for your audience- just download and save! Delete the slides you don't need. Highlight your hospital's results by lining the pointer up against your hospital's code. Add comments to the text box.
Please email [email protected] if you need assistance or cannot access the slides
The ANZHFR is delighted to share its seventh Annual Report, released on 6th September 2022.
In this report, 93 hospitals (71 Australian hospitals and 22 New Zealand hospitals) contributed data on 15,331 patient care episodes. The printed report again focuses on performance against the Hip Fracture Care Clinical Care Standard (HFCCCS). A full e-report covers additional domains not included in the printed report. The Australian State report is included in both the printed version and e-report.
A PowerPoint slide pack is also available to download and customise to your audience.
The ANZHFR is grateful to the clinical teams and their health services for their contribution to the Registry, and their commitment to improving care and outcomes for older people after hip fracture. We hope you find the reports informative.
ANZHFR 2022 Annual Report: Clinical Care Standard Report (Print version)
The ANZHFR is very pleased to be able to provide you with the 2021 Annual Report. This report features 86 ANZ hospitals and 14,816 patient records.
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.
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
ANZHFR 2021 Annual Report_Print version
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.
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.
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.
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.
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.