Reports, Presentations & Publications


  • The ANZHFR is continuing its series of state-based festivals to provide opportunities to share ideas on improving hip fracture care. In March 2019, events were held in both Adelaide and Launceston. Both events were well supported and it was interesting to hear from local teams the different challenges faced in different States across Australia. Keep a lookout for upcoming events near you in Queensland, New Zealand and Victoria. Find below copies of the presentations from both events in South Australia and Tasmania.

    HipFest_SA_Session1__Background_05March2019

    HipFest_SA_Session1__SAExperience_05March2019

    HipFest_SA_Session2__Mobilisation_05March2019

    HipFest_SA_Session2__FracturePrevention_05March2019

    HipFest_SA_Session2__ANZHFRDatabase_05March2019

    HipFest_SA_Session3__DeliriumRisk_05March2019

    HipFest_SA_Session3__PainManagement_05March2019

    HipFest_TAS_Session1__EDPathway_28March2019

    HipFest_TAS_Session1__ToOperateorNot_28March2019

    HipFest_TAS_Session1__OperativeTreatment_28March2019

    HipFest_TAS_Session1__Orthogeriatrics_28March2019

    HipFest_TAS_Session1__EarlyMobilisation_28March2019

    HipFest_TAS_Session2__ANZHFR_28March2019

    HipFest_TAS_Session2__OptimalCareModel_28March2019

    HipFest_TAS_Session2__RegistryinTasmania_28March2019

    HipFest_TAS_Session2__ANZHFRDatabase_28March2019

     

  • The ANZHFR has commenced a series of state-based festivals to provide an opportunity to share ideas on improving hip fracture care. They will offer a forum to learn from each other, highlight examples of best practice, and identify and share issues and solutions that are common across hospitals to help drive improvement in hip fracture care. The first two events have been held in WA and NSW. Find below copies of the presentations from the NSW event.

    2_LBVC Hip Fracture Care

    3_FLS_ORP_ Julia_Rory

    4_Using_Data_to_improve_Hip_Fracture_Care

    5_Rehabilitation after Hip Fracture

    6_ANZHFR_Database_Stewart_Fleming

    7_RNSH_EMR_Project

    8_Fascia_Iliaca_Block

    9_Time to surgery

    10_Orthogeriatric Model of care

    Session 3 ACI Workshop

     

  • 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.

    Click the report below to download your copy.

    2018 Annual Report

    2018 Supplementary Report

    NeuRA has also produced a series of educational videos available for all seniors on our seminar platform NeuRatalks.org.

    Watch the NeuRA talks miniseries on HIP FRACTURE care

    Download NeuRA Brochure: Hip Fracture Care Guide

  • 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.

    Click the report below to download your copy.

    Want to present this to your team? Here is a Powerpoint Presentation that shows off the 2017 Annual Report.

  • 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.

    Click the report below to download your copy.

    2016-annual_report

  • Facility Survey 2015

    Facility Survey 2015

    Facility Survey Results - 2014

    FacilitySurvey