IRISH HIP FRACTURE DATABASE NATIONAL REPORT 2017

Clinically supported by

IRISH HIP FRACTURE DATABASE NATIONAL REPORT 2017

29th November 2018

DR EMER AHERNIHFD CLINICAL GERIATRIC LEAD

MR CONOR HURSON

IHFD CLINICAL ORTHOPAEDIC LEAD

LOUISE BRENT

IRISH HIP FRACTURE DATABASE & MAJOR TRAUMA

AUDIT MANAGER

First IHFD record was entered on 10/09/2007

Cases

14,232

It has been a big year

Hip fracture bypass

Orthogeriatric services Best practice tariff

Pilot of Best Practice Tariff 2018

Meet all 8 standards = €1000 extra per case

Best Practice Tariff • Hip fractures are the first condition to receive

a BPT

• Collaboration between HPO, Clinical Programme for Trauma and Orthopaedics and NOCA

• Quarter 1 (Jan-Jun) total payments €34,000 to eight hospitals

• Quarter 2 (Mar-Jun) total payments €71,000 to nine hospitals

Source of admission

Pre-fracture mobility

ASA

Mode of admission

IHFS 1

Fracture type

Type of surgery

IHFS 2

Cumulative time to surgery

Reason for delay to surgery

IHFS 3

IHFS 4

Orthogeriatric service development

7 hospitals in 2016, 10 in 2017 and so far 13 in 2018

Early mobilisation

CAS

IHFS 5

IHFS 6

LOS

Discharge destination

Subgroup analysis

• Younger (by an average of 8 years)

• Lower ASA Grade

• Higher prefracture functional level

• 79% eceived surgery within 48 hours

Key Recommendations

The most important people