Clinical care standard indicators: hip fracture

Identifying and definitional attributes
Metadata item type:	Indicator Set
Indicator set type:	Other
METEOR identifier:	628043
Registration status:	Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018 Health, Standard 12/09/2016
Description:	The Australian Commission on Safety and Quality in Health Care has produced the Hip fracture care clinical care standard indicators to assist with local implementation of the Hip fracture care clinical care standard (ACSQHC 2015). The Hip fracture care clinical care standard aims to ensure that patients with a hip fracture receive optimal treatment from presentation to hospital to the completion of their treatment in hospital. This includes timely assessment and management of a hip fracture, timely surgery if indicated, and the early initiation of a tailored care plan aimed at restoring movement and function and minimising the risk of another fracture. Clinicians and health services can use the Hip fracture care clinical care standard and indicators to support the delivery of high quality care. The Hip fracture care clinical care standard indicators contains indicators against each of the quality statements in the Standard: care at presentation, pain management, orthogeriatric model of care, timing of surgery, mobilisation and weight-bearing, minimising the risk of another fracture, transition from hospital care.

Relational attributes
Related metadata references:	See also Clinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016 See also Clinical care standard indicators: acute stroke Health, Recorded 14/03/2017 See also Clinical care standard indicators: antimicrobial stewardship Australian Commission on Safety and Quality in Health Care, Retired 25/01/2022 Health, Standard 12/09/2016 See also Clinical care standard indicators: delirium Health, Standard 12/09/2016 See also Clinical care standard indicators: heavy menstrual bleeding Australian Commission on Safety and Quality in Health Care, Recorded 04/09/2018 Health, Standard 17/10/2018 Has been superseded by Clinical care standard indicators: hip fracture 2018 Australian Commission on Safety and Quality in Health Care, Standard 15/05/2018 See also Clinical care standard indicators: osteoarthritis of the knee Health, Standard 02/08/2017
Outcome areas linked to this Indicator set:	Care at presentation Health, Standard 12/09/2016 Indicators of effectiveness Health, Standard 12/09/2016 Minimising risk of another fracture Health, Standard 12/09/2016 Mobilisation and weight-bearing Health, Standard 12/09/2016 Orthogeriatric model of care Health, Standard 12/09/2016 Pain management Health, Standard 12/09/2016 Timing of surgery Health, Standard 12/09/2016 Transition from hospital care Health, Standard 12/09/2016
Indicators linked to this Indicator set:	Hip fracture care clinical care standard indicators: 1a-Evidence of local arrangements for the management of patients with hip fracture in the emergency department Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 1b-Proportion of patients with a hip fracture who have had their pre-operative cognitive status assessed Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 2a-Evidence of local arrangements for timely and effective pain management for hip fracture Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 2b-Proportion of hip fracture patients who have documented pain assessment within 30 minutes of emergency department presentation and either receive analgesia within this time or do not require it Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 3a-Evidence of orthogeriatric (or alternative physician or medical practitioner) management during an admitted patient’s hip fracture episode of care Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 4a-Proportion of patients with a hip fracture receiving surgery within 48 hours of presentation with the hip fracture Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 5a-Proportion of patients with a hip fracture who are mobilised on day one post hip fracture surgery Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 5b-Proportion of patients with a hip fracture with unrestricted weight bearing status immediately post hip fracture surgery Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 5c-Proportion of patients with a hip fracture experiencing a new Stage II or higher pressure injury during their hospital stay Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 5d-Proportion of patients with a hip fracture returning to pre-fracture mobility Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 6a-Proportion of patients with a hip fracture receiving bone protection medicine prior to separation from the hospital at which they underwent surgery Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 6b-Proportion of patients with a hip fracture readmitted to hospital with another femoral fracture within 12 months of admission from initial hip fracture Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 7a-Evidence of local arrangements for the development of an individualised care plan for hip fracture patients prior to the patient's separation from hospital Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 7b-Proportion of patients with a hip fracture returning to private residence Health, Standard 12/09/2016 Australian Commission on Safety and Quality in Health Care, Retired 15/05/2018 Hip fracture care clinical care standard indicators: 8a-Re-operation of hip fracture patients within 30-day follow-up Health, Standard 12/09/2016 Hip fracture care clinical care standard indicators: 8b-Survival at 30 days post-admission for hip fracture surgery Health, Standard 12/09/2016
Collection and usage attributes
National reporting arrangement:	The Indicator specification: hip fracture care clinical care standard has been developed to assist with local implementation of the Hip fracture care clinical care standard (ACSQHC 2015). The indicators are intended for local use by hospitals and Local Hospital Networks (LHNs). There are no benchmarks set for any of the indicators in the set. Hospitals using Hip fracture care clinical care standard indicators can compare their results against themselves during a previous period, amongst other hospitals in the LHN, or other external hospitals with whom they have made such arrangements. Hospitals may also look to the literature for the experiences of other hospitals.
Comments:	The Australian Commission on Safety and Quality in Health Care has produced the Hip fracture care clinical care standard (ACSQHC 2015) to support the delivery of appropriate care for a defined condition and is based on the best evidence available at the time of development. Health care professionals are advised to use clinical discretion and consideration of the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian when applying information contained within the Clinical care standard. Consumers should use the information in the Clinical care standard as a guide to inform discussions with their health care professional about the applicability of the Clinical care standard to their individual condition.
Source and reference attributes
Submitting organisation:	Australian Commission on Safety and Quality in Health Care
Reference documents:	ACSQHC (Australian Commission on Safety and Quality in Health Care) 2015. Hip fracture care clinical care standard. Sydney: ACSQHC.