1. Irish Hip Fracture Database
Month Year

2. NAME
AUDIT COORDINATOR
IRISH HIP FRACTURE DATABASE

4. IHFD National Report 2016
Nearly 200 going straight to theatre

5. Best Practice Tariff Irish Hip Fracture Standards
Best Practice Tariff Measure
Standard 1: All patients with hip fracture should be admitted to an acute orthopaedic ward within 4 hours of presentation or brought direct to theatre from ED within 4 hours
Percentage admitted within 4 hours to orthopaedic ward or brought direct to theatre from ED within 4 hours.
Standard 2: All patients with hip fracture who are medically fit should have surgery within 48 hours of admission, and during normal working hours (Mon - Sun; 08:00 – 17:59)
Percentage who had surgery within 48 hours and during working hours
Standard 3: All patients with hip fracture should be assessed and cared for with a view to minimising their risk of developing a pressure ulcer
Patients recorded of having a grade 2 or higher pressure ulcer will not meet the standard
Standard 4: All patients presenting with a fragility fracture should be managed on an orthopaedic ward with routine access to acute orthogeriatric medical support from the time of admission
Percentage of patients seen at any time during admission by a geriatrician
Standard 5: All patients presenting with fragility fracture should be assessed to determine their need for therapy to prevent future osteoporotic fractures
Percentage of patients who had a bone health assessment
Standard 6: All patients presenting with a fragility fracture following a fall should be offered multidisciplinary assessment and intervention to prevent future falls
Percentage of patients who received specialist falls assessment
Data coverage of 90% minimum annually required by individual hospitals
Evidence of a local hip fracture governance committee must be present in each hospital
Nearly 200 going straight to theatre

6. How many patients met all 6 standards in 2017?
Coverage
Meeting all 6 standards
Meeting at least 5 standards
Meeting at least 4 standards
Meeting at least 3 standards
Meeting at least 2 standards
Meeting at least 1 standard
Nearly 200 going straight to theatre

7. Standard 1
2016
2017 Q
National

8. Standard 2
2016
2017 Q
National

9. Standard 3
2016
2017 Q
National

10. Standard 4
2016
2017 Q
National

11. Standard 5
2016
2017 Q
National

12. Standard 6
2016
2017 Q
National

13. Summary
AREAS WE ARE DOING WELL
AREAS FOR IMPROVEMENT

14. Key Recommendations

15. Thank you for listening