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
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
Mode of admission
Cumulative time to surgery
Reason for delay to surgery
Orthogeriatric service development
7 hospitals in 2016, 10 in 2017 and so far 13 in 2018
Early mobilisation
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