IHFD What we measure

In 2018, the IHFD supported the introduction of the Best Practice Tariff (BPT). This process involved collaboration between the Healthcare Pricing Office, the National Clinical Advisor and Group Lead, the HSE, the National Clinical Programme for Trauma and Orthopaedic Surgery, and NOCA. The BPT is a payment for hospitals operating on patients with a hip fracture (aged 60 years and over) that achieve nine standards of care for individual patients: the seven IHFS and two additional standards focusing on data quality and governance (See Table below).

The BPT assessment does not include inpatient falls or patients who do not have a top 10 primary Hospital In-Patient Enquiry (HIPE) diagnosis of a hip fracture. Hospitals also need to achieve 90% coverage to be eligible for the BPT. Each hospital receives €1,000 for every case that meets the BPT, and this money is to be used by the hospital to improve patient care within its trauma service.