IHFD National Report 2017

IHFD National Report 2017 Image

This fifth IHFD report details 3,497 hip fracture cases in patients aged 60 years and over, discharged by 16 hospitals in 2017, which accounts for 95% of all hip fracture cases nationally.

Key Findings

Last year, in Ireland, 3,608 patients aged 60 years or over were hospitalised following a hip fracture. The IHFD collected data on 95% (3,497) of cases from all sixteen acute hospitals.

Key Recommendations

  • Development of a Hip Fracture Governance Committee (HFGC) in each hospital supported by the guidance issued by the National Office of Clinical Audit (NOCA).

  • The HFGC to have a clear focus on quality improvement to reduce variability in the standards of care.

  • HFGC to standardise pathways of care for hip fracture patients to ensure timely access to orthopaedic ward or theatre.

  • Hospitals to provide surgery and early mobilisation to patients with hip fractures seven days per week.

  • Hospitals to provide an orthogeriatric service for all hip fracture patients.

  • Hospitals to submit data in a timely manner to achieve above 90% data coverage quarterly and annually.

  • NOCA, in collaboration with the Healthcare Pricing Office (HPO), continue to enhance the functionality of the IHFD Portal to include additional data quality checks and reporting.

  • NOCA will progress the development of long-term outcome measures for the IHFD.