IHFD National Report 2017

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.

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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.

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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.