Leading Better Value Care

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Hip Fracture Care

One Team

A hip fracture is a break occurring at the top of the thigh bone (femur), near the pelvis. It is a significant injury in an older person and is associated with significant morbidity, loss of function and mortality. Sub-optimal management can result in avoidable complications, prolonged hospitalisation and poorer patient outcomes. This initiative aims to reduce unwarranted clinical variation, improve patient assessment, management and experience and ensure effective & efficient care.

Geriatrician Team Lead

Clinical Nurse Consultant

Physiotherapist

Achievements

Challenges

Goals 2023-2025

• Pain assessment improved (1% to 60%) • Day 1 mobilisation - 98% • Reduced mortality rates • Neck of Femur (NOF) powercharts launched • Physiotherpay initiative to prioritise patients with potential for early discharge • In hospital osteoporosis management in patients admitted from aged care facilities

• No dedicated geriatric cover thus geris assessment declining from 100% to 84% (NSW average - 99%) • Social worker to streamline discharge and reduce average length of stay (ALOS) • Pain assessment and cognitive assessment are poorly documented

• Dedicated geriatric medical cover at Westmead • Improve documentation on admission • Improve delirium management • Engage BMDH to implement the initiative

Leading Better Value Care 2017 – 2022

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