Quality statement 3 Orthogeriatric model of care A patient with a hip fracture is offered treatment based on an orthogeriatric model of care as defined in the Australian and New Zealand Guideline For Hip Fracture Care.1 Purpose early identification of the goals patient’s and care coordination. If appropriate and To ensure that from the time of admission, the care clinically indicated, provide multidisciplinary of patients with a hip fracture includes a shared rehabilitation aimed at increasing mobility care approach, and that the goals of care are and independence, facilitating return to agreed by patients and clinicians and informed by pre-fracture residence and supporting patient preferences. long-term wellbeing What the quality statement means early identification of most appropriate service to deliver rehabilitation, if indicated For patients. If you have a hip fracture, you are involved in important decisions about your ongoing orthogeriatric and multidisciplinary care from the time you are admitted to hospital. review including reassessment of cognition This includes working out what you would like after surgery11, and discharge planning liaison the care to achieve, and the best way to get with primary care, including falls prevention there. Your care is shared between clinicians and secondary fracture prevention.1 with different areas of expertise. This will ensure Ensure systems are For health services. all your health issues are taken into account, in place to offer patients with a hip fracture and give you the best chance of recovery. care that is based on an orthogeriatric model For clinicians. From the time of admission, of care as recommended in the Australian and offer patients with a hip fracture a formal New Zealand Guideline for Hip Fracture Care.1 orthogeriatric model of care that includes: For hospitals that do not have a geriatric medicine service available, care should be regular orthogeriatrician assessment undertaken by an orthopaedic surgeon, including medication review an anaesthetist and a physician or, if unavailable managing patient comorbidities in rural and remote settings, another medical optimisation for surgery practitioner, using the orthogeriatric model of care. Indicator: Quality statement 3 3a: Evidence of orthogeriatric (or alternative physician or medical practitioner) management during an admitted hip fracture episode of care. patient’s
Quality statement 3 Orthogeriatric model of care A patient with a hip fracture is offered treatment based on an orthogeriatric model of care as defined in the Australian and New Zealand Guideline For Hip Fracture Care.1 Purpose To ensure that from the time of admission, the care of patients with a hip fracture includes a shared care approach, and that the goals of care are agreed by patients and clinicians and informed by patient preferences. What the quality statement means For patients. If you have a hip fracture, you are involved in important decisions about your care from the time you are admitted to hospital. This includes working out what you would like the care to achieve, and the best way to get there. Your care is shared between clinicians with different areas of expertise. This will ensure all your health issues are taken into account, and give you the best chance of recovery. For clinicians. From the time of admission, offer patients with a hip fracture a formal orthogeriatric model of care that includes: regular orthogeriatrician assessment including medication review managing patient comorbidities optimisation for surgery early identification of the patient’s goals and care coordination. If appropriate and clinically indicated, provide multidisciplinary rehabilitation aimed at increasing mobility and independence, facilitating return to pre-fracture residence and supporting long-term wellbeing early identification of most appropriate service to deliver rehabilitation, if indicated ongoing orthogeriatric and multidisciplinary review including reassessment of cognition after surgery11, and discharge planning liaison with primary care, including falls prevention and secondary fracture prevention.1 For health services. Ensure systems are in place to offer patients with a hip fracture care that is based on an orthogeriatric model of care as recommended in the Australian and New Zealand Guideline for Hip Fracture Care.1 For hospitals that do not have a geriatric medicine service available, care should be undertaken by an orthopaedic surgeon, an anaesthetist and a physician or, if unavailable in rural and remote settings, another medical practitioner, using the orthogeriatric model of care. Indicator: Quality statement 3 3a: Evidence of orthogeriatric (or alternative physician or medical practitioner) management during an admitted patient’s hip fracture episode of care.
Hip-Fracture-Care-Clinical-Care-Standard.docx