Asia-Pacific

Asia-Pacific

Australia

Actions

  • Australian and New Zealand Hip Fracture Registry: In October 2011, an Australian and New Zealand Hip Fracture Registry Steering Group (ANZ HFR) was established. The objective of the group was to establish hip fracture registries in Australia and New Zealand to enable benchmarking of delivery of professionally-defined standards for hip fracture care and prevention. In May 2012, the ANZ HFR was the recipient of a Bupa Health Foundation Award for AU$477,000. The grant will fund production of national hip fracture guidelines, establishment of national quality indicators, development of a ‘consumer manifesto’ and pilot collection of patient level data in all Australian States and Territories. The hip fracture guidelines are likely to be published in mid-2014. See http://anzhfr.org/.

New Zealand

Actions

  • Australian and New Zealand Hip Fracture Registry: In October 2011, an Australian and New Zealand Hip Fracture Registry Steering Group (ANZ HFR) was established. The objective of the group was to establish hip fracture registries in Australia and New Zealand to enable benchmarking of delivery of professionally-defined standards for hip fracture care and prevention. In May 2012, the ANZ HFR was the recipient of a Bupa Health Foundation Award for AU$477,000. The grant will fund production of national hip fracture guidelines, establishment of national quality indicators, development of a ‘consumer manifesto’ and pilot collection of patient level data in all Australian States and Territories. The hip fracture guidelines are likely to be published in mid-2014. The draft guideline is available from http://anzhfr.org/.
  • Osteoporosis New Zealand strategy: Published in December, the BoneCare 2020 called for implementation of a systematic approach to hip fracture care and prevention in New Zealand. This included development of a New Zealand Hip Fracture Registry with the capability to benchmark standards of acute hip fracture care in all District Health Boards (DHBs) against the clinical guidelines being drafted by the ANZ HFR Steering Group. The draft guideline is available from http://anzhfr.org/. The strategy also called for nationwide implementation of Fracture Liaison Services.

Outcomes

  • New Zealand Hip Fracture Registry: In Q1-2014, discussions are ongoing between all relevant government agencies, professional groups and Osteoporosis New Zealand to establish how to finance and develop the New Zealand Hip Fracture Registry.
  • Fracture Liaison Services: For the financial year July 2013 to June 2014, FLS was identified in the District Annual Planning process as an expectation for all District Health Boards in New Zealand to implement. During Q4-2013 and Q1-2014, the Ministry of Health facilitated FLS workshops across the country to support this goal.
  • Health Quality and Safety Commission: The Health Quality and Safety Commission in New Zealand has highlighted the importance of the strategy advocated in BoneCare 2020 in its national quality improvement initiative Reducing Harm from Falls.

Future directions

  • Systematic approach to primary fracture prevention: Osteoporosis New Zealand’s BoneCare 2020 strategy document called for improvements in the quality and consistency of acute care for hip fracture sufferers, and nationwide implementation of FLS, to be complete by 2015. The focus for the period 2016-2020 is development of clinically effective and cost-effective systematic approaches to primary fracture prevention. The primary intention of this effort is to put systems in place – First Fracture Prevention Programs – to pro-actively identify as many individuals as possible who, in the absence of intervention, will suffer a hip fracture as their first fragility fracture.

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