Improved recovery (home)

The falls and fractures outcomes framework was developed to support quality improvement across the health system to reduce harm from falls. It defines and measures processes and outcomes that matter to older people. It helps health sector partners to focus on areas for innovation and improvement, and evaluate the impact of related interventions.

Name Description Data sources Responsible organisation(s) Measure methodology last updated
Residents dispensed vitamin D in aged residential care (ARC) Percentage of ARC residents who were dispensed vitamin D. Internationally, vitamin D is widely recommended for reducing falls and fall-related injuries in older people. Vitamin D supplements are thought to prevent falls by improving muscle strength and psychomotor performance in older people at risk of vitamin D deficiency. Nationally, there has been a long-established programme to increase the uptake of prescribed vitamin D supplements to older people in ARC. Pharmaceutical Collection (PHARMS), Client claims processing system – Manatū Hauora Health Quality & Safety Commission | Te Tāhū Hauora
Home to home within 120 days This is a measure of the percentage of hip fracture patients living in a private residence before admission who return to live in a private residence within 120 days of admission. Australian & New Zealand Hip Fracture Registry Health Quality & Safety Commission | Te Tāhū Hauora
Survival at 120 days This is a measure of the percentage of hip fracture patients who are alive at 120 days after admission. Australian & New Zealand Hip Fracture Registry Health Quality & Safety Commission | Te Tāhū Hauora
Walking ability at 120 days This is a measure of the percentage of hip fracture patients who returned to their pre-fracture mobility at 120 days after admission. Australian & New Zealand Hip Fracture Registry Health Quality & Safety Commission | Te Tāhū Hauora
Bone protection medication within 120 days This is a measure of the percentage of hip fracture patients who were given bone protection medication within 120 days after admission. Australian & New Zealand Hip Fracture Registry Health Quality & Safety Commission | Te Tāhū Hauora
Bisphosphonates coverage This is a measure of the percentage of people in the population covered by bisphosphonates. Bisphosphonates are a class of drugs that reduce bone density loss. Bisphosphonates should be considered for people who have fallen and sustained a fracture to reduce their future risk of fracture. Pharmaceutical Collection (PHARMS), National Population Projection - Stats NZ Health Quality & Safety Commission | Te Tāhū Hauora
Bisphosphonates new starts This is a measure of people newly started on bisphosphonates as a proportion of ACC fracture claims. Bisphosphonates are a class of drugs that reduce bone density loss. Bisphosphonates should be considered for people who have fallen and sustained a fracture, to reduce their future risk of fracture. ‘New starts’ identifies people who were not covered by bisphosphonates in the previous 2 years. Pharmaceutical Collection (PHARMS), Claims data – ACC Health Quality & Safety Commission | Te Tāhū Hauora