| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Opportunity to mobilise 1 day after surgery | This is a measure of whether a staff member tried to begin mobilisation with the patient on the first post-operative day. This is a measure of service delivery and does not measure whether the patient was actually able to mobilise because the patient may still be too unwell after surgery to be able to mobilise. | Health Quality & Safety Commission | Te Tāhū Hauora | ||
| Fall with fractured neck of femur (NOF) operated within 48 hours | This measure describes the number of people with fractured NOF who had an operation for their fractured NOF within 48 hours of admission. The Hip Fracture Care Clinical Care Standard recommends that surgery is performed within 48 hours of the patient presenting to hospital if no clinical contraindication exists and the patient prefers surgery. >When interpreting this measure, it is important to remember there may be a number of reasons why surgery was delayed, such as medical instability or a need for further investigation. |
Health Quality & Safety Commission | Te Tāhū Hauora | ||
| Fall without fracture bed-days | This measure shows the total number of days spent in hospital following an acute admission for a fall for people without fractures. It replicates 'Fall without fracture admissions' but shows bed-days (ie, the total amount of time spent in the hospital) instead of admissions. It is a proxy for the hospital resources that are used by different types of fall admissions. Improving the rehabilitation process inside a hospital can reduce the time spent in a hospital bed. Reducing the length of stay, as above, can help to maintain function and independence in older people. This indicator aligns closely with the system-level measure framework contributory measure for Acute Hospital Bed Days. | 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 | |
| Fall with fractured neck of femur (NOF) bed-days | This measure shows the total number of days spent in hospital following an acute admission for a fall for people with fractured NOF. It replicates 'Fall with fractured NOF admissions' but shows bed-days (ie, the total amount of time spent in the hospital) instead of admissions. It is a proxy for the hospital resources that are used by different types of fall admissions. Improving the rehabilitation process inside a hospital can reduce the time spent in a hospital bed. Reducing the length of stay, as above, can help to maintain function and independence in older people. This indicator aligns closely with the system-level measure framework contributory measure for Acute Hospital Bed Days. | Health Quality & Safety Commission | Te Tāhū Hauora |