CareAdvantage

Hip Fracture Care

Hip Fracture Care* is an evidence-based care improvement program to standardize and reduce variability of care for the elderly fragility fracture patients through interdisciplinary approach, clinical standardization and patient-centered care.

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Delivering Results

Partnered with a regional community hospital to improve the care of elderly fragility fracture patient population.


Average savings per orthopaedic episode1

$1k


Reduction in time from ED to OR1

28%


Reduction in post-op ALOS1

1.2 Days

 

See How We’ve Helped

The CareAdvantage approach tailors our capabilities to customers in a variety of settings to produce concrete results.

See how we partnered with a Regional Community Hospital:

View Infographic

 

Incidences of Fragility Fractures are on the Rise 

50% of women and 20% of men older than 50 years likely to have a fragility fracture in their remaining lifetime4

20% reported mortality rate in the first year after hip fracture in addition to substantial morbidity caused by hip fracture5 

An organized and standardized system of care for the patient with a fragility fracture will afford a better outcome for that patient and be of benefit to the health care system6 

Needs Identification

  1. Your team and Johnson & Johnson Medical Devices Companies (JJMDC) discuss your hip fracture care improvement goals and priorities and align on mutual objectives and timelines
  2. Together, your team and JJMDC assemble a project team and charter  
  3. Baseline is established by compiling data on core metrics, current clinical practice, patient/family education materials and feedback from key stakeholders  
  4. JJMDC will conduct an opportunity assessment at your hospital to identify potential gaps and areas for improvement  
  5. Discuss assessment findings and align on priority areas of focus, target improvements and next steps  
  6. Conduct regular virtual team and milestone meetings, and monitor key metrics, to ensure progress on key focus areas 

Benefits1-3 

  • Improved patient outcomes resulting from reduced average length of stay, improved pre-op patient optimization, prudent ancillary consults, standardized treatment of pain, and avoidance of hospital acquired conditions  
  • Reduced cost of care resulting from shorter average length of stay, increased efficiencies and avoidance of complications 
  • Improved patient experience with clear and consistent communication to the patient and family 

Program Components: 

Implementation Support & Facilitation
Experienced implementation support and facilitation by clinical subject matter experts who have successfully implemented the program in other hospitals 

Implementation Toolbox 
Sample program materials and templates to guide the hospital through implementation step by step to include protocols, nurse care plan and patient education materials 

On-site Opportunity Assessment
Interviews with multi-disciplinary key stakeholders conducted by subject matter experts to identify top opportunity areas for care standardization and coordination 

Performance Dashboard 
2-year subscription to performance dashboard to track data, visualize progress and benchmark

 

References


* Hip Fracture Care Program is a fee-for-service o­ffering †These are examples only and do not guarantee or predict future results, which will vary depending on individual circumstances
1. Mission Health website. Available at: www.mission-health.org/sites/default/files/document-library/1453_0.pdf. Accessed February 17, 2017.
2. Improving Transitions in Care for the Geriatric Fracture Population. Scottsdale Healthcare website. Available at: https://s3.amazonaws.com/NICHE2014_POSTERS/101_ScottsdaleHealthcare_Improving+Transitions+in+Care+for+the+Geriatric+Fracture+Population.pdf. Accessed February 17, 2017.
3. Liem IS, Kammerlander C, Suhm N, et al. Identifying a standard set of outcome parameters for the evaluation of orthogeriatric co-management for hip fractures. Injury 2013;44(11):1403-1412.
4. Sambrook P. Osteoporosis. Lancet 2006;367(9527):2010-2018.
5. Friedman SM, Mendelson DA, Kates SL, McCann RM. Geriatric co-management of proximal femur fractures: total quality management and protocol-driven care result in better outcomes for a frail patient population. J Am Geriatr Soc 2008;56(7):1349-1356.
6. Kates SL, Mears SC. A Guide to Improving the Care of Patients With Fragility Fractures. Geriatr Orthop Surg Rehabil 2011;2(1):5-37.
7. Geriatric Fracture Program improves outcomes via evidence-based practice. Lancaster General Health website. Available at: http://lancastergeneralhealth.org/LGH/HealthcareProfessionals/Progress-Notes/Coding-Quality-Risk-Management/Geriatric-Fracture-Program-improves-outcomes-via-e.aspx.
Updated March 20, 2102. Accessed February 17, 2017

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