Fractures
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Proportion of home care recipients who had experienced at least one fracture.
Numerator
Number of home care recipients who had a fracture requiring an emergency department presentation or hospitalisation, or secondary diagnosis where onset is not during the hospitalisation, the external cause of the hospitalisation is fall, treatment for which MBS paid for, and deaths from fractures.
Denominator
Number of home care recipients.
Exclusions
Inpatient falls (onset in hospital).
Use of Risk Adjustment
Risk Adjustments
Age, sex, number of health conditions, dementia and osteoporosis.
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Hospital, mortality and subsidised health service records. South Australian Admitted Patient Care; South Australian Non-Admitted Emergency Care; New South Wales Admitted Patient Data Collection; New South Wales Emergency Department Data Collection; Victorian Admitted Episodes Dataset; Victorian Emergency Minimum Dataset; Queensland Emergency Department Collection; Queensland Hospital Admitted Patient Data Collection; Medicare Benefits Schedule; National Death Index.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Published publicly annually at national level. Individualised home care provider specific reports with benchmarks provided privately (to providers with more than 20 recipients ) for South Australia only annually.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Caughey GE, Lang CE, Bray SCE, et al. Quality and safety indicators for home care recipients in Australia: development and cross-sectional analyses. BMJ Open 2022;12(8):e063152
Technical Specifications
Registry of Senior Australians. Home Care Outcome Monitoring System Technical Specification - Fractures. Version 1.0. South Australian Health and Medical Research Institute. Adelaide, Australia; May 2023, 10 pages. static1.squarespace.com/static/5b8c84fc4cde7abe6c3e7d7c/t/64816ef7da91972f5115e689/1686204152467/6IndicatorFracturesV1+dated+28-04-2023WEBSITE.pdf