Fractures

Identifying Attributes

Care Settings
Residential Aged Care
Country
Australia
Publishing Organisation
Registry of Senior Australians (ROSA): Residential Aged Care Outcome Monitoring System
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Falls / Fracture / Injury

Defining Attributes

Definition

Proportion of residents who experience at least one fracture.

Numerator

Number of residents with an emergency department presentation or hospitalisation for fracture, or secondary diagnosis where onset is not during the hospitalisation, the external cause of the hospitalisation is fall, treatment for which Medicare Benefits Schedule (MBS) paid for, and deaths from fractures.

Denominator

Number of residents.

Exclusions

Inpatient falls (onset in hospital).

Use of Risk Adjustment
Yes
Risk Adjustments

Age, sex, number of health conditions, dementia, osteoporosis medication dispensing.

Stratifications

None

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Claims based data. (Hospitalisation data (unplanned admissions and emergency department presentations).

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
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
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Inacio M, et al. The Registry of Senior Australians (ROSA) Outcome Monitoring System: Quality and Safety Indicators for Aged Care. International Journal of Quality in Health Care. 2020, 32(8):502-510.

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025