Identification of Patients With Non-Spine Fragility Fractures

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United Kingdom, Channel Islands and Isle of Man
Publishing Organisation
Fragility Fracture Network (FFN) and National Osteoporosis Foundation (NOF): Fracture Liaison Service Database (FLSDB)
Type of Quality Indicator
Process
IOM Quality Dimension
Efficiency
Domain
Accessibility

Defining Attributes

Definition

Ratio of identified patients with non-spine fragility fractures to expected local non-spine fragility fracture caseload (inferred).

Numerator

Total number of patients with non-spine fragility fractures identified

Denominator

Expected local non-spine fragility fracture caseload

Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

There are numerous methods to estimate the expected caseload of non-spine fragility fractures for the denominator. The preferred method is reliable local data of all patients with non-spine fragility fractures attending the local health services. If this is not available, an estimate of the fragility fracture caseload can be made from population-based incidence data or by multiplying by 5 the number of hip fractures, recognising that there will be a yearly variation in the number of hip fractures seen at a site.

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Evidence Source

Javaid MK, Sami A, Lems W, Mitchell P, Thomas T, Singer A, et al. A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement: a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network. Osteoporos Int. 2020;31(7):1193-204.

Technical Specifications
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
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025