Title

Treatment and Outcome Improvement with Implementation of a System-Wide Comprehensive Plan of Care for Management of Isolated Hip Fractures

Authors

C. Michael LeCroy MD, HCA HealthcareFollow
Adam Kaufman MD, HCA HealthcareFollow
Christina McQuiston MD, HCA HealthcareFollow
Harold Michael Frisch MD, HCA HealthcareFollow
Martha Hoskyns, HCA HealthcareFollow
Sean Snyder, HCA HealthcareFollow
Terrie M. Smith, HCA HealthcareFollow
Jaclyn Gosnell, HCA HealthcareFollow
Michael J. Schurr MD, HCA HealthcareFollow
William Shillinglaw DO, HCA HealthcareFollow

Files

Division

North Carolina

Hospital

Mission

Specialty

Orthopedic Surgery

Document Type

Poster

Publication Date

6-2020

Keywords

orthopedic trauma, geriatric hip fractures, fragmented care, care process model, quality improvement

Disciplines

Geriatrics | Orthopedics

Abstract

• Nearly 300,000 Americans sustain a fragility hip fracture each year. An average of 21% of hip fracture patients die within the first year after hip fracture.
• In late 2007, clinicians at Mission Hospital (MH) noted increasing volumes of patients with hip fractures, as well as increasing lengths of stay.
• Initially, the orthopedic physician was responsible for admitting the hip fracture patient for care, but medical consultations were only obtained when complications occurred.
• Patients were assigned hospital beds throughout the hospital, resulting in inconsistencies in nursing care and variations in discharge planning.
• Patients did not receive education regarding fall prevention, balance training, or treatment of osteoporosis.
• These variables resulted in fragmented care for the geriatric hip fracture patient.

Original Publisher

Trama Quality Improvement Program Annual Scientific Meeting and Training

Comments

Originally presented at Trama Quality Improvement Program Annual Scientific Meeting and Training 2020

Recommended Citation

LeCroy CM, et al. Treatment and outcome improvement with implementation of a system-wide comprehensive plan of care for management of isolated hip fractures. Poster presented at: TQIP Annual Meeting; November 16-18, 2019; Dallas, TX.