A Provincial Model of Care for Patients with a Hip Fracture: Helping Patients to Return Home
Canada 
19 slide(s) – 00:16:04 – English – 2009-07-03
The recent focus of the Ontario Expert Panel on hip fracture care and the development of the provinical integrated hip fracture model of care.
How this integrated hip fracture model of care that focuses on early access to surgery, improved surgical and clinical practice, and system flow across the healthcare continuum is resulting in positive outcomes and helping patients to return back home again.
A hip fracture is a significant threat to older people’s independence and ability to live in the community. This is especially so for those with frailties and cognitive impairment, who require an improved system of services that are based on best practice and responsive to their care needs. Until recently, hip fracture services in Ontario have been fragmented and limited, varying considerably across hospitals and not always focused on optimizing patient outcomes. Patients endured long waits for surgery, lengthy acute care stays and had limited access to rehabilitation. For many patients, they were streamed to long term care despite their previous success in living in the community. Recent advances through an integrated hip fracture model of care demonstrated reduced surgery wait times, earlier access to inpatient rehabilitation for all patients coming from the community who require intensive rehabilitation regardless of cognitive issues, and for most patients (over 80%) new opportunities to return home. Building on the successes of this model, a provincial knowledge translation initiative has used a consensus building approach to synthesize local experiences and develop a provincial model of care and best practice tool kit. Implementation of the model is being achieved through leadership of the Orthopaedic Expert Panel to engage Local Health Integration Networks, develop province-wide networks with access to experts, and sharing of improved surgical and clinical practice through an interactive website and education initiative.
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