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Name
Wait Times for Hip Fracture Repair: From ED Registration (Percentage Meeting Benchmark)
Short/Other Names

Not applicable

Description
Percentage of patients within a province who received a hip fracture repair within 48 hours of the time of first registration in an ED with a hip fracture (index admission)
Interpretation
The greater the percentage meeting the benchmark, the greater the proportion of patients in that province who received treatment within the benchmark (48 hours).
HSP Framework Dimension

Health System Outputs: Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Geographic Coverage

Newfoundland and Labrador, Prince Edward Island, Ontario, Alberta

Reporting Level/Disaggregation

Province/Territory

Indicator Results

http://waittimes.cihi.ca/All/fracture

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<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
Name
Wait Times for Hip Fracture Repair: From ED Registration (Percentage Meeting Benchmark)
Short/Other Names

Not applicable


<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
Description
Percentage of patients within a province who received a hip fracture repair within 48 hours of the time of first registration in an ED with a hip fracture (index admission)
Calculation: Description

This indicator is calculated for the first two quarters of the fiscal year (April–September).

The percentage within the benchmark is calculated by dividing the number of cases who received care within the benchmark by all cases, multiplied by 100.

Unit of Analysis: Episode of care

For more technical information, see the technical notes document: https://secure.cihi.ca/free_products/WaitTimesTechnicalNotes_EN.pdf.

Calculation: Geographic Assignment

Place of service

Calculation: Type of Measurement

Percentage or proportion

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not applicable

Denominator

Description:
All cases of hip fracture repair with an ED registration with a hip fracture
Inclusions:
1. Males and females age 18 and older

2. Discharged from acute care facilities

3. Discharged with a hip fracture diagnosis (see code selection below) in the following scenarios:

a. Main diagnosis was hip fracture (type M)

b. Hip fractures were pre-admit comorbidities (type 1) or service transfers (types W, X and Y)

c. Main diagnosis was for rehabilitation (see code selection below) with a pre-admit hip fracture or service transfer (types 1, W, X and Y) with a hip replacement procedure (see code selection below)

4. Code selection:

Hip fracture

ICD-10: S72.0, S72.1 or S72.2

Hip repair

CCI: 1.VA.74.^^, 1.VA.53.^^, 1.VC.74.^^ or 1.SQ.53.^^

Rehabilitation

ICD-10: Z50.1, Z50.8, Z50.9, Z54.0, Z54.4, Z54.7, Z54.8 or Z54.9

5. Cases of hip fracture repair with an ED registration with a hip fracture
Exclusions:
1. Patients with invalid health card numbers

2. Fractures that occurred post-admission (type 2)

Numerator

Description:
Cases of hip fracture repair who received a hip fracture repair within 48 hours of the time of first registration in an ED with a hip fracture
Inclusions:
1. Males and females age 18 and older

2. Discharged from acute care facilities

3. Discharged with a hip fracture diagnosis (see code selection below) in the following scenarios:

a. Main diagnosis was hip fracture (type M)

b. Hip fractures were pre-admit comorbidities (type 1) or service transfers (types 1, W, X and Y)

c. Main diagnosis was for rehabilitation (see code selection below) with a pre-admit hip fracture or service transfer (types 1, W, X and Y) with a hip replacement procedure (see code selection below)

4. Code selection:

Hip fracture

ICD-10: S72.0, S72.1 or S72.2

Hip repair

CCI: 1.VA.74.^^, 1.VA.53.^^, 1.VC.74.^^ or 1.SQ.53.^^

Rehabilitation

ICD-10: Z50.1, Z50.8, Z50.9, Z54.0, Z54.4, Z54.7, Z54.8 or Z54.9

5. Cases of hip fracture repair who received a hip fracture repair within 48 hours from the time of first registration in an ED with a hip fracture
Exclusions:
1. Patients with invalid health card numbers

2. Fractures that occurred post-admission (type 2)


<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
Rationale

In 2004, Canada's first ministers agreed to work toward reducing wait times for five priority areas: cancer treatment, cardiac care, diagnostic imaging, joint replacement and sight restoration. CIHI was mandated to collect wait time information and monitor provincial progress in meeting benchmarks.

Many factors affect wait times, for example, availability of resources, efficiency of a particular facility, seasonal effects, volumes, patient choice, patient condition, follow-up care and/or treatment complexity.

This indicator can be used to understand access to care and to know how provinces are performing in terms of providing access to services.

Interpretation

The greater the percentage meeting the benchmark, the greater the proportion of patients in that province who received treatment within the benchmark (48 hours).

HSP Framework Dimension

Health System Outputs: Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Targets/Benchmarks

Within 48 hours

References

Health Canada. A 10-Year Plan to Strengthen Health Care. Health Canada. http://www.hc-sc.gc.ca/hcs-sss/delivery-prestation/fptcollab/2004-fmm-rpm/index-eng.php. Updated September 16, 2004. Accessed June 7, 2013.


<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>
Data Sources

DAD, NACRS, Provincial Wait Times Registry

Available Data Years

Type of Year:
Fiscal
First Available Year:
2009
Last Available Year:
2016

Geographic Coverage

Newfoundland and Labrador, Prince Edward Island, Ontario, Alberta

Reporting Level/Disaggregation

Province/Territory


<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>
Update Frequency

Every year

Indicator Results

Web Tool:
Wait Times
URL: http://waittimes.cihi.ca/All/fracture

Updates

For more information, visit the Wait Times website and view provincial exceptions (http://waittimes.cihi.ca/All/fracture).


<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>
Caveats and Limitations

There might be some limitations in comparability of wait time data each year. Open-year data may not contain complete provincial submissions to CIHI. For more information, visit the Wait Times website (http://waittimes.cihi.ca/procedure/fracture?level=emergency#year) or see the technical notes document (https://secure.cihi.ca/free_products/WaitTimesTechnicalNotes_EN.pdf).

Trending Issues

There might be some limitations in comparability of wait time data each year. Open-year data may not contain complete provincial submissions to CIHI. For more information, visit the Wait Times website (http://waittimes.cihi.ca/procedure/fracture?level=emergency#year) or see the technical notes document (https://secure.cihi.ca/free_products/WaitTimesTechnicalNotes_EN.pdf).

Comments

Not applicable

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