Effects of a Geriatrician-Led Hip Fracture Program: Improvements in Clinical and Economic Outcomes

The hip fracture service (HFS) is an interdisciplinary, geriatrician‐led program instituted to improve the care of frail elderly people who present to the hospital with acute hip fracture. The HFS pilot project used existing hospital personnel and facilities and initiated new practices, including se...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2009-01, Vol.57 (1), p.159-167
Main Authors: Miura, Lisa N., DiPiero, Albert R., Homer, Louis D.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Clinical outcomes
cost effectiveness analysis
Female
Fractures
Frail Elderly
General aspects
geriatrician hospitalist
Geriatrics
Health care delivery
Health economics
Health participants
Hip Fracture Service
Hip Fractures - therapy
Hip joint
Humans
inpatient
Male
Medical sciences
Miscellaneous
Patient Care Team
Physicians
Pilot Projects
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care
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Summary:The hip fracture service (HFS) is an interdisciplinary, geriatrician‐led program instituted to improve the care of frail elderly people who present to the hospital with acute hip fracture. The HFS pilot project used existing hospital personnel and facilities and initiated new practices, including set protocols, preprinted orders, and standardized assessments, to achieve and evaluate patient triage and care and hospital cost savings. Outcome measures for 91 patients with acute hip fracture consecutively admitted to the HFS were compared with those of 72 historical controls managed under standard care in the prior year. Analysis demonstrated better outcomes in terms of length of stay (6.1±2.4 days for standard care, 4.6±1.1 days for the HFS; P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2008.02069.x