title: Evaluating the orthogeriatric model of care at an Australian tertiary hospital.
abstract: BACKGROUND
  The management of fragility hip fractures requires a collaborative multi-disciplinary approach to care to ensure optimal patient outcomes. It is important to rigorously evaluate the model of care and enable the delivery of evidence based optimal patient care.
  
  
  OBJECTIVE
  The aim of this study was to document an orthogeriatric model of care (OGMOC) at a major tertiary hospital: assessing how particular indicators within the patient's admission were influenced by the OGMOC.
  
  
  METHODS
  A retrospective case analysis of all patients with fragility hip fracture from two pre-intervention groups and three post-intervention groups was undertaken. Data from (i) length of stay in the emergency department (ii) length of stay in the orthopaedic unit (iii) time from admission to surgery and (iv) time from surgery to admission to rehabilitation were used.
  
  
  RESULTS
  Implementation of the OGMOC resulted in: reduced time in the emergency department, quicker access to surgery, reduced length of acute hospital stay and an increase in the number of patients accessing the rehabilitation unit.
  
  
  CONCLUSIONS
  This study contributes to the increasing body of evidence for best practice in the management of fragility hip fracture within an OGMOC.
authors.affiliation: Orthopaedic Unit, Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba, Queensland 4101, Australia. Electronic address: Genni.Lynch@health.qld.gov.au.
authors.forename: Genni
authors.initials: G
authors.lastname: Lynch
authors.affiliation: Centre for Health Practice Innovation, Griffith Health Institute, School of Nursing and Midwifery, Griffith University, 170 Kessels Road, Nathan, Queensland 4111, Australia.
authors.forename: Ramon Z
authors.initials: RZ
authors.lastname: Shaban
authors.affiliation: Gold Coast University Hospital, Parklands Dr, Southport, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Australia.
authors.forename: Debbie
authors.initials: D
authors.lastname: Massey
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D005260:Female; D005853:Geriatrics / Q000379:methods / Q000592:standards; D006299:Health Services for the Aged; D006620:Hip Fractures / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009985:Orthopedics / Q000379:methods / Q000592:standards; D017063:Outcome Assessment, Health Care / Q000379:methods*; D012189:Retrospective Studies; D062606:Tertiary Care Centers / Q000592:standards*; D013997:Time Factors
keywords: Co-managed; Comanaged care; Fractured neck of femur; Fragility fracture; Hip fracture; Multidisciplinary care; Orthogeriatric care