"Identifying Information: Name","Wait Times for Hip Fracture Repair: From ED Registration (Percentiles)"
"Identifying Information: Short/Other Names","Not applicable"
"Identifying Information: Description","The number of hours patients waited, from the time of first registration in an emergency department (ED) with a hip fracture (index admission) to the time that patients received hip fracture repair surgery"
"Background, Interpretation and Benchmarks: 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. ºìÁì½í¹Ï±¨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."
"Background, Interpretation and Benchmarks: Interpretation","50th percentile: Half of all patients waited this many hours before receiving care. 90th percentile: 1 out of 10 patients waited this many hours or more before receiving care."
"Background, Interpretation and Benchmarks: HSP Framework Dimension","Access to comprehensive, high-quality health services"
"Background, Interpretation and Benchmarks: Areas of Need","Getting Better"
"Background, Interpretation and Benchmarks: Targets/Benchmarks","Within 48 hours"
"Available Data Years","2010
 to 2023"
"Available Data Years: Type of Year",Fiscal
"Availability of Results: Geographic Coverage","Newfoundland and Labrador"
"Reporting Level/Disaggregation",Province/Territory
"Result Updates: Indicator Results","Explore wait times for priority procedures across Canada"
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","April 2024"
"Result Updates: Updates","Hip fracture diagnosis must now appear in the index and surgical acute abstracts. Hip fracture must now be the main pre-admit condition in the index hospitalization. Minor changes were made to the episode-building methodology."
"Indicator Calculation: Description","This indicator is calculated based on National Ambulatory Care Reporting System (NACRS), Discharge Abstract Database (DAD) and provincial wait time data for the first 2 quarters of the fiscal year (April 1 to September 30).Percentiles are obtained by calculating50th percentile: Half of all patients waited this many hours before receiving care. 90th percentile: 1 out of 10 patients waited this many hours or more before receiving care.Unit of Analysis: Episode of careAn episode of care refers to all contiguous inpatient hospitalizations where the patient was first registered in an emergency department (ED). If more than one ED episode is linked to a single acute hip fracture episode, then the ED episode with the earliest entry date/time (index admission) is selected. Only acute care episodes that began between 24 hours before and 12 hours after the patient is recorded as leaving the ED are included.For acute care episodes with transfers between facilities, transfers are linked regardless of diagnoses. Abstracts for the same patient are linked as part of the same episode when one of the following is true:  An acute care hospitalization occurs less than 7 hours after discharge from the previous acute care hospitalization, regardless of whether the transfer is coded; or An acute care hospitalization occurs between 7 and 12 hours after discharge from the previous acute care hospitalization, and at least one of the hospitalizations has coded the transfer.Wait time is calculated in hours from the episode start date/time (initial ED registration) to the procedure date/time of the hip fracture surgery."
"Indicator Calculation: Type of Measurement",Number
"Indicator Calculation: Number or Rate","50th percentile, 90th percentile"
"Denominator: Description:","The number of hip fracture episodes among patients age 18 and older that were surgically treated in an acute care hospital"
"Denominator: Inclusions:"," Hip fracture ICD-10-CA code S72.0, S72.1 or S72.2 is coded as most responsible diagnosis (MRDx) but not also as diagnosis type (2); or Another diagnosis is coded as MRDx and also as type (2), and a diagnosis of hip fracture is coded as diagnosis type (1) or (W), (X), (Y) but not also as diagnosis type (2); or Convalescence or rehabilitation ICD-10-CA code Z50.1, Z50.8, Z50.9, Z54.0, Z54.4, Z54.7, Z54.8 or Z54.9 is coded as MRDx and hip fracture is coded as diagnosis type (1) or (W), (X), (Y) but not also as diagnosis type (2).Note: If hip fracture surgery is not performed during the first (initial) hospitalization of the episode of care, criterion 1 (a, b or c above) must be met on both the initial and surgical record if transfer occurred.Criterion 1 (a, b, c) along with a relevant CCI procedure code:*1.VA.74.^^ Fixation, hip joint 1.VA 53.^^ Implantation of internal device, hip joint1.VC.74.^^ Fixation, femur1.SQ.53.^^ Implantation of internal device, pelvisAge at admission: 18 years and olderSex recorded as male or femaleAdmission to an acute care institution (Facility Type Code = 1)Admission category recorded as emergent/urgent (Admission Category Code = U)Patient is recorded as leaving the ED between 12 hours before and 24 hours after the admission to an acute care institutionNotes*Code may be recorded in any position.Procedures coded as out of hospital and abandoned after onset (status attribute = A or OOH indicator flag = Y) are excluded."
"Denominator: Exclusions:","Records with an invalid health card numberRecords with an invalid code for province issuing health card numberCadaveric donor or stillbirth records (Admission Category Code = R or S)Records with an invalid ED admission date or timeRecords with an invalid discharge date or timeRecords with an invalid procedure date or timePotential and true duplicate ED visitsElective ED admissionsDirect admissions into an inpatient facility"
"Numerator: Description:","Not applicable"
"Method of Adjustment","Not applicable"
"Adjustment Applied",None
"Indicator Calculation: Geographic Assignment","Place of service"
"Data Sources",DAD
"Quality Statement: 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 details, please see the Trend tab of CIHI’s wait time visualization or see the methodology notes (PPTX). "
"Quality Statement: Trending Issues","There is a new methodology starting with the 2017 data year that mainly affects surgical volumes."
"Quality Statement: Comments","Not applicable"
References,"ºìÁì½í¹Ï±¨ Canada. A 10-Year Plan to Strengthen ºìÁì½í¹Ï±¨ Care. Updated September 16, 2004. Accessed June 7, 2013."