The American Academy of Orthopaedic Surgeons and American Association of Orthopaedic Surgeons (AAOS) are urging the federal government and regulators to explore new models for hip fracture care that are more accountable to patients' needs.
A new Position Statement on Hip Fracture in Seniors: A Call for Health System Reform points out that hip fracture is a serious and costly health problem involving more than 300,000 hospital admissions each year and 60,000 nursing home admissions. More than 4 percent of hip fracture patients die during the initial hospitalization; 24 percent die within a year of the injury; and 50 percent lose the ability to walk.
The problem is expected to increase as the population ages in coming decades. But, cost-savings incentives by Medicare and hospital utilization management activities have created an immediate problem by causing medical care organizations and hospitals to reduce the lengths of stay for hip fracture patients, in an effort to control health care costs.
The AAOS warns of the consequences of the current policies.
The AAOS believes that a coordinated approach to the prevention, treatment and rehabilitation of hip fracture patients is necessary to reduce morbidity, mortality, loss of independence and the overall costs to society. The AAOS says the health care the system can be more accountable to patient needs, by accomplishing the following:
The AAOS believes hip fracture is a societal problem. While the repair of a fractured hip is essential, it is only one part of the process leading to optimal recovery. A comprehensive, coordinated and ongoing strategy, beginning with prevention, and reaching far beyond the acute hospital phase, is needed to ensure that recovery is optimized.