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Barriers to implementation of an organized geriatric fracture program
Stephen L Kates1, Natasha O'Malley, Susan M Friedman
1Department of Orthopedics and Rehabilitation, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Geriatric Orthopaedic Surgery & Rehabilitation
|April 10, 2013
Summary
Implementing organized geriatric fracture programs faces barriers like leadership gaps and resource needs. Addressing these challenges is key to improving care quality and reducing costs for older adults with fragility fractures.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Healthcare Management
Background:
- Increasing interest in geriatric fracture programs for older adults with fragility fractures.
- Need to improve care quality and reduce healthcare costs.
- Lack of standardized implementation methods and documented barriers.
Purpose of the Study:
- Identify and describe barriers to implementing organized geriatric fracture programs.
- Provide insights for successful program implementation.
Main Methods:
- Online survey distributed to 185 US surgeons and physicians involved in geriatric fracture care.
- Evaluation of 68 survey responses.
Main Results:
- Key barriers include lack of medical/surgical leadership, need for case managers, and insufficient anesthesia/hospital administration support.
- Challenges also involve operating room availability, cardiac clearance, quality improvement, cost reduction, infection/readmission prevention, and competing interests.
- Site visits to existing programs are considered crucial for implementation.
Conclusions:
- This study offers valuable insights into the barriers encountered when establishing organized hip fracture programs.
- The findings can guide strategies to overcome implementation challenges and improve geriatric fracture care.
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