Comprehensive Fragility Fracture Registry
Expand your quality improvement beyond hip fractures with AI-powered patient engagement and real-time equity analytics
patient SMS response rate
hip fractures + thousands more fragility fractures annually
driver of hospital bed utilization in NZ
From Hip Fractures to All Fragility Fractures
Building on the proven success of the Australia and New Zealand Hip Fracture Registry (ANZHFR), our Fragility Fracture Registry expands coverage to all low-trauma fractures in patients with osteoporosis or osteopenia. This comprehensive approach addresses a major driver of healthcare demand while delivering enhanced patient engagement through innovative SMS-based communication.
The Challenge
Fragility fractures represent the third-largest driver of hospital bed utilization in New Zealand, yet systematic quality improvement has historically focused only on hip fractures. Thousands of patients with vertebral, distal radius, proximal humerus, and other fragility fractures receive inconsistent care without the benefit of registry-enabled quality monitoring.
The Solution
- • All fragility fracture types: Hip, vertebral, distal radius, proximal humerus, and other low-trauma fractures
- • Enhanced patient engagement: SMS polling with 60%+ response rates in multiple languages
- • Real-time equity analytics: Built-in dashboards stratifying outcomes by ethnicity, geography, and deprivation
- • Automated workflows: Intelligent follow-up reducing manual clinician burden
Comprehensive Fracture Coverage
Hip Fractures
Annual Volume: 4,000 in New Zealand, 25,000+ across Australia and New Zealand
Leveraging proven ANZHFR success with 10+ years of quality improvement data
Quality Indicators: Time to surgery, cognitive assessment, pain management, bone protection, orthogeriatric care
Vertebral Fractures
Often under-recognized and under-treated, yet strong predictor of future fractures
Quality Focus: Appropriate imaging, pain management, fracture stabilization when indicated, bone protection
Patient Impact: Chronic pain, kyphosis, reduced quality of life
Distal Radius Fractures
Common "herald fracture" signaling osteoporosis, particularly in postmenopausal women
Quality Focus: Appropriate treatment selection, bone health assessment, secondary prevention
High volume provides statistical power for quality improvement initiatives
Proximal Humerus Fractures
Significant impact on function and independence, especially in elderly patients
Quality Focus: Treatment appropriateness, rehabilitation, functional outcomes, bone protection
Reduced arm function affects activities of daily living
Other Fragility Fractures
Pelvis, rib, ankle, and other low-trauma fractures in patients with osteoporosis
Approach: Standardized data collection with condition-specific quality indicators
Registry configuration engine enables rapid addition of new fracture types
Industry-Leading Patient Engagement
Patient voice is central to quality improvement. Our SMS-based polling system achieves 60%+ response rates—far exceeding traditional mail or email approaches—by meeting patients where they are and respecting their time.
SMS-Based Polling
- • Automated PREMs and PROMs
- • Validated instruments (EQ-5D)
- • Intelligent message timing
- • Non-intrusive follow-up
60%+ response rates through intelligent automation
Multi-Language Support
- • English, Te Reo Māori
- • Pacific languages (Samoan, Tongan, Fijian)
- • Asian languages (Mandarin, Hindi, Korean)
- • Universal accessibility
Supporting health equity goals
Two-Way Communication
- • Patients can ask questions
- • Automated common responses
- • Clinical team escalation
- • Educational content delivery
Active patient engagement and support
1 Million+ SMS Capacity
- • Telco-agnostic API integration
- • Delivery confirmation and retry
- • Support for 100,000+ patients
- • Cost optimization
Enterprise-grade reliability
Purpose-Built for Health Equity
Health inequities in fracture care are well-documented. Māori and Pacific peoples experience worse outcomes, delayed treatment, and lower rates of secondary prevention. Our registry makes these disparities visible in real-time and enables systematic improvement.
Real-Time Equity Dashboards
All quality dashboards can be stratified by ethnicity, geography, socioeconomic deprivation, age, and gender.
Impact: Disparities are visible immediately, not discovered months later in annual reports
Te Tiriti Partnership Model
40% Māori, 20% Pacific, 40% Government representation in governance with co-design approach from inception.
Built on Te Mana Raraunga principles ensuring genuine partnership
Māori Data Sovereignty
Māori authority over Māori health data with separate analytics capabilities and data sharing permissions.
Not performative inclusion—genuine partnership with decision-making authority
Multi-Language Accessibility
SMS in Te Reo Māori, Pacific languages, Asian languages with culturally appropriate communication.
Ensures all patients can participate regardless of language barriers
Reduce Burden, Increase Value
Clinician burnout is real. Our registry reduces data entry burden by 70% through intelligent automation, voice-to-text capability, and smart pre-population—giving clinicians time back for patient care.
70% Reduction in Data Entry Time
- • Voice-to-text data entry for hands-free operation
- • Smart pre-population from hospital systems
- • NHI automatic data pull
- • Natural language processing extracting data from clinical notes
- • Mobile-responsive for bedside entry
5-10 minutes saved per patient = hours saved weekly
Real-Time Clinical Decision Support
- • In-line guideline reminders
- • Missing data prompts when clinically significant
- • Drug interaction alerts
- • Risk prediction scores
- • Protocol adherence tracking
Better decisions without leaving workflow
Automated Follow-Up
- • SMS polling scheduled automatically
- • Patient reminder messages
- • Missing data alerts to clinical team
- • Report generation
- • Quality indicator calculation
Registry participation becomes passive
Integration with Hospital Systems
- • FHIR R4+ for modern systems
- • HL7v2 for legacy systems
- • Bi-directional sync (registry ↔ hospital)
- • Laboratory and imaging integration
- • Single sign-on (SSO) with hospital credentials
No duplicate data entry, no separate login
Why Fragility Fracture Registry Matters
Build on Proven Success
Leverage 10+ years of ANZHFR success with established infrastructure, proven methodologies, and demonstrated quality improvements
Address Major System Driver
Fragility fractures are the #3 driver of hospital bed utilization in NZ. Quality improvement here has significant system impact.
Broader Patient Population
4,000 hip fractures + thousands more vertebral, wrist, shoulder, and other fragility fractures annually = greater impact
Enhanced Patient Engagement
60%+ SMS response rates and two-way communication create partnership with patients, improving experience and outcomes
Ready to Expand Your Fragility Fracture Quality Improvement?
Address the #3 driver of hospital bed utilization with comprehensive fragility fracture quality improvement. Build on proven ANZHFR success with enhanced patient engagement and real-time equity analytics.