Grant: Oper Grant:eHealth Innov Partnership Program(eHIPP)-Seniors w Complex Care Needs

Approximately 30,000 Canadians suffer a hip fracture each year; hip fractures cause substantial disability, morbidity and excess mortality. The personal and societal costs of these fractures are high: up to 24% of patients are institutionalized in the year following their fracture and, as many as 50% are unable to return their pre-fracture level of autonomy. As hip fractures occur mostly in older people with complex health issues, whose wish it is to go back home as soon as possible, individualized community-based rehabilitation care following hospital discharge is essential to ensure return to functional mobility and active living. In collaboration with patient representatives, healthcare and homecare professionals, we propose to develop and implement the HIP@Home e-solution to monitor mobility, guide rehabilitation and provide educational tools through a combination of assisted remote monitoring technology and communications by local homecare services for patients who have sustained a hip fracture. We will evaluate the acceptability of this system by patients and their families and by the homecare community, and determine if the implementation of the HIP@Home e-solution improves mobility, participation and quality of life, and the ability to remain safely and autonomously at home compared to homecare services without this technology. If successfully implemented and adopted, the HIP@Home e-solution would lead to improved patient experience, lower costs to the healthcare system and better outcomes in terms of autonomy.