Hip fracture is the most serious and costly fall-related injury suffered by older people and many people do not return to the same level of independence as before their hip fracture. This project will allow us to measure the quality of care provided to people, against Australian and New Zealand guidelines for the management of hip fractures, and will enable improvements in this care where needed. The ultimate goal is to improve performance, drive change and maximise outcomes for older people. This is a large multi-site international collaboration of 121 public hospitals in Australia and New Zealand.