The Fracture Prevention Program at St. Michael’s Hospital, the first in Canada, is a co-ordinator-based multidisciplinary quality assurance program which facilitates the identification, education, bone health assessment and appropriate treatment of people who have sustained a fragility (low trauma) fracture in order to prevent future fractures.
The co-ordinator identifies men, aged 50 years and older, and women, aged 40 years and older, who have sustained a low-trauma fracture of the distal radius (wrist), proximal humerus (shoulder), proximal femur (hip) and vertebrae (spine) in both the outpatient Fracture Clinic and inpatients on the orthopedic unit. Fracture Clinic patients are:
referred back to their family physician or to a specialist at St. Michael’s Hospital for a complete bone health assessment and implementation of prescription treatment to lower their future fracture risk, if indicated
Inpatients are assessed by either Geriatrics or Rheumatology for a bone health assessment, and if follow-up is required, the co-ordinator arranges a bone-mineral density test and an outpatient appointment at the Post Fracture Osteoporosis Clinic.
In addition to the clinical program, there is a quality assurance/improvement component of the program. Patients are provided with a quality assurance questionnaire, which is voluntary to complete, that asks about fracture history, family history of fracture, risk factors for fracture, prior bone health testing and treatment, as well as perceptions and knowledge of fracture and osteoporosis. Patients agreeing to follow up are also provided with a six-month, follow-up questionnaire that asks about bone health testing and treatment done within the six months, as well as knowledge and perception of fracture and osteoporosis. This information allows us to continually review the success of our program and to make necessary program modifications.
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