Osteoporosis ManagementIntegrating Fall Prevention

Kate Queen, MD

Medical Director, Osteoporosis Center

Haywood Regional Medical Center

Vision:Center of Excellence

regional leadercomprehensive osteoporosis services

Building on Commitment: identify new opportunities

provide innovative programs

Unmet Need

Traditional Care - Focus on Bone

Fall Prevention - Not Addressed Critical to Fracture Prevention

Redefining Routine Care

Redefining Routine Care

• Expand evaluation

fall and fracture risk

identify need for rehab /self management

Bone Health Assessment

More than Bone Density Testing:

• Loss of height• Vertebral Fracture Assessment• Fall risk Assessment• Fracture risk • Calcium / Vitamin D intake• Recommendations –

– Evaluation for occult medical problems– Pharmacologic therapy

– Outpatient Self Management Program

Redefining Routine Care

• Expand evaluation

fall and fracture risk

identify need for rehab /self management• Successfully enroll

Bone Connections

Initial PT Evaluation

Exercise / Education

Redefining Routine Care:

• Expand evaluation

fall and fracture risk

identify need rehab / self management • Successfully enroll

Bone Connections• Sustain participation

optimize benefit

Redefining Routine Care

Referrals Enrollment Participation

Bone Density Testing

Bone Physical Bone Health Therapy Connections Assessment Evaluation Program

Measurable Outcomes

• successful referrals • participation sustained• reduction fall & fracture risk• osteoporosis Quality of Life • osteoporosis knowledge• health/fitness center membership• financial viability

Using Custom Database

Who benefits ?

Patients /Community

• Fewer falls• Fewer fractures • Reduced death /disability • Less fear / risk of isolation• Increased confidence• Connection to health care providers

Hospital / Institutions

• Optimize utilization FTEs / space

• Increase referrals related service

• Prepare for new for Joint Commission Osteoporosis Standards

TimelineJan/Feb 2010 * Complete database

* Finish syllabus /materials

March 2010 * Launch Bone Connections

* Continue PT evaluations

February 2011 * Analyze 1st 12 months

* Adjustments / revisions

Opportunities for Expansion

Haywood Regional

Medical Center

Osteoporosis Center

Swain

Haywood

Madison

Buncombe

Henderson

TransylvaniaJackson

Macon

Graham

Clay

Cherokee

Highlands-CashiersHospitalMurphy Medical

Center

Bryson City

SwainCountyHospital

Park Ridge Hospital

Mars HillHot Springs Clinic

Angel MedicalCenter

Franklin

Transylvania

Community

Hospital

BrevardHarris Regional Hospital

Sylva

RobbinsvilleTallulahHealth Center

District Memorial Hospital

Andrews

Black Mountain

Family Medicine