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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
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