Osteoporosis Management Integrating Fall Prevention Kate Queen, MD Medical Director, Osteoporosis Center Haywood Regional Medical Center.

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Presentation transcript:

Osteoporosis Management Integrating Fall Prevention Kate Queen, MD Medical Director, Osteoporosis Center Haywood Regional Medical Center

Vision: Center of Excellence regional leader comprehensive 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

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

Timeline Jan/Feb 2010* Complete database * Finish syllabus /materials March 2010 * Launch Bone Connections * Continue PT evaluations February 2011* Analyze 1 st 12 months * Adjustments / revisions

Opportunities for Expansion

Haywood Regional Medical Center Osteoporosis Center Swain Haywood Madison Buncombe Henderson Transylvania Jackson Macon Graham Clay Cherokee Highlands-Cashiers Hospital Murphy Medical Center Bryson City Swain County Hospital Park Ridge Hospital Mars Hill Hot Springs Clinic Angel Medical Center Franklin Transylvania Community Hospital Brevard Harris Regional Hospital Sylva Robbinsville Tallulah Health Center District Memorial Hospital Andrews Black Mountain Family Medicine