Leading Better Value Care

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Osteoporosis Refracture Prevention Service

Two Teams

Osteoporosis is a chronic disease that reduces bone density and strength. The reduced bone strength increases the risk of fracturing a bone from a slip, trip or fall, these are known as minimal trauma fractures (or fragility fractures). Having a minimal trauma fracture is a warning sign for osteoporosis and has a greater likelihood of refracture. The initiative aims to intervene at the identification of the first minimal trauma fracture and intervene to prevent future fractures through provision of a fracture liaison service.

Endocrinologist Team Leads

Fracture liaison Coordinators

Physiotherapists

Occupational Therapists

Dietitians

Administration Assistants

Achievements

Challenges • Increased case identification from ORP screening tool has impacted waiting times

Goals 2023-2025

• Pilot site for the Osteoporosis Refracture Prevention (ORP) screening tool and the PRM Health Outcomes & Patient Experience (HOPE) platform • 2% refracture rate • Partnering with Hospital in the Home (HiTH) for Osteoporosis patients to receive home-based treatments • Finalist for WSLHD Quality Award 2021 • GP engagement and community education events

• Expansion of service to reduce wait times • Dedicated space for

• Limited capacity to expand due to space and staff restrictions • Closure of face-to-face service due to COVID-19 • Research audit on hold during the pandemic

clinics Blacktown & Mount Druitt Hospitals (BMDH) • Incorporate telehealth into model of care for initial assessment • Physiotherapy group classes

• Dedicated Dual X-ray Absorptiometry (DEXA) machine operator • Recommencement of research

Leading Better Value Care 2017 – 2022

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