Fracture prevention in Kaiser Permanente Southern California

Osteoporos Int. 2011 Aug;22 Suppl 3:457-60. doi: 10.1007/s00198-011-1712-0. Epub 2011 Aug 17.

Abstract

The Kaiser Permanente Healthy Bones Program has used a systematic approach to address the osteoporosis/fracture care gaps. The article discusses the ten-step processes that utilize information technology and care managers to identify, risk stratify, treat, and then track our patients with care gaps. This program has led to 40+% reduction in the expected number of hip fractures in 2009 that we attribute to the increase in DXA screening followed by appropriate osteoporosis treatment.

MeSH terms

  • Absorptiometry, Photon / statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Bone Density Conservation Agents / therapeutic use
  • California / epidemiology
  • Delivery of Health Care / organization & administration*
  • Delivery of Health Care / standards
  • Drug Utilization / statistics & numerical data
  • Female
  • Hip Fractures / epidemiology
  • Hip Fractures / prevention & control
  • Humans
  • Male
  • Middle Aged
  • Osteoporosis / diagnosis
  • Osteoporosis / drug therapy*
  • Osteoporosis / epidemiology
  • Osteoporotic Fractures / epidemiology
  • Osteoporotic Fractures / prevention & control*
  • Quality of Health Care

Substances

  • Bone Density Conservation Agents