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Geisinger high-risk osteoporosis clinic (HiROC): 2013-2015 FLS performance analysis
P Dunn1, D Webb2, T P Olenginski2
1Geisinger Medical Center, 100 N Academy Ave, Danville, PA, 17822, USA. pdunn1@geisinger.edu.
Summary
The Geisinger Health System
Area of Science:
- Gerontology
- Orthopedics
- Public Health
Background:
- Osteoporosis and fragility fractures pose significant health risks.
- Secondary fracture prevention is crucial for managing high-risk patients.
- Fracture Liaison Services (FLS) are key to improving care.
Purpose of the Study:
- To analyze performance measures of the Geisinger Health System's High-Risk Osteoporosis Clinic (HiROC) program.
- To evaluate the effectiveness of FLS in secondary fracture prevention for fragility fracture patients.
- To identify care gaps within the HiROC pathway.
Main Methods:
- Retrospective chart review of outpatient and inpatient HiROC patients from 2013-2015.
- Analysis of performance measures related to secondary fracture prevention.
- Comparison of HiROC care with Geisinger Health System Primary Care (GHS-PCP) treatment rates.
Main Results:
- The HiROC FLS pathway treated 75% of eligible high-risk patients, significantly outperforming GHS-PCP care (13.8%).
- Despite high treatment rates, 37.8% of patients were lost to follow-up.
- Care gaps and barriers to best practice were identified within the FLS program.
Conclusions:
- The HiROC FLS demonstrates superior performance in secondary fracture prevention compared to primary care.
- Addressing patient loss to follow-up is critical for optimizing FLS effectiveness.
- Programmatic changes are being implemented to improve care and reduce identified gaps.