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Enabling osteoporosis treatment in post-acute care: An algorithm for providers
Emily T Lerner1, Kylee G MacLean2, Cathleen Colón-Emeric3
1Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine, Hebrew SeniorLife, Boston, MA, USA; University of Michigan Medical School, Ann Arbor, MI, USA; Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Skilled nursing facility providers rarely prescribe osteoporosis treatment after fractures. A new pocketcard could improve osteoporosis care for older adults in post-acute settings.
Area of Science:
- Geriatrics
- Pharmacology
- Orthopedics
Background:
- Osteoporosis treatment is crucial for older adults post-fracture.
- Skilled nursing facilities (SNFs) care for most older adults after hospitalization for fractures.
- Current osteoporosis treatment rates in SNFs are low.
Purpose of the Study:
- To explore SNF providers' views on osteoporosis treatment.
- To gather feedback on a pocketcard designed to guide osteoporosis treatment in SNFs.
Main Methods:
- Semi-structured interviews were conducted with 17 SNF providers across 13 states.
- Providers had 2+ years of experience in post-acute care.
- Feedback was collected on a proposed pocketcard for osteoporosis management.
Main Results:
- A majority of SNF providers (64%) reported prescribing osteoporosis treatment rarely or never.
- Most interviewed providers (94%) found the pocketcard helpful.
- Few SNF providers routinely initiate osteoporosis treatment.
Conclusions:
- SNF providers' current prescribing of osteoporosis treatment is infrequent.
- The developed pocketcard may enhance osteoporosis treatment discussions and initiation in SNFs.
- SNF providers play a vital role in starting osteoporosis treatment for eligible patients with fractures.
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