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Improving High-Risk Osteoporosis Medication Adherence and Safety With an Automated Dashboard
Danielle H Tran1, Radhika Narla2,3, Magdalena Wojtowicz3
1University of Washington, Seattle.
Summary
An automated dashboard improved osteoporosis care by flagging overdue tests and appointments for veterans. This tool enhances patient safety and minimizes treatment gaps, proving valuable beyond the pandemic.
Area of Science:
- Osteoporosis management
- Health informatics
- Population health
Background:
- Osteoporosis therapies require careful monitoring due to cost, lab needs, dosing, and sequencing.
- The COVID-19 pandemic intensified challenges in managing osteoporosis patients.
- An automated dashboard was developed for population health management in a Veterans Affairs osteoporosis clinic.
Purpose of the Study:
- To create an automated dashboard for managing osteoporosis patient care.
- To identify and address unmet care needs, including overdue prescriptions, appointments, and laboratory tests.
Main Methods:
- Developed an automated dashboard to track patients on alendronate, zoledronic acid, abaloparatide, denosumab, or romosozumab.
- Dashboard monitored overdue prescriptions, appointments, and laboratory tests outside reference ranges.
Main Results:
- The dashboard displayed 139 patients, with 66% identified as having unmet care needs.
- Most common alerts involved overdue laboratory tests (29%) and overdue medication-related appointments (20%).
- Specific alerts included overdue lab tests for bisphosphonate users and missed appointments for intravenous bisphosphonates.
Conclusions:
- The dashboard effectively alerted the osteoporosis team to overdue care elements, reducing therapy gaps and improving safety.
- This tool remains a valuable resource for osteoporosis care coordination, with potential for broader application in healthcare systems.
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