Osteoporosis Refracture Prevention Model of Care
To ensure people who sustain a minimal trauma fracture have access to early identification, diagnosis, treatment, and follow-up for osteoporosis.
Benefits include improved patient outcomes, better utilisation of hospital services, and reductions in health system costs for at risk people.
The model of care for osteoporotic refracture prevention is based on an extensive body of evidence1; and has been informed by consultation with consumers, clinicians and managers.
The essential element of the model of care is the engagement of a Fracture Liaison Coordinator (FLC). Their role is to ‘find’ the people who sustain a minimal trauma fracture, help them understand what is probably the underlying cause of sustaining a fracture from a mere ‘slip, trip or fall’, and link them to investigations and treatment.
The FLC will also follow up these people in the long term, to review and support their sustained treatment and management. In addition, the FLC will ensure community education of osteoporosis is provided, and support other health professionals in gaining more understanding of this chronic disease.
1.Ganda, K., Puech, M., Chen, J.S., Speerin, R., Bleasel, J., Center, J., Eisman, J.A., March, L., & Seibel, M.J, (2013). Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis. Osteoporosis International, 4, 2, 393-406.
- Murrumbidgee Medicare Local
- North Coast NSW Medicare Local
- Northern Sydney Medicare Local
- South Eastern Sydney Medicare Local
- Sydney North Shore & Beaches Medicare Local
- Arthritis NSW
- Osteoporosis Australia
|Hunter New England Local Health District||Cessnock District Hospital|
The Maitland Hospital
John Hunter Hospital
Royal Newcastle Centre
|Mid North Coast Local Health District||Coffs Harbour Base Hospital|
|Murrumbidgee Local Health District||Wagga Wagga Base Hospital|
Murrumbidgee Medicare Local
|Nepean Blue Mountains Local Health District||Nepean Hospital|
|Northern NSW Local Health District||Grafton Base Hospital|
Lismore Base Hospital
The Tweed Hospital
|Northern Sydney Local Health District||Hornsby Ku-ring-gai Hospital|
Mona Vale Hospital
Royal North Shore Hospital
|South Eastern Sydney Local Health District||South Eastern Sydney Local Health District|
South Eastern Sydney Medicare Local with St George Hospital
|Sydney Local Health District||Concord Repatriation General Hospital|
Royal Prince Alfred Hospital
Key Date (location) Pilot Site Implementation Site
In early 2015 the Musculoskeletal Network and the ACI Health Economics and Evaluation Team is reviewing the effect the model of care implementation is having on fracture prevention and hospital utilisation data. Plans are also in place to commence Summative Evaluation in late 2015.
For more information go to:
The following resources can be accessed directly through the ACI website at: http://www.aci.health.nsw.gov.au/resources/clinician-resources#musculoskeletal
- Osteoporosis Refracture Prevention Services Directory
- DXA and QCT Densitometry
ACI Musculoskeletal Network Manager
02 9464 4633
Director, Primary Care and Chronic Services
02 9464 4603
Page Top | Added: 7 November 2013 | Last modified: 9 February 2015