title: Fracture prevention in Kaiser Permanente Southern California.
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.
authors.affiliation: Department of Orthopedics, Kaiser Permanente, 9353 E Imperial Hwy, Downey, CA 90242, USA. Richard.M.Dell@kp.org
authors.forename: R
authors.initials: R
authors.lastname: Dell
mesh_terms: D015502:Absorptiometry, Photon / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D002140:California / Q000453:epidemiology; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D004363:Drug Utilization / Q000706:statistics & numerical data; D005260:Female; D006620:Hip Fractures / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D058866:Osteoporotic Fractures / Q000453:epidemiology / Q000517:prevention & control*; D011787:Quality of Health Care
chemical_list: D050071:Bone Density Conservation Agents