title: Optimizing Fracture Prevention in Patients with Osteoporosis.
abstract: OBJECTIVE
  This Maintenance of Certification activity was designed to help address gaps in osteoporosis management, provide practice improvement based on recognized models, and evaluate the impact of the initiative.
  
  
  METHODS
  The program comprised 3 stages: stage A, practice self-assessment and chart review; stage B, an intervention to address at least 1 problem; and stage C, additional chart review (new patients). Data from stages A and C were compared to evaluate the impact of the activity.
  
  
  RESULTS
  Of 217 registrants, 62 completed the program, reviewing 2107 and 1814 charts in stages A and C, respectively. Statistically significant improvements occurred in all quality attributes from stage A to stage C in 6 specified domains, except for the proportion of patients with an osteoporosis diagnosis.
  
  
  CONCLUSIONS
  Results of this activity support the benefit of performance improvement initiatives and are consistent with other reports.
authors.affiliation: From the Ventura County Health Care Agency, Family Medicine Residency Program, Ventura County Medical Center, Ventura, CA (CL); the Annenberg Center for Health Sciences at Eisenhower Medical Center, Rancho Mirage, CA (AM, MH). Cheryl.Lambing@ventura.org.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Lambing
authors.affiliation: From the Ventura County Health Care Agency, Family Medicine Residency Program, Ventura County Medical Center, Ventura, CA (CL); the Annenberg Center for Health Sciences at Eisenhower Medical Center, Rancho Mirage, CA (AM, MH).
authors.forename: Anna
authors.initials: A
authors.lastname: Moll
authors.affiliation: From the Ventura County Health Care Agency, Family Medicine Residency Program, Ventura County Medical Center, Ventura, CA (CL); the Annenberg Center for Health Sciences at Eisenhower Medical Center, Rancho Mirage, CA (AM, MH).
authors.forename: Michael
authors.initials: M
authors.lastname: Hite
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004502:Education, Medical, Continuing / Q000706:statistics & numerical data*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications*
keywords: Certification; Osteoporosis; Quality Improvement; Quality of Health Care