title: Interprofessional care for patients with osteoporosis in a continuing care retirement community.
abstract: OBJECTIVE
  To assess the quality of care provided to patients with osteoporosis in a continuing care retirement community (CCRC) after implementation of an interprofessional osteoporosis clinic (OPC). Specifically, quality measures were evaluated, including dual-emission X-ray absorptiometry (DXA) screening, calcium and vitamin D supplementation, and prescription treatment of osteoporosis and low bone mass in an ambulatory independent living community.
  
  
  METHODS
  Large family medicine teaching practice that provides primary care for residents in one main practice, 5 rural satellite practices, and 2 CCRCs. An interprofessional OPC was developed at the main practice in 2005. Patients at all of the organization's sites could be referred to the main practice for osteoporosis management. A needs assessment conducted at one of the CCRCs in 2011 revealed that rates of screening and treatment were suboptimal for its residents despite availability of an off-site OPC.
  
  
  METHODS
  In 2012, a new interprofessional OPC including a physician, medical assistant, and pharmacist was replicated on-site at the CCRC so that residents had access to this service within their medical home.
  
  
  RESULTS
  Quality measures were evaluated after implementation of the team-based OPC on-site at a CCRC and included: 1) DXA screening; 2) calcium and vitamin D supplementation; and 3) prescription treatment of osteoporosis and low bone mass.
  
  
  RESULTS
  Twenty-nine patients were seen in the new OPC from January 2012 to August 2013. Ninety-three percent had appropriate DXA testing after OPC implementation. Patients accepted pharmacist recommendations regarding calcium and vitamin D supplementation 90% and 86% of the time, respectively. All but 4 patients received appropriate treatment for osteoporosis or low bone mass.
  
  
  CONCLUSIONS
  Providing a team-based OPC on site in a CCRC improved quality measures for screening and treatment of osteoporosis and low bone mass.
authors.forename: Jordan
authors.initials: J
authors.lastname: Masterson
authors.forename: Tasha
authors.initials: T
authors.lastname: Woodall
authors.forename: Courtenay Gilmore
authors.initials: CG
authors.lastname: Wilson
authors.forename: Lisa
authors.initials: L
authors.lastname: Ray
authors.forename: Mollie Ashe
authors.initials: MA
authors.lastname: Scott
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019468:Disease Management; D005260:Female; D016852:Housing for the Elderly; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D010024:Osteoporosis / Q000188:drug therapy; D010595:Pharmacists; D010820:Physicians