POSTFRACTURE CARE FLS mentoring Monitoring background material An

POST-FRACTURE CARE FLS mentoring – Monitoring background material An IOF initiative, supported by Amgen and UCB in collaboration with the University of Oxford

FLS = Complex clinical pathway Health Care system Fewer patients needing family support Fewer operations Fewer patients in emergency room

How to measure if an FLS is working?

KPI 7 Recorded monitoring within 16 weeks of fracture All patients recommended anti-osteoporosis therapy Low adherence – initiation of recommendations Imminent risk of fracture is high

KPI 9 Anti-osteoporosis medication started by 16 wk post fracture All patients recommended anti-osteoporosis therapy Re-fracture risk high Oral therapy take time to reduce fracture risk

KPI 10 Anti-osteoporosis medication 52 wk post fracture All patients recommended anti-osteoporosis therapy Measuring adherence is challenging in real world setting Includes patient report, prescription, clinical review

Adherence matters: UK CPRD 66, 116 PMO women Li Menopause 2012

Adherence after MI Poor adherence is a problem for other long-term diseases as well. Huber Cl Ther 2019

Click to edit Master title style Hip fracture patients + 6 and 12 m telephone call. Ruggiero Cl Int Aging 2015

Monitoring WHEN WHAT • Early – started • 1 year – stayed on • Prescribed • Initiated • Followed administration • Unwanted effects • Fractures • Falls • New risk factors HOW • • • Face to Face Telephone/ video Email SMS Letter To who: family vs. patient

Monitoring Reinforce current treatment? Stop treatment? Switch?

Monitoring In your own language / style: Key learning objectives for Monitoring Format Content

www. capturethefracture. org www. osteoporosis. foundation POST-FRACTURE CARE An IOF initiative, supported by Amgen and UCB in collaboration with the University of Oxford