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Capture the Fracture: Overview

Capture the Fracture: Overview. A global campaign for the secondary prevention of fractures by facilitating the implementation of Fracture Liaison Services (FLS). Professor Cyrus Cooper, MA, DM, FRCP, FFPH, FMedSci

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Capture the Fracture: Overview

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  1. Capture the Fracture: Overview A global campaign for the secondary prevention of fractures by facilitating the implementation of Fracture Liaison Services (FLS) Professor Cyrus Cooper, MA, DM, FRCP, FFPH, FMedSci Director & Professor of Rheumatology, MRC Lifecourse Epidemiology Unit; Vice Dean, Faculty of Medicine, University of Southampton; and Professor of Musculoskeletal Science, University of Oxford.

  2. Acknowledgements Capture the Fracture Steering Committee: • Prof Kristina Åkesson, Chair Capture the Fracture, Skåne University Hospital SWE • Prof Cyrus Cooper, Chair IOF Committee of Scientific Advisors, MRC LifecourseEpidemiologyUnit, University of Southampton & University of Oxford UK • Dr Alastair McLellan, Gardiner Institute Western Infirmary UK • Paul Mitchell, Synthesis Medical Limited NZL • Dr KassimJavaid, University of Oxford UK • Judy Stenmark, Chief Executive Officer, IOF • Dr Dominique Pierroz, Science Manager, IOF • Carey Kyer, Capture the Fracture Coordinator, IOF • Dr Muriel Schneider, Capture the Fracture Coordinator, IOF With additional support from • Charlotte Moss, MRC LifecourseEpidemiology Unit, University of Southampton UK

  3. Capture the Fracture • The need for secondary fracture prevention • The Capture the Fracture campaign • How to get involved • Initial results

  4. Effectiveness of secondary fracture prevention Amongst post-menopausal women, the majority of the population have not suffered fragility fractures. Case-finding strategies prioritising assessment of women with prior fracture could identify50% of potential hip fracture cases from 16% of the population Adapted from Brankin E, et al. Curr Med Res Opin 2005;21:4:475-482

  5. Coordinator-based systems for secondary prevention of fragility fractureA Report of the IOF CSA Fracture Working Group • Systematic review of the literature (48 studies) • Programmes used in clinical settings to facilitate guideline-based osteoporosis care following a fragility fracture • Key components: • Dedicated coordinator • BMD provision • Physician and patient education • Patient follow-up within programme • Implementation audit • Economic analysis Marsh D et al Osteop Int 2011; 22: 2051-65

  6. Campaign structure to facilitate the implementation of Fracture Liaison Services (FLS) • Best Practice Framework • Best Practice Recognition/application • Showcase of Best Practices/map • Mentorship programme • Implementation guides & toolkits • Facilitatedgrant support • Websitewww.capturethefracture.org • Resources • Communication/marketing • Coalition of partners Set Standards Main Programme Facilitate Change CreateAwareness

  7. Purpose of the Best Practice Framework 13 internationally recognized & endorsed standards of care for secondary fracture prevention • Set the standard for FLS • Assign quality level • Benchmarking of global service delivery

  8. 13 standards 5 categories 1 star 3.75

  9. The Process Step 1 FLS submits online application Step 2 FLS entered on global map while being reviewed Step 3 BPF achievement level assigned Step 4 FLS is scored and recognized on the map

  10. Algeria • Australia • Belgium • Brazil • Bulgaria • Canada • China • Czech Republic • Finland • France • Greece • India • Ireland • Italy • Netherlands • New Zealand • Portugal • Singapore • Spain • Sweden • Switzerland • Taiwan • Trinidad & Tobago • UK • USA Current mapping of FLS services 51 complete 29 in review 19 24 8 80 FLS

  11. NEW!CtFtoolkit When? Available by the end of November 2014 What is it? A guide to facilitate the implementation of FLS worldwide For whom? HCPs, health administrators, policymakers

  12. Get Involved Providers, politicians & patients drive change • Visitwww.capturethefracture.org to: • Getmapped – SubmityourFLS • Join the coalition • Sign up for the newsletter • Be Active: • Advocate for FLSimplementation • Encourage existingFLS to participate in Capture the Fracture • Spread the word about FLS

  13. capturethefracture@iofbonehealth.orgwww.capturethefracture.orgcapturethefracture@iofbonehealth.orgwww.capturethefracture.org

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