Alberta Hospitals Meet Osteoporosis Canada’s High Standards for Hip Fracture Care

ABJHI Program & Project Updates

Jill Robert
“Our goal is to make Albertans’ first fracture their last”

Two more Alberta hospitals have been added to Osteoporosis Canada’s registry of hospitals that meet its stringent standards for helping hip fracture patients regain their quality of life and prevent another fracture.

Edmonton’s Royal Alexandria and University of Alberta hospitals are now profiled on Osteoporosis Canada’s Fracture Liaison Services (FLS) Registry alongside Edmonton’s Misericordia Hospital, Peter Lougheed Centre in Calgary, and Red Deer Regional Hospital.

Alberta’s Bone and Joint Health Strategic Clinical Network (BJH SCN) launched Fracture Liaison Services in the province in 2015 modeling the program on Osteoporosis Canada’s FLS. The BJH SCN secured the assistance of Alberta Bone and Joint Health Institute (ABJHI) to coordinate the program’s launch at Misericordia and Peter Lougheed Centre and its subsequent expansion.

“Five major hospitals in Alberta are now featured by Osteoporosis Canada for their effort to break the cycle of recurrent and debilitating fractures due to osteoporosis,” Liz Evens, Director of Operations (Administrative) for ABJHI, said.

Liz Evens
“Alberta’s FLS targets and treats the underlying causes of hip fracture”

Jill Robert, the BJH SCN’s Senior Provincial Director, said: “By ensuring fracture patients receive the osteoporosis care they need, our FLS program will be instrumental in achieving our ultimate objective, which is to make Albertans’ first fracture their last.”

Like the Osteoporosis Canada FLS model, Alberta’s FLS is a “3i” program comprising identification, investigation and initiation of treatment. Anyone age 50 or older who enters a participating hospital with a fractured hip is assigned a dedicated team consisting of a registered nurse and physician. The team does a comprehensive assessment of these patients for osteoporosis and geriatric-related medical conditions that put them at risk of falling and fracturing again. Treatment is initiated and patients are referred to services, such as fall prevention and memory improvement programs that help reduce their risk.

The team follows each patient for 12 months with the nurse serving as case manager coordinating referrals to other health professionals, ensuring patients are complying with their treatment regimen, and monitoring for medication side effects. At 12 months, management of the patient’s condition is transferred to a family physician.

In addition to coordinating FLS expansion across Alberta, ABJHI is gathering and analyzing data on the program’s performance as part of a continuous improvement effort.