Health services and clinicians can use these models, clinical priorities and additional resources to improve best-practice care for people with osteoporotic refractures.
Osteoporosis is a chronic disease that reduces bone density and strength. The reduced bone strength increases the risk of fracturing a bone from a slip, trip or fall, these are known as minimal trauma fractures (or fragility fractures). Having a minimal trauma fracture is a warning sign for osteoporosis and have a greater risk of refracture.
These resources were originally developed as one of the 13 clinical initiatives of Leading Better Value Care, a program accelerating value-based healthcare in NSW.
This initiative aims to intervene at the identification of the first minimal trauma fracture to prevent future fractures through provision of a fracture liaison service. It is based on the ACI’s Osteoporotic Refracture Prevention Model of Care. Its clinical aims are:
- improving identification of those requiring refracture prevention services
- improving uptake of medication, exercise and calcium intake
- fewer preventable fractures
- better quality of life.
Note: The information on this page is for clinicians and service providers. If you are a patient seeking a service in NSW, visit the Osteoporotic Refracture Prevention Service Directory.
Model of care
Osteoporotic Refracture Prevention Service Model of Care
Published: October 2019. Next review: 2026/2027.
This evidence-based model supports a consistent approach to identifying and managing minimal trauma fractures in NSW.
For clinicians and services
What to improve
A summary of the 4 clinical components:
- identification and triage
- assessment and diagnosis
- treatment initiation
- coordination of ongoing care
How to improve
Explore options for different organisational models to tailor clinical services for your local requirements:
- coordinated multidisciplinary configuration
- GP shared care configuration
Additional resources
- Service directory
- Site manual (PDF 1.9 MB)
- Assessment tool (PDF 723.3 KB)
- Assessment tool (XLS 26.4 KB)
- Monitoring and evaluation plan (PDF 797.9 KB)
- GP digital poster on broken bones or fractures (PPTX 536.6 KB) also available in A3 size (PPTX 295.7 KB)
- Patient information: How to keep your bones healthy and avoid fractures (PPTX 3.5 MB) also available in a low-res version (PPTX 825.1 KB) Order printed copies from Finsbury Green using product code 2HACI19.
- Fragility Fracture Network Competency Framework