Scientific evidence shows that a coordinated, multi-disciplinary approach to patient care is the most clinically and cost-effective in preventing secondary fractures. A systematic approach to secondary fracture prevention can result in fewer fractures and significant cost savings to healthcare systems. The IOF Working group has published an important review outlining the evidence.
The key steps in implementation described in the review are:
Rapid cycle process improvement methods have been central to the development of successful coordinator-based, post-fracture models of care throughout the world. This method applies sequential Plan-Do-Study-Act (PDSA) cycles, details of which are available in a publication from the United States:
More comprehensive information pertaining to implementation of coordinator-based, post-fracture systems of care is available from the National Toolkits, Policies and Guidelines section of this website.