We are a group made up of Physiatrists, Orthopedists, Geriatricians, Rheumatologists and Clinicians, with assistants and residents of all those specialties. In addition, we have the support of Physiotherapists, Social Workers, Psychologists and Speech Therapists. Every Wednesday, we participate in a meeting of Geriatric group, which discusses all the patients who were hospitalized during the week, and we talk about surgical management, medication management and rehabilitation.

Badalona Serveis Assistencials (BSA):
Badalona Serveis Assistencials is an integrated healthcare organization, which was set up in order to provide effective assistance and to respond to peoples’ needs in the territory of Barcelonès Nord (north of Barcelona urban area), including Badalona (a seaside town that lies 6 miles away from Barcelona). More than a thousand professionals provide services to a population of over 435,000 people in several settings: one acute hospital, one intermediate care hospital and seven primary health-care centers.

The Integrated Hip Fracture and Osteoporosis Rehabilitation Program of Elderly in Yi-Lan (i-HOPE) was launched in February 2014. It is designed specifically for patients aged above 65 years who have suffered a low-impact-trauma hip fracture. Combining orthopaedic medicine, surgical care and rehabilitation, our practice includes nutrition consultation, medicine reviews and household environmental assessment. By setting individualized treatment plans and goals, it aims to provide multi-dimensional care and instructions to prevent the next fracture.

FLS Sancta Maggiore is part of the private health plan Prevent Senior, which aims to provide geriatric care of quality at a fair price. Currently the FLS has 330,000 beneficiaries over 50 years of age. 80 femoral fractures occur per month. The FLS was established in Jan/2015. The team is composed by geriatricians, reumatologists, gerontologist and nutritionist. The patients are referred to our service by hospital staff and radiology service (DXA results).

The Hospital Universitario Infanta Leonor in Madrid, Spain started up seven years ago. This offered an opportunity - and a challenge. From the very first beginning it was clear that fragility fracture – and ‘capturing the fracture’ in high-risk patients was one of the challenges that had to be faced.

The Durham Veterans’ Affairs (VA) Medical Center is located in Durham North Carolina in the U.S. and serves a population of around 364,000 Veterans. The Bone Health Service started in the fall of 2011 identifying patients with fractures using ICD9 codes and screening those over age 50 for fragility fractures in order to recommend NOF treatment guidelines to providers. The fall of 2013 saw the addition of a Bone Health Nurse to provide patient education and to coordinate care between provider and patient. The Bone Health Service serves about 422 Veterans per year.