Osteoporosis: Breaking Bones Is Not Inevitable
When I finished my orthopedic surgery training at USC in 1987, I was faced with the choices of private practice, academics, or the Kaiser system. I chose Kaiser because of its integrated model of care and its commitment to using information technology to manage patients. Within Kaiser, I have never had to worry about variable reimbursement and conflicting financial priorities getting in the way of my providing necessary care and working with my colleagues to develop our osteoporosis fracture prevention program. Fracture prevention makes sense in Kaiser because it is considerably less expensive to prevent a hip fracture than to manage it, simple as that.
KeywordsKaiser osteoporosis fracture Healthy Bones pyramid approach quality improvement population care shame and blame
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