Skip to main content
SpringerLink
Log in

Perspectives on pre-fracture intervention strategies: the Geisinger Health System Osteoporosis Program

  • Opinion Paper
  • Published:
Osteoporosis International Aims and scope Submit manuscript

An Erratum to this article was published on 23 August 2011

Abstract

In its first decade, the goals of the Geisinger Health System Osteoporosis Program at its inception were to increase awareness, diagnosis, and treatment of osteoporosis and to monitor predefined outcomes. The program was innovative in that it crossed specialties and regions and used guidelines in an effective manner. In addition, success in reducing hip fracture and cost were demonstrated, and it remains one of the few programs today that has done so, as reported by Newman et al. (Osteoporos Int 14:146–151, 2003). The osteoporosis program has now moved from a provider and allied provider empowerment focus to reorganizing our thoughts about how to best manage osteoporosis care across our healthcare system by defining and acting on four major osteoporosis care gaps: (1) at-risk patients do not get tested, (2) tested patients are not accurately risk assessed, (3) high-risk patients do not get treated, and (4) treated patients are not adherent. Results of current internal programs and future steps are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Newman ED, Ayoub WT, Starkey RH, Diehl JM, Wood GC (2003) Osteoporosis disease management in a rural health care population: hip fracture reduction and reduced costs in postmenopausal women after 5 years. Osteoporos Int 14:146–151

    PubMed  CAS  Google Scholar 

  2. Newman ED, Lloyd T, Starkey R, Conroy P, Horwith M (1998) Osteoporosis clinical practice guideline. Penn State Geisinger Health System

  3. Newman ED, Starkey RH, Ayoub W, Davis C, Diehl J, Hanus P, Wood CG, Frey C (2000) Osteoporosis disease management: best practices from the Penn State Geisinger Health System. J Clin Outcomes Manage 7(5):23–28

    Google Scholar 

  4. Newman ED, Hanus P (2001) Improved bone health behavior using community pharmacists as educators: the Geisinger Health System Community Pharmacist Osteoporosis Education Program. Dis Manag Health Outcome 9(6):329–335

    Article  Google Scholar 

  5. Newman ED, Matzko CK, Olenginski TP, Perruquet JL, Harrington TM, Maloney-Saxon G, Culp T, Wood GC (2006) Glucocorticoid-Induced Osteoporosis Program (GIOP): a novel, comprehensive, and highly successful care program with improved outcomes at 1 year. Osteoporos Int 17:1428–1434

    Article  PubMed  CAS  Google Scholar 

  6. Newman ED, Olenginski TP, Perruquet JL, Hummel J, Indeck C, Wood GC (2004) Using mobile DXA to improve access to osteoporosis care. J Clin Densitom 7:71–75

    Article  PubMed  Google Scholar 

  7. Newman A, Bloom K (2008) Closing the osteoporosis quality care gap using an electronic health record health maintenance reminder: significant improvement in DXA testing in women over 65. Arthritis Rheum 58:S748

    Google Scholar 

  8. Newman ED, Fernandez J, Olenginski T, Lentz M, et al. (2009) Closing osteoporosis care gaps through process redesign: the Primary Care–Rheumatology DXA Partnership. A&R 60(10) (suppl): S714

  9. Oppermann B, Ayoub W, Newman E et al (2010) Consultative DXA reporting improves guideline-driven quality of care. J Clin Densitom 13(3):315–319

    Article  PubMed  Google Scholar 

  10. Olenginski T, Maloney-Saxon G, Reardon J, Oppermann B, Morris S, Ledwich L, Newman ED (2009) High Risk Osteoporosis Clinic (HiROC)—closing the loop in clinical osteoporosis care. A&R, 60(10) (suppl): S114

Download references

Acknowledgments

While our osteoporosis program has involved scores of individuals, a few key people should be acknowledged for their energy, ideas, and dedication: Ralph Starkey, MD (early program development and leadership); Jennifer (Hummel) Fernandez, RT (Mobile DXA Program); Cynthia Matzko, RN MSN (GIOP Program); Gwynne Maloney-Saxon, RN MS (HiROC Program); Thomas Olenginski, MD; and William Ayoub, MD (multiple seminal contributions throughout the program's existence). These individuals have dedicated significant professional and personal time, energy, expertise, and creativity with a single goal in mind—improving the health care of those we serve—our patients.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Rheumatology, Geisinger Health System, 100 N. Academy Avenue, Danville, PA, 17822-2152, USA

    Eric D. Newman

Authors
  1. Eric D. Newman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eric D. Newman.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s00198-011-1760-5

Rights and permissions

Reprints and permissions

About this article

Cite this article

Newman, E.D. Perspectives on pre-fracture intervention strategies: the Geisinger Health System Osteoporosis Program. Osteoporos Int 22 (Suppl 3), 451 (2011). https://doi.org/10.1007/s00198-011-1695-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00198-011-1695-x

Keywords

Search

Navigation