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.
Colón-Emeric C, Lee R, Barnard K, Pearson MP, Lyles KW. Uses of regional clinical data to identify veterans for a multi-center osteoporosis electronic consult quality improvement intervention. Journal of Hospital Administration, December 2012, Vol. 1, No. 2
Lee R, Lyles KW, Pearson M, Barnard K, Colón-Emeric C. Osteoporosis screening and treatment among Veterans with recent fracture after implementation of an electronic consult service. Calcified Tissue International, 2014 Jun; 94(6):659-64. PMID: 24699797 PMCID: PMC4058771