Fracture Clinic Screening Database (2011)
In 2007, the
Ministry of Health and Long Term Care (MOHLTC) initiated the Osteoporosis
Strategy to reduce the number of osteoporosis related fractures in Ontario. Part
of the strategy focuses on osteoporosis management after a person visits a
fracture clinic for an osteoporosis related fracture. These patients are at very
high risk for a subsequent fracture, however several studies have shown that few
have their underlying osteoporosis assessed and addressed. The primary goal of
the Ontario Osteoporosis Strategy (OOS) is to reduce fragility fractures and
re-fractures through early detection and appropriate intervention.
Clinic Screening Program has deployed Osteoporosis Screening Coordinators (OSCs)
in the medium and high volume fracture clinics across the province to screen for
fragility fractures and facilitate diagnosis and appropriate care.
A component of the OSCís role is to
gather data using dynamically generated questionnaires as part of routine
patient care. This data includes patient demographic information, fracture
description, osteoporosis risk factors, details regarding previous
investigation, diagnosis and treatment of osteoporosis, as well as the patientís
views and knowledge of osteoporosis.
Clinic Screening Database (FCSD) application is a data collection and reporting
system used to collect and report on patient data used to support the OOS. The system allows Osteoporosis Canada
to securely collect patient information through the creation and deployment of
dynamic surveys and to analyze that data through a powerful reporting engine.
created with the FCSD and can be delivered to clinics within certain geographic
regions throughout the province and/or delivered to subsets of patients based on
their responses and demographic information.
The surveys contain branching conditions and allow OSCs to ask
appropriate questions based on previous patient responses.
captures patient consent, allowing Osteoporosis Canada to both use the data for
their own research purposes and program improvement and also securely link
consenting data with the Institute for Clinical Evaluative Sciences (ICES). Data from the FCSD is encrypted and
securely transported to ICES for linkage, this data is used to further reduce
fracture rates and improve the OOS.
collected within the FCSD can be reported on in real time by a research team at
Osteoporosis Canada. The FCSD
provides users with the tools to generate tables, graphs, and charts on demand. Reports within the FCSD can be
exported to a variety of formats including Excel, Word and PowerPoint and can be
shared amongst users of the application.
Prominent features include:
Secure and encrypted personal health information
Dynamic data collection through customizable surveys
Approval process for survey changes
Conditional based survey branching
Survey delivery base on patient demographics (i.e. Male patients over 50)
Randomized survey delivery (i.e. deliver to 50% of patients)
User specific dashboards
Real-time ad-hoc reporting
Granular user account control and permissions