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Brookfield Chair In Fracture Prevention Funds New Fracture Liaison Service (FLS) Program In Corner Brook, NL

Medical professional using a tablet

Western Memorial Hospital, NL

Medical professional using a tablet

Western Memorial Hospital, NL

Brookfield Chair In Fracture Prevention Funds New Fracture Liaison Service (Fls) Program In Corner Brook, Nl

Brookfield Chair In Fracture Prevention Funds New Fracture Liaison Service (Fls) Program In Corner Brook, Nl

Beginning in January 2024, Western Memorial Hospital in Corner Brook, Newfoundland and Labrador saw the implementation of a BreakFree Fracture Liaison Service (FLS). The FLS program is based on the research and recommendations of Osteoporosis Canada and is the first of its kind to be implemented in Newfoundland.  This quality improvement program focuses on secondary fracture prevention by identifying patients at risk for future fracture and initiating appropriate evaluation, risk assessment, education, and therapeutic intervention.

The collaboration and work between both The Brookfield Chair and Osteoporosis Canada is part of a major initiative to foster and seed fund new FLS programs across Canada.  Since the start of the partnership between both groups, the result has seen the fostering of new FLS sites in provinces previously without an FLS program, despite years of substantial advocacy and efforts.

Dr. Brendan Lewis, Aimee Preston, and Deanna Clarke

Photo (Left to Right): Dr. Brendan Lewis, Aimee Preston, and Deanna Clarke

The BreakFree FLS together with Osteoporosis Canada has now funded new programs in four provinces with Corner Brook being the most recent location to implement the FLS program.

Through their follow-up with orthopedic services at Western Memorial Regional Hospital, eligible patients will benefit from an assessment by an FLS nurse coordinator working directly with the FLS Medical Leads and Support.

The FLS nurse coordinator is Aimee Preston who is working directly with the FLS Medical Leads, Dr. Alison Howley (Geriatrician) and Dr Amy Pieroway (Geriatrician) and is supported by FLS champions Dr. Brendon Lewis (Orthopedic Surgeon), Dr Milton Parai (Orthopedic Surgeon), and the entire orthopedic team.

The new Western NL BreakFree FLS has been implemented through the generous financial support of the Brookfield Chair in Fracture Prevention.

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Establishment of A FLS Training and Mentorship Program for the Peace Arch Hospital in B.C.

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Peace Arch Hospital, BC

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Peace Arch Hospital, BC

Establishment of A FLS Training and Mentorship Program for the Peace Arch Hospital in B.C.

Establishment of A FLS Training and Mentorship Program for the Peace Arch Hospital in B.C.

Dr. Sonia Singh, Peace Arch Hospital in BC has shared the benefits and outcomes as a result of the Brookfield Chair funding for FLS.

In January of 2022, the Brookfield Chair provided 18 months of funding to expand and develop the existing part-time Fracture Liaison Service (FLS) program at Peace Arch Hospital (PAH) in White Rock, B.C. into a training and mentorship centre to support the spread of FLS across the province. 

As the first accredited FLS program in BC (operating since 2015), the PAH-FLS was a natural choice to act as the hub for FLS training.  In addition, Dr. Sonia Singh has been leading Implementation Science Research around FLS implementation and there was opportunity to incorporate research learnings into FLS spread in BC.

Stethoscope, pens and notes

As a result of the funding from the Brookfield Chair the following outcomes resulted:

  • Hiring of a nurse clinician with extensive education and mentorship training to act as FLS coordinator at PAH.
  • Expansion of the FLS program from part-time to full-time.
  • Expansion of the FLS program on the OC-FLS registry from outpatient only FLS, to a combined outpatient and inpatient FLS.
  • Development of a comprehensive training toolkit with templates for inpatient, outpatient and combined FLS programs.
  • Toolkit shared with two new FLS programs in BC that supported rapid FLS start-up. Both of these new FLS programs are now on the OC-FLS registry.  The new FLS coordinators received hands-on training which took place at PAH in conjunction with the OC orientation package.
  • Creation of a community of practice for the three BC FLS coordinators who meet virtually once per month and connect as needed to share questions, resources and their experiences.
  • Enabled the development of a community of practice for FLS medical leads across the three FLS sites.
  • Enabled additional supports from the Fraser Health Authority to establish a better working environment for the PAH- FLS coordinator that has vastly increased efficiency and coordinator work satisfaction.
  • Permanent funding of a full-time FLS program at PAH effective July 1, 2023.
  • Contributed to a successful Canadian Institutes of Health Research (CIHR) Health Policy Grant to partner with the BC Ministry of Health to develop policy to spread the FLS model across BC.

The funding from the Brookfield Chair to the Peace Arch Hospital FLS was a huge success and was a major support to the rapid and ongoing expansion of FLS programs in BC.  Our many partners are grateful to the Brookfield Chair for their support.

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Dr. Earl Bogoch Appointed the Inaugural Holder of the Brookfield Chair in Fracture Prevention

PRESS RELEASE

TORONTO, November 19, 2020 – Dr. Earl Bogoch has been appointed the inaugural holder of the Brookfield Chair in Fracture Prevention.

Dr. Famida Jiwa, President & CEO, Osteoporosis Canada is pleased to announce that Dr. Earl Bogoch has been appointed the inaugural holder of the Brookfield Chair in Fracture Prevention.  This University of Toronto chair, a global first of its type, has been established at the University of Toronto and St. Michael’s Foundation through the generosity of Brookfield Partners Foundation, which provided a $3 million grant.  Dr. Bogoch was appointed after a Faculty search process.

“This is truly a ground-breaking milestone for osteoporosis diagnosis and fracture prevention care in Canada,” said Dr. Famida Jiwa. “Working in collaboration with our partners and Dr. Bogoch we are certain that our organization’s vision of a Canada free of osteoporotic fractures is possible.”

Dr. Bogoch, an orthopaedic surgeon at St. Michael’s Hospital and Professor in the Department of Surgery, said: “The new Brookfield Chair provides an exciting avenue to advance fracture prevention programs into the 7 provinces and 3 territories in Canada where none yet exist.  Every year 130,000 Canadians sustain serious fragility fractures, including 30,000 hip fractures and only 20% of them receive the necessary treatment they need to prevent the next catastrophic fracture.   I am honoured to be appointed The Brookfield Chair in Fracture Prevention, and excited to enhance our partnership with Osteoporosis Canada to fulfil their mission statement of preventing hip fractures in Canada.”

Dr. Bogoch, a Canadian and world pioneer in fracture prevention, initiated his fracture prevention activities at Wellesley Hospital, Toronto, in 1995, based on a realization that older patients treated in his fracture clinic for fragility fractures were at high risk of future devastating hip fractures, and should receive preventive interventions.  After initial studies and early publications describing the care gap, he initiated a comprehensive fracture liaison program in 2002, in collaboration with scientists and clinical colleagues at St. Michael’s Hospital.  After obtaining support from the Ontario Ministry of Health and Long-term Care in 2006 he assisted OC and other stakeholders establish a province-wide Fracture Clinic Screening and Prevention Program, which now operates in 36 hospitals in Ontario and has intervened with over 100,000 patients. 

With Dr. Joanna Sale, he co-leads an MOHLTC-funded research and evaluation group that monitors this program which is headed by Mr. Ravi Jain at OC, for iterative improvements. The programs he and his collaborators lead have won national and international awards. Dr. Bogoch has been awarded the Presidential Award of Merit for Outstanding Contributions from the Canadian Orthopaedic Association for his work in fracture prevention, and he has published 80 peer-reviewed publications in the field, many of them highly cited.  Dr. Bogoch has been an active member of Osteoporosis Canada’s Scientific Advisory Council serving on its many committees including the executive committee and most recently its development committee.  In 2013, Dr. Bogoch was awarded the Lindy Fraser Award as chosen by his peers.

In an interview, Dr. Bogoch expressed enthusiasm for the novel role of a Chair in Fracture Prevention.  “The establishment of a world first university chair is overdue – it will confirm the evolution of fracture prevention beyond program development into an academic subject in its own right.  We will establish graduate scholarships to promote the work of young scientists in improving health service delivery and to design the fracture prevention programs of tomorrow.  The Chair will collaborate with Osteoporosis Canada and local experts to promote and fund the establishment of fracture liaison programs in jurisdictions that are lagging behind the three Canadian provinces who now have functioning programs.  The resources of the Chair will also enable enhancement of the research work my collaborators and I are doing in iteratively improving how we do fracture prevention, how we inform people at risk how to protect themselves, and augmenting our information sharing with colleagues in Canada and around the world.”

FOR MORE INFORMATION:
Tracie Napoli
Director, Fund Development & MARCOM
Osteoporosis Canada
tnapoli@osteoporosis.ca
416-696-2663 / 1-800-463-6842 ext. 2286

ABOUT OSTEOPOROSIS CANADA

Osteoporosis Canada is the only national organization serving people affected by osteoporosis. The organization works to educate, empower and support individuals and communities on bone health and in the risk-reduction and treatment of osteoporosis.

Commonly referred to as the “silent thief,” osteoporosis is an incurable disease that can cause bones to weaken over time, without any signs or symptoms leading to increased risk of breaking a bone.

Osteoporosis Canada provides medically accurate information to patients, health care professionals and the public. The organization has established clinical practice guidelines and long-term care and exercise recommendations. The Scientific Advisory Council (SAC) is made up of experts in osteoporosis and bone metabolism and is a volunteer membership. Comprised of clinicians, researchers and educators, the SAC advises Osteoporosis Canada’s board and staff on scientific and medical issues.

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