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Dr. Graham is a physical medicine and rehabilitation physician with national and international expertise in osteoporosis and fall prevention. She has developed a model health care system for capturing patients at risk for falls, low bone mineral density, and fracture. This system can reduce falls, fractures and disability in your patients, while establishing healthy exercise and diet behaviors for a lifetime. This program is called the Osteoporosis Matrix®.

Patients with prior fracture have double the risk of subsequent fractures. Despite this, in most healthcare systems, less than 20% of patients with fragility fractures receive adequate osteoporosis evaluation after hip fracture and vertebral fracture in the United States to reduce recurrent fracture risk and disability. Annual costs of osteoporotic fractures are tremendous (2015 USD 19 Billion), with exponential increases projected to $25 billion by 2025.  More fractures actually occur in patients with osteopenia, because of the sheer numbers of those patients, but fractures that occur in the elderly, with other medical problems likely, can be life-threatening, and result in nursing home placement.  It is unrealistic to expect the orthopedic service of any hospital system to manage a public health issue of this scope alone.

Dr. Graham has developed a multi-disciplinary approach to care to reduce fall and fracture recurrence, by identifying patients at highest risk for falls and osteoporosis at the time of first fracture or first fall. She can coordinate education, screening and treatment via a centralized, electronic medical records approach. She can connect orthopaedic and emergency room services to medical, rehabilitation,  and community services for osteoporosis follow-up, so as to not burden the orthopedic department with the entire task .

Imagine A Health Care System:
In which communication between health care professionals travels instantaneously, both in-patient or out-patient, and is capable of targeting patients with Identifiable Risks for Falls, Vitamin D Deficiency, Low Bone Mineral Density or Fractures for further evaluation as the need arises on the existing hospital Matrix of Care.

This system monitors the delivery of that care of individuals, by departments, via providers in the network as past, present and future goals evolve. It permits physicians to optimize face-to-face patient time for specialized problem solving and treatment, while Ancillary Staff carry out orders along a pre-ordained network of communication, via electronic medical records.

With a click of a button, health care providers can receive updated education information, obtain laboratory and radiology reports, schedule an appointment, and retrieve updated health care visit summaries.  They can update the system via controlled, protected access to their healthcare visit notes, and communicate with other health care providers/ancillary staff to advance care out-of office efficiently.

Let this year be a watershed year for integrating your healthcare system data to created an integrated bone health program for your practice or hospital setting, and provide a higher level of appropriate screening and treatment of at-risk patients. Assist your patients in achieving pragmatic endpoints to their personal health practice goals. Take your practice of medicine to the next level, with an exceptional communication network that brings a new level of efficiency that frees your expertise,  renews your passion for your profession, and provides satisfaction in a job well done on behalf of your patients.

Potential Benefits
1. The Osteoporosis Matrix® can increase appropriate osteoporosis screening/treatment and follow-up within the hospital, and decrease fracture recurrence and disability, without burdening the orthopaedic service alone with coordination responsibilities.
2. Reduce medical errors/loss - to - follow-up and cost of patient care coordination.
3. Serve as a Community-building health initiative for lifelong bone health.
4. Link exercise programs to obesity reduction initiatives, particularly in children and sedentary adults.
5. Partner with governmental/health industry  initiatives to maximize funding goals for innovative preventive health care models. 
6. Serve as a prototype for a virtual healthcare system, adaptable to any preventive  health initiative.

The Osteoporosis Matrix® captures patients at risk  for fall and fracture,  and low bone density osteoporosis,  and provides appropriate, efficient, reimbursable health care services. It is EMR-driven, to contain costs. Orchestrated by hospital administration, and facilitated by pre-existing hospital services (e.g., radiology, laboratory, nutrition, medical information systems), it optimizes physician expertise with minimal cost outlays. It expands virtually every hospital department’s capabilities, but seamlessly. By increasing the likelihood of capturing one diagnosis very frequently, it creates a model to capture any health initiative target as efficiently.