Project ImPACT: Osteoporosis
Phase One: Health Promotion and Disease Prevention
Collaboration, marketing, screening, and referral were the cornerstones of Phase 1. Collaborating physicians promoted the screening program to their patients and Ukrops placed advertisements in local newspapers and store flyers. Patients went to the pharmacy for screening events and wellness days where osteoporosis risk stratification and bone mineral density screening took place. Patients paid an average of $25 for the screening. Risk stratification was performed for ever patient and 16% of patients received a bone mineral density scan. Education, referral and follow-up was provided to consumers based on the risk level and screening resultsfor future fracture (Figure 1). Link to Fig 1. When the patient visited with the physician based on referral, the physician made an assessment and potential diagnosis of osteopenia or osteoporosis then referred the patient back to the pharmacy for the collaborative community health management program if deemed necessary. All patients received a follow-up phone call 3 to 6 months after the screening to assess the outcome of the referral, any changes in lifestyle, and interest in Ukrop’s community health management program.
Phase Two: Implementation of Collaborative Community Health Management Services
The second phase focused partnering with a third party payer to develop an osteoporosis monitoring and management program. and the program implemented by UnitedHealthcare was available to beneficiaries who were at risk for or diagnosed with osteoporosis and live in the Richmond area. The program focused on the accessibility of pharmacists, practice resources available, benefits of aligning incentives, and utilizing Ukrop’s proven ability to deliver regional services with an ongoing commitment to improving health care in the Richmond community.