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Provincial Fracture Prevention Coordinator, Osteoporosis Canada

Toronto, Ontario
June 8, 2015

Osteoporosis Canada (OC), a registered charity, is the only national organization serving people who have, or are at risk for, osteoporosis. OC works to educate, empower and support individuals and communities in the prevention and treatment of osteoporosis.

Background

Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. This can cause the skeleton to become fragile, so that even a slight bump or fall, from standing height or less, can lead to a broken bone (referred to as a fragility fracture). Osteoporosis has no signs or symptoms until a fracture occurs – this is why it is often called a ‘silent disease’.

In Canada, 30,000 Canadians break their hip every year with many more Canadians suffering from osteoporotic fractures affecting the spine, wrist, shoulder, and pelvis. Over 80% of all fractures after age 50 are caused by osteoporosis. Despite availability of assessment and treatment options, over 80% of fracture patients are never offered assessment and/or treatment for osteoporosis post fracture. Without appropriate diagnosis and treatment, these patients remain at substantial risk for recurrent, debilitating and life threatening osteoporotic fractures.

In 2010/11, Ontarians sustained over 53,000 osteoporotic fractures and in 2011/12, there were over 12,000 hospital admissions for hip fractures in Ontario. Men and women who have had a fragility fracture are at an increased risk of having another fracture. Along with this, the risk of sustaining a fracture increases exponentially with age, due not only to the decrease in bone mineral density, but also to the increased rate of falls among the elderly. As the population is aging, it is anticipated that there will be a significant increase in the number of fragility fractures, particularly hip fractures, in the coming years. These fractures will affect many more individuals and their families and will have a significant impact on costs to the health care system.

In February 2005, the Ministry of Health and Long-Term Care announced Ontario’s first Osteoporosis Strategy. The goal of the Strategy is to reduce morbidity, mortality and costs from osteoporotic fractures using a patient centred, inter-disciplinary approach that is integrated across health care sectors and aims to reduce osteoporotic hip fractures in Ontario by 20% by 2020.

Job Summary:

The Provincial Fracture Prevention Coordinator (P-FPC), supports a team of colleagues across Ontario who work within primary care practices and/or a hospital fracture clinic setting to prevent secondary fractures within the target population. The team identifies and screens patients aged 50 or older who have sustained a fragility fracture and puts appropriate interventions in place in order to reduce their risk of future fractures. This includes facilitating appropriate referrals for diagnostics and for further assessment as well as providing information and support to connect these patients with primary care and community-based services.

The P-FPC will follow up with these patients via phone after the initial screening has been completed to assess whether the patients have acted upon initial recommendations for diagnostics and follow up care. Where needed, the P-FPC will work with diagnostic imaging centres/clinics, primary and community care providers to facilitate patient access to integrated post-fracture care for osteoporosis investigation and management. The P-FPC is expected to educate these patients and emphasize the role of the patient in monitoring and managing their bone health jointly with their primary care providers and/or osteoporosis specialists to reduce the risk of future fracture.

The P-FPC will also be required to conduct specific evaluation of the program for quality improvement and research purposes.

Reports to: Program Manager, Ontario Osteoporosis Strategy, Osteoporosis Canada

Qualifications: Registered Practical Nurse (RPN) or Registered Nurse (RN)

Essential Attributes:

  • Computer proficiency is a must.
  • Excellent oral and written communication skills.
  • Ability to work independently with limited supervision, with initiative and excellent time management skills.
  • The ability to work as part of a diverse health care team and the ability to demonstrate sensitivity to the needs of patients.
  • Knowledge of and/or experience with Electronic Medical Records (EMR) preferred.
  • Fluency in a second language is an asset.

Responsibilities:

  • Diligent use of protocol tools to follow up with fragility fracture patients aged 50 or older, collect patient data and provide patients with appropriate referrals, information and resources.
  • Responsible for ensuring patient privacy, privacy and security of data and the database, as per privacy and security policies.
  • Facilitate diagnostic testing for identified patients, as appropriate.
  • Ensure appropriate follow up by a primary care provider or specialist, as required.
  • Discuss with patients and/or caregivers the significance of bone health, risk factors for fractures, osteoporosis, falls/falls prevention and management of osteoporosis, as appropriate.
  • Communicate with the patients’ primary care provider to ensure that appropriate action has been taken to reduce the patient’s risk of future fractures as per clinical practice guidelines.
  • Refer/link patients to established self-management, falls prevention and/or education programs, as appropriate.
  • Refer appropriate patients to osteoporosis specialist per established regional referral process.
  • Provide regular program updates to internal and external stakeholders as needed.   
  • Identify opportunities for program growth, development and outreach.
  • Other duties as assigned.

Area of Work: Placement within National Office in Toronto.  Some travel will be required.

Submit resume and cover letter by Monday, June 8, 2015 to cfpc@osteoporosis.ca.

No calls please. Only those candidates selected for an interview will be contacted.