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Bevan Exemplar Cohort 9 projects

Development and Implementation of a Patient and Diagnostic Dashboard to Document and Guide a Patient’s Journey through the New Hywel Dda Fracture Liaison Service

Will Backen and Tracy George

Hywel Dda University Health Board

Fracture liaison services (FLSs) deliver evidenced based secondary prevention to decrease an individual’s risk of suffering further fractures through using clear pathways to identify those with osteoporotic fractures, provide systematic assessment and offering treatment in line with national guidelines. They also incorporate monitoring of treatment adherence in the short and medium term.

The Fracture Liaison Service Database (FLS-DB) collects information on the care provided by FLSs and is a national audit. Data from the FLS-DB are presented as 11 key performance indicators (KPIs) derived from national guidance and the Royal Osteoporosis Society (ROS) clinical standards for FLSs.

Fracture Liaison Services are a priority for Welsh Government and a ministerial statement has stated that the whole population of Wales must have access to these vital services by September 2024. Hywel Dda has never had an FLS that covers our whole population and this service is currently being implemented.

The aim of this project is to introduce a system within SharePoint specifically to allow the FLS to track patients through the pathway and ensuring that patients receive high quality care at the correct time. This will allow the FLS to function within the national standards set out for such services.

Our new FLS is a service based across all four of the acute sites in our Health Board and in order to provide high quality, timely and seamless care for patients we are aiming to work flexibly across the different sites as one team and the service will provide internal cross cover. The majority of our working will be virtual and thus this Dashboard will allow us to coordinate workloads across our whole team on different sites, allowing us to work at maximal efficiency thus enabling patients to receive the timely assessment and interventions they require.

The Project Team