Quality Improvement: Assessing Disparities in Bone Health-A3 Model Example

Pdf Summary

The document discusses the issue of low osteoporosis screening rates among female primary care patients at Michigan Medicine. It highlights that only 68% of eligible patients have completed a baseline bone density scan, with even lower rates among Black and African American women (59%). The goal is to increase the DEXA ordering rate by 5%, the completion rate by 3%, and reduce the screening gap among Black and African American patients by 50% by October 2022.<br /><br />The current state of the screening process is described, with a process map outlining the steps involved in a patient completing a baseline DEXA screening test. The document proposes several recommendations to improve screening rates. These include implementing a new screening Best Practice Advisory (BPA) and a DEXA outpatient order set, providing patient education through an Osteoporosis AVS Information sheet, making another DEXA scanner available, publishing an osteoporosis guideline, and offering provider education through lectures.<br /><br />The overall goal is to standardize osteoporosis screening to reduce the possibility of implicit biases. The document also emphasizes the importance of addressing racial disparities in screening and treatment for osteoporosis.<br /><br />In conclusion, the document presents an analysis of low osteoporosis screening rates and provides recommendations for improving these rates at Michigan Medicine. The proposed strategies involve provider prompting/ordering, patient education/access, and provider education. The goal is to increase screening rates, reduce disparities, and standardize the screening process.

Asset Caption

Courtesy of the house staff from the University of Michigan we have an A3 example so you can see what final product looks like. Take time to explore the different parts starting first with the left side and statement of the problem. Then explore the right side and recommendations, countermeasures.

Keywords

osteoporosis screening

female primary care patients

Michigan Medicine

low screening rates

Black and African American women

DEXA ordering rate

completion rate

screening gap

patient education

provider education


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