Fracture Screening and Prevention Program (FSPP)

The Fracture Screening and Prevention Program (FSPP) operates under the Ontario Osteoporosis Strategy (OOS) in collaboration with Osteoporosis Canada, the Ontario Orthopaedic Association, the Ontario College of Family Physicians, and hospitals across Ontario. Established in 2007, the FSPP aims to increase referrals of fragility fracture patients for osteoporosis assessment and treatment, ultimately reducing the risk of re-fractures.


FSPP Program Overview

The FSPP is implemented through a network of 25 dedicated Fracture Prevention Coordinators (FPCs) working in conjunction with 36 fracture clinics across the province. These FPCs play a pivotal role in screening fragility fracture patients and collaborating with orthopaedic surgeons, allied health professionals, diagnostic imaging, fracture clinic staff, and primary care providers to ensure patients receive comprehensive post-fracture care.

The FSPP focuses on several core objectives:

Identification and Risk Assessment:

Through thorough screening, the program identifies patients at risk of osteoporosis and fractures, employing tools like Bone Mineral Density (BMD) testing.

Enhanced Clinic Support

FSPP strives to improve the quality of support provided to at-risk patients within fracture clinic settings, including education, and referral services.

Specialist Access

FSPP assists in accessing local specialist support or telemedicine consultations for complex cases or patients in rural/remote areas, ensuring appropriate assessment and care.


Diagnostic Tools

The FSPP promotes the appropriate use of diagnostic tools, including BMD testing, to support fracture risk assessment and osteoporosis diagnosis.

Integration of Care

FSPP facilitates the integration of post-fracture care, rehabilitation, and osteoporosis management in acute care settings, aiming for comprehensive care to prevent further fractures.

Overall Impact

The FSPP is designed to enhance the identification, assessment, and management of osteoporosis and fracture risk in fragility fracture patients, ultimately reducing re-fractures and improving patient outcomes.

The Ontario province map with the main cities, Canada

Fracture Screening and Prevention Program (FSPP) Sites

The Fracture Screening and Prevention Program (FSPP) was initiated in 2007 to address secondary fracture prevention in men and women aged 50 and over who have experienced fragility fractures. The program operates across 36 fracture clinics in Ontario and is administered by Fracture Prevention Coordinators (FPCs). These coordinators collaborate closely with orthopaedic surgeons, allied health professionals, diagnostic imaging teams, fracture clinic staff, and primary care providers to enhance patient access to integrated and appropriate post-fracture care. FPCs may be based within fracture clinics or at Family Health Teams in Ontario.

Fracture Prevention in Long Term Care (LTC)


The Ontario Osteoporosis Strategy Long Term Care (OOS LTC) provides a range of resources and support to help long-term care staff prevent and manage osteoporosis and fractures among residents. These valuable resources include:

  1. Clinical Tools and Resources: Offering guidelines for osteoporosis and fracture prevention, assessment and screening tools, and medication management resources.
  2. Education and Training: Providing webinars, workshops, and training opportunities to enhance long-term care staff's knowledge and skills related to osteoporosis and fracture prevention.
  3. Patient and Resident Resources: Distributing brochures, fact sheets, and posters to increase awareness of osteoporosis and fracture prevention strategies among patients and residents.
  4. Long Term Care Resources: Offering tailored resources for long-term care settings, including falls prevention programs, staff training modules, and tools for implementing fracture prevention initiatives.

Overall Impact:

The OOS LTC serves as a vital resource for long-term care staff and residents in Ontario, offering tools and support to prevent and manage osteoporosis and fractures, ultimately enhancing bone health and the quality of life for older adults in long-term care.


Seniors using tablets in a retirement home