Most patients who break a bone never get assessed for the next one
Over 200,000 fractures happen in Canada each year, yet only about 20 percent of patients receive the care needed to prevent the next one. Half of all hip fracture patients had already broken a bone before.
Ideal for family physicians, nurse practitioners, clinic managers and EMR administrators.
What the toolkit does
It runs inside your EMR rather than alongside it, so bone health assessment happens in the visit you are already having.
Finds the patients
Case finding queries surface patients 65 and over, and anyone with a prior fragility fracture, without a manual chart review.
Scores the risk
FRAX returns 10 year major osteoporotic and hip fracture risk, with femoral neck, total hip and lumbar spine T-scores.
Guides the decision
Risk categorization and prompts follow the 2023 guideline, including repeat BMD timing and treatment thresholds.
New in Version 3.0
Developed in partnership with Amplify Care, Version 3.0 aligns with the Clinical Practice Guideline for Management of Osteoporosis and Fracture Prevention in Canada: 2023 Update and introduces a major upgrade to streamline fracture risk assessment within the EMR. Now available for TELUS Health PS Suite.
Built-in FRAX® calculation
FRAX® now runs directly within the Toolkit, so there is no need to leave the EMR or re-enter patient data. Risk scores are calculated at the point of care, keeping you in your clinical workflow.
Updated clinical guidance
The Toolkit reflects recommendations from the 2023 Canadian osteoporosis guideline and supports evidence-informed fracture risk assessment and management.
Seamless upgrade
Version 3.0 is fully compatible with earlier versions. Patient information already entered carries forward automatically, with no disruption and no re-entry.
Availability by EMR
Free for Ontario primary care. No licence, no subscription.
EMR
Current version
FRAX built in
How you get it
TELUS Health PS Suite
3.0 NEW
Yes
ZIP package, direct import
OSCAR Pro
2.1
3.0 coming soon
In 3.0
ZIP package, upload to OSCAR
Accuro
Cloud hosted
Partial
Pulled from the Accuro cloud
Prefer paper? The PDF assessment tool covers the same pathway offline.
User guides: OSCAR · PS Suite · Accuro. Previous software versions will be added for download in the future.
Getting started
Already using the Toolkit?
Upgrading won't affect existing patient records.
New to the Toolkit?
Get version 3.0 today.
After you install 3.0
Please deactivate older versions (2.0 and earlier) from your EMR database. Saved patient data will remain in patients' charts.
Why use the toolkit
Ready to implement
Join SCREEN
Systemic Case Finding and Risk Evaluation, EMR Enabled Osteoporosis Care, is a three year initiative supporting primary care organizations to identify and manage patients at risk of fragility fracture.
Participating organizations use the toolkit as part of a structured case finding approach, moving patients through assessment, risk evaluation and treatment.
Participating organizations receive
- Access to the latest version of the toolkit
- Technical implementation support from Amplify Care
- Practical resources and guidance from the Strategy
What SCREEN participation involves
Identify
Use EMR case finding to identify eligible patients.
Assess
Complete osteoporosis and fracture risk assessment.
Manage
Perform investigations, treatment and referrals.
Report
Provide aggregate implementation and activity data.
Patient and clinician handouts
Eleven resources, free to print and share.
Download the full set
All eleven handouts in one zip, ready to print for the waiting room.
Questions?
We're here to help with installation, implementation, or getting started. Email emrsupport@osteoporosis.ca
Join our webinar
See the Toolkit in action. Dr. Upender Mehan demonstrates the Osteoporosis EMR Toolkit within TELUS Health PS Suite, with tips and a live Q&A.
Why this matters
1 in 3
women over 50 will have an osteoporotic fracture, and 1 in 5 men.
$20k
average acute care cost of one hip fracture, before rehabilitation.
A fragility fracture is a sentinel event. A patient who breaks a wrist at 68 is telling you something about the hip fracture they may have at 78. The gap between that first fracture and any bone health assessment is where most osteoporosis care is lost.
Primary care is the ideal setting to close that gap at scale, which is why the toolkit lives in the EMR rather than in a separate portal.
Aligned with
Clinical Practice Guideline for Management of Osteoporosis and Fracture Prevention in Canada
2023 update, published in CMAJ.