Osteoporosis Canada - Fracture Liaison Service | Annual FLS Reporting (Spring 2021) | Osteoporosis Canada

Section 1: Information about your FLS
Within OC’s FLS Registry and for the purposes of this audit, FLSs are assessed by individual hospital sites. For hospital corporations which may operate an FLS at two or more separate sites, a separate submission form must be filled out for each individual FLS site. For any questions in filling out this questionnaire, please contact Luanne Schenkels at lschenkels@osteoporosis.ca
FLS site information
Person submitting this form:
First name Last name
Email of submitter
1. Name of your hospital/site, exactly as it should appear on the OC FLS Registry:
City, Province

Section 2: Staff working for your FLS
a. Dedicated FLS coordinator’s name:
First Last
Is there more than one FLS Coordinator working at your site?
- No
- Yes, there are additional FLS Coordinators working at our site. Please provide details in the comments section.
Comments (name of additional FLS Coordinators):
b. FLS Medical Lead's name:
First Last
Medical lead's specialty or background (e.g. osteoporosis specialist, orthopaedic surgeon, care of the elderly physician, family physician, other):

Section 3: Annual reporting
3. Annual FLS enrollment reporting:
a. How many fragility fracture patients (aged 50 and up) were newly enrolled in your FLS between April 1, 2020 and March 31, 2021?
b. i) Of the patients in "a" (above), how many were hip (proximal femur) fractures?
b. ii) Of the patients in "a" (above), how many were wrist (distal radius) fractures?
b. iii) Of the patients in "a" (above), how many were shoulder (proximal humerus) fractures?
b. iv) Of the patients in "a" (above), how many were pelvic fractures?
b. v) Of the patients in "a" (above), how many were spine/vertebral fractures?
b. vi) Of the patients in "a" (above), how many were other fracture types?
For b. vi), please list other fracture types (if applicable):

Thank you for your collaboration.
Please note that Osteoporosis Canada may use the information provided in the mini-audit to generate an aggregate overview of FLSs in Canada and their common processes/protocols.

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Section 1: Information about your FLS