The Fracture Liaison Service (FLS) at St. Michael’s Hospital, Toronto to celebrate its 20th year

This quality improvement program focuses on secondary fracture prevention by identifying patients at risk for future fracture and initiating appropriate evaluation, risk assessment, education, and therapeutic intervention. From inception, data collection and analysis have been central to the program, and approval by the Research Ethics Board was obtained to permit the publication of quality assurance data.  The program undergoes regular iterative program modifications based on evolving risk assessment tools and treatment guidelines, performance outcomes, and qualitative study results.