FAQs

Getting Started

Who is eligible to enroll?
Does AOA monitor the way the program is implemented?
Why is there an annual subscription fee to participate in the program?
What does a site receive with the participation fee?
We already have an osteoporosis program, why should we participate?

Staffing

Is this program just for orthopaedic surgeons?
What staff is needed to run the program?  How many hours does it take?
Can a nurse practitioner charge for his/her services?

Own the Data and Protocol

Is Own the Bone considered a research project?  Who will have access to the data?
Does Own the Bone suggest which pharmacotherapy physicians should prescribe?
Do sites need to follow up with patients?
Does Own the Bone meet any Joint Commission standards?

Registry Operations

Can I customize the data registry and add or delete fields?
Is the Registry compatible with Electronic Medical Record Systems?

Information Technology/Software

What are the Information Technology (IT) requirements? Do we need to purchase any special software?
What type of platform runs the registry?

Institutional Review Board/HIPAA

Is an IRB required to participate?
Is the registry HIPAA Compliant?

Who is eligible to enroll?
Hospitals or clinics in the United States are eligible to enroll in Own the Bone.

Does AOA monitor the way the program is implemented?
No.  Own the Bone is a tool.  Patients can be identified for the program in a variety of ways. However they are identified, it is the responsibility of the implementing site's program coordinator to ensure the patient receives the interventions recommended in the program.

Why is there an annual subscription fee to participate in the program?
The annual subscription fee paid by sites helps to support the costs of hosting and verifying the registry data by an external service provider, and ensures the sustainability of the program.  The cost per single site is $2,000/year.  Systems enrolling multiple hospitals receive discounts and AOA encourages system participation.  The yearly fee is not intended to be an obstacle for any hospital interested in implementing Own the Bone and the AOA is active in helping sites to find solutions so that they can use the program.

What does a site receive with the participation fee?
Subscribers are provided with many benefits. Some of the benefits are listed below:

  • Comprehensive start-up materials to help simplify the implementation of the program (available both in hard copy and online through a secure, subscriber-only section)
  • Access to a national Web-based registry, with reporting and benchmarking capabilities
  • Best practice library
  • Patient education tools
  • Physician education tools
  • System generated Patient and Physician letters documenting the patient's risk factors
  • Public relations tools (press release/communication templates and access to a "participating member" logo)
  • Recognition in major national media for sites that are successfully implementing the program and documenting their improved patient care
  • Web-based training
  • Ongoing best-practice sharing
  • E-newsletters

We already have an osteoporosis program, why should we participate?
Own the Bone gives you the opportunity to enhance your current efforts by including your data in a national registry and enabling your institution to benchmark its performance against other participants.  Own the Bone sites are recognized in a variety of national media outlets for their commitment to improving patient care in bone health.

Is this program just for orthopaedic surgeons?
No.  While developed by the American Orthopaedic Association, Own the Bone encourages a multi-specialty approach to manage/treat patients' underlying bone health after a fracture.  A physician or nurse from any specialty can "champion" the program within an institution. AOA believes that since orthopaedic surgeons are quite often the initial treating physician for patients with fragility fractures they have a role to play in these patients' underlying bone health.  Research has shown that the orthopaedic surgeon has the opportunity to have what is called a "teachable moment" with a patient who has recently experienced a fragility fracture:  if the healthcare provider suggests to the patient that it is important that he/she takes steps to improve his/her bone health and understands he/she has had this "Bone Attack," the patient is more apt to be compliant with care and prevention protocols.  While an orthopaedic surgeon might not necessarily be the physician to follow the patient long-term, AOA believes that orthopaedic surgeons should be a part of the multi-specialty care of a patient.

What staff is needed to run the program?  How many hours does it take?
A best practice from the pilot study is to designate a coordinator for the program, such as a nurse practitioner.  This person doesn't necessarily have to be a new employee or a FTE; in fact, some hospitals report that only a few hours a week are required.  Hospitals implementing the program report that data entry per patient takes only 3-4 minutes.  Own the Bone subscribers are provided with a Case Report Form to simplify data collection, allowing users to enter data into the registry at a convenient time.

Can a nurse practitioner charge for his/her services?
Fee for service reimbursement depends on the services being provided and varies according to your institution's policies.  Osteoporosis Reimbursement Policy for Healthcare Professionals is provided to Own the Bone program subscribers as a reference guide.

Is Own the Bone considered a research project?  Who will have access to the data?
Own the Bone is designed as a quality improvement program.  Through the online registry, each participating site will have access to the data through system generated reports. Reports will show performance against each measure in the Own the Bone Protocol.  Sites will also be able to access internal and external benchmarking reports to compare their own results against aggregate results of all sites participating in the program.

Does Own the Bone suggest which pharmacotherapy physicians should prescribe?
No. The Own the Bone Protocol does not recommend specific pharmacologic treatment. Own the Bone follows the National Osteoporosis Foundation's Guidelines and highlights when patients should be considered for pharmacologic treatment.  The decision regarding which drug is most appropriate must be made as part of the physician-patient relationship.

Do sites need to follow up with patients?
The Own the Bone program recommends that sites follow-up with patients entered in Own the Bone.  This step, however, is optional.

Does Own the Bone meet any Joint Commission standards?
The Joint Commission does not currently accredit hospitals for osteoporosis or fragility fracture care.  However, in 2008, the Joint Commission released a study called Improving and Measuring Osteoporosis Management

Own the Bone is highlighted in the report.  There are current efforts to encourage the addition of these Joint Commission measures to their accreditation process; consequently, Own the Bone is ahead of the curve.

Can I customize the data registry and add or delete fields?
No.  The data registry cannot be customized for individual sites.  The registry is designed as a tool to help sites change and document the way patient care is provided.  A site can opt not to collect certain data fields if desired.  Doing so will be reflected in the reports generated.

Is the Registry compatible with Electronic Medical Record Systems?
Not at the present time. Some sites utilize a checkmark within their EMR system to indicate that a patient's data is contained within Own the Bone registry.

What are the Information Technology (IT) requirements? Do we need to purchase any special software?
Own the Bone is Web-based.  As such, users only need to have access to an Internet connection and a current browser (IE, Firefox, Opera, etc.).  There is no software to buy or install.

What type of platform runs the registry?
AOA has contracted with Clinipace to build the registry within an existing framework.  Clinipace's registry system is called Tempo®.  Tempo® is a workflow engine built using J2EE and the data is stored in an Oracle database.

Is an IRB required to participate?
Own the Bone is a quality improvement program; as such, it may not be subject to a full IRB.  However, participating sites have sole responsibility to obtain any internal approvals necessary for participation in the Program, including any Institutional Review Board ("IRB") approval or waiver. For more information, download Own the Bone & IRB.

Is the registry HIPAA Compliant?
The OTB registry constitutes a Limited Data Set under HIPAA requirements. The only elements of potentially identifiable Protected Health Information included are date elements and patient ages.