Fragility Fracture Service Program
NYU Winthrop Hospital
Department of Orthopaedics

Mineola, NY

The Fragility Fracture Service Program at NYU Winthrop Hospital was established in 2013 to meet the comprehensive and unique care needs of community-dwelling adults that have sustained a ground level fracture. It is the first program of its kind on Long Island. The program is led by four clinical team members: Dr. James Capozzi, MD, FAAOS, Chairman, Sam Barzideh, MD, FAAOS, Director, Dina Chenouda, MD, FAAFP, Co-Director and Luz Gargiullo, APRN-BC, Coordinator who are all board-certified in their area of expertise. 

The mission of the Fragility Fracture Liaison Service Program is to provide a compassionate, seamless, evidence-based, multi-disciplinary approach to the care and treatment of the adult at risk for a fragility fracture. The vision of the Fragility Fracture Liaison Service Program at NYU Winthrop is to be the healthcare leader in the management of osteoporosis and in the prevention of fragility fractures. Own the Bone serves as a starting point within the Fragility Fracture Liaison Service Program as the enrollment form guides what happens next in a patient’s care plan. 

Currently the program serves an average of 300 hip and other inpatient fracture patients yearly. Patients admitted to the Fragility Fracture Service are co-managed by hospitalist and orthopaedic attendings.  Co-management and a multi-disciplinary approach to care has reduced our length of stay from 9 to 5 days, reduced readmission rates and decreased the ED to OR time from 52 hours to 23 hours. Multidisciplinary rounds are held every morning to discuss the plan of care on all patients. The team also consults with other departments, for example, endocrinology and palliative care as indicated. 

As the coordinator of the Fragility Fracture Liaison Service Program, Luz serves as the liaison between the inpatient clinical staff and the community physicians. Enrolled patients must be over the age of 55 and sustained a ground level fall resulting in a fracture. Patient and caregiver education regarding treatment of osteoporosis, fall prevention and home safety, nutrition counseling and diagnostic testing begins during the hospital stay and continues after discharge in the osteoporosis clinic. During the education and counseling phase of the program, patients are introduced to Own the Bone education materials, such as the “Take Steps to Better Bone Health” brochure, and additional resources through the NIH and NIA. These materials have also been introduced to clinician colleagues of the team, so other healthcare providers are familiar with the information. Luz uses an inter-system communication method with secure text and emails to communicate patient information and next steps to the patient’s primary care provider. In building a relationship with primary care providers (PCPs) the team has found that PCPs are often taking care of other patient concerns, but the team is able to provide co-management and support of patient care related to osteoporosis. 

In an effort to raise awareness of osteoporosis as a major public health issue, Luz has participated in several community outreach programs sponsored by the Wellness Center at NYU Winthrop Hospital. Earlier this year, Luz presented a lecture on geriatric fall assessment to the clinical staff at NYU Winthrop Hospital and other health care institutions. 

NYU Winthrop Hospital is a 591-bed, Level 1 trauma center located in Mineola NY. Founded in 1896 as Nassau Hospital, it was the first voluntary hospital on Long Island, NY. In the 1980’s, the hospital was renamed Winthrop University Hospital and became the teaching hospital for Stonybrook University School of Medicine. In April 2017, the hospital became affiliated with NYU Langone Medical Center and was once again renamed NYU Winthrop Hospital. 

Published October 2017

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