Own the Bone Program Spotlight
Wake Forest Baptist Medical Center
Winston-Salem, NC 

Benjamin Graves, MD Anne Lake, NP  Betsy Southern, PA 
Program Champion Program Coordinator Back-up Program Coordinator

Wake Forest Baptist Health is a regional health care system with Level 4 trauma designation and an ACO that serves the entire Piedmont region in North Carolina.  The main hospital is an 885-bed tertiary care in Winston-Salem, NC.  In addition to the main hospital, there are five community hospitals in surrounding areas within the Wake Forest network.  The total medical center workforce exceeds 20,500.

To improve quality and patient outcomes, the Fracture Liaison Service (FLS) was established in 2013 within the orthopaedic surgery department to address the growing problem of the treatment gap after fragility fractures and patients with osteoporosis.  The program remains in the department of orthopaedic surgery and Anne Lake, DNP is the founding coordinator for the program and works as a clinician along with Betsy Southern, PA in treating patients within the FLS service line. The physician champion is Dr. Benjamin Graves, an orthopaedic surgeon who also specializes in upper extremity care and fragility fractures.

Since its inception, our FLS has grown and provides care at the Winston Salem location in addition to Davie Medical Center and Lexington Orthopedics.  The goal of the program is to identify, evaluate and initiate appropriate treatment for patients that are high risk for secondary fractures. Referrals originate from the orthopedic service, primary care and other specialties as well as self-referrals. Currently, the program has served over 3300 patients. 

As a nationally recognized program, “we saw the need to engage in the use of a registry for tracking our measures and to track outcomes as well,” says Dr. Benjamin Graves.  “In 2018, we elected to implement use of Own the Bone to remain supportive of the AOA and congruent with other professionals utilizing this registry. For our program, Own the Bone provides a reasonable way to track data as it relates to our FLS program and encourages us to reach new goals in best practice by peer to peer program comparison.”

“Prior to using Own the Bone we had established protocols for identification, investigation and initiation of treatment for appropriate patients from the time of fracture to assure timely first visit and follow up visits as well. Since incorporating Own the Bone we have been able to utilize the resources and training provided and to see our data ‘come to life’ in a more concise and measurable platform,” says Anne Lake, DNP. 

Wake Forest Baptist Health continues to grow in size and numbers. The Fracture Liaison Service is eager to educate the community and other health care providers about bone health, fracture risk reduction, and healthy bones for a life time. There are plans to expand our clinics into outlying communities as well, to serve more patients closer to their homes.  The data tracking that Own the Bone can provide will help with housing this data for us as we continue to grow.

Published October 2018  

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