Funding Osteoporotic Re-fracture Prevention – Allied Health Topic To obtain resources from Leading Better Value Care funding to support employment of a Physiotherapist & Occupational Therapist under the clinical initiative – Osteoporotic Re-fracture Prevention. Analysis The service provided by a 0.5 FTE Physiotherapist & 0.5 FTE Occupational Therapist ($96K) will provide individuals predisposed to minimal trauma fractures (MTF) Identification of people presenting with MTF Provide health education to support the patient in understanding the need to address their bone health Provide early access to investigations e.
g. bone density scanning, various blood serum levels that can help identify the cause of reduced bone density Provide early access to treatment e.g. medical assessment and treatment, falls prevention and physical activity prescription, dietary advice Supportive review over time to ensure primary care monitoring and self-management support. The Occupational therapist will give the case management aspect, the ADL and IADL functional assessment and management to the assessment of the patient.
Osteoporosis is a chronic disease that is characterised by reduced bone density and strength which predispose to minimal trauma fractures (MTF) The model of care was designed to guide best practice coordinated, multi-disciplinary care to improve outcomes for people with MTF, resulting in reduced refracture rates and the resultant health usage, morbidity and mortality that refracture causes. Recommendation1. Outline the action you areseeking to have approved.
2. Start each recommendation with’Approve’, ‘Note’, or ‘Sign’.3. Number your recommendationsonly if there is more than one. Chief Executive’s signature Date Key reasonsUse this template when you are seeking formal approval fora decision.
If the purpose is purely informational, use the ‘For information’template. If the only recommendation is to sign a response to correspondence,use the ‘Correspondence’ template.Add one paragraph of context if it is essential tounderstand the issue, but generally try to avoid it. You can add furtherbackground under the ‘Context’ section below.Structure by reasoningUse the reasons you summarise in the ‘Analysis’ box aboveto structure this section rather than a narrative of the issue and researchprocess. Ask why the Chief Executiveshould support the recommendation. Each reason would follow a ‘because…’statement.
Use analytical headings to capture each reasonSummarise each reason in the subheadings of this section. Thiswill allow the Chief Executive and senior readers to understand the topic,analysis and recommendations, then scan the key points of the argument. Theycan navigate more effectively to the supporting evidence under each subheading.Keep the brief short and to the pointWrite so that the ‘Key reasons’ section does not go over thefirst page. If the topic calls for more extensive analysis, cover the mostimportant reasons here and add further analysis in the ‘Further analysis’section over the page.
Use the pre-set styles to format the textUse the pre-set styles in the template and do not vary theformatting, such as the font or margins. Delete or overtype all theinstructional text.Write in plain EnglishUse plain English expression by:· choosing short, simpleexpressions (‘to’ not ‘in order to’; ‘for’ not ‘for the purpose of’)· using an average sentencelength of 15–20 words· preferring active rather thanpassive voice (‘The district considers’ not ‘it is considered that’)· eliminating repetition andprocess detail (‘is developing’ not ‘is in the process of developing’). Further analysisAdd further analysis if needed If the topic calls for more extensive analysis, cover themost important reasons on page one and add further reasons here.
Otherwisedelete the ‘Further analysis’ section. Analyse the optionsWhere useful, include theoptions considered. You might explain the preferred option under the ‘Keyreasons’ but list all of the options considered in a table under ‘Furtheranalysis’, such as: Options Analysis Consider the impacts and risksAs part of your analysis, highlight any financial impactsor impacts that may significantly affect patients. If these are key to therecommendation, cover them on page one under ‘Key reasons’.Also consider the legal, resource, business continuity orreputational risks of the proposed recommendation.
Where useful, rate each riskand discuss mitigation strategies.ContextAdd context if necessaryAdd a ‘Context’ section if readers need more backgroundthan can fit on the first page, such as the legal or policy context or thebackground history. But leave this section out if not needed. Break up the’Context’ section with analytical subheadings that summarise the content.
Summarise the consultation Where relevant, outline what has already been communicatedto the public and media and what ongoing communication is proposed. Otherwise,you may simply list who was consulted.Use tables where effectiveConsider tables to summarise achronology or to list who was consulted: Date Action Contact and approval Contact Position Phone number Name Name Position Date Name of most senior reviewer Name of reviewer Add other reviewers as needed Attachments Tab Title A Use a clear title for each attachment B Only list separate files as attachments, not sections of this brief