Improving Care of Osteoporosis: Multi-Modal Intervention to Increase Testing and Treatment (ICOMMIITT)

The purpose of this study is to rigorously test the incremental impact of simple,
generalizable interventions to improve healthcare among older women at high risk for
osteoporosis. Building on the experience of our UAB interdisciplinary team we have designed
an innovative, scientifically rigorous, and highly feasible implementation research project
in partnership with two Kaiser Permanente (KP) research centers. Kaiser Permanente, one of
the Nation's largest Healthcare Organizations, uses an integrated electronic medical record
(EMR), with full capture of pharmacy, clinical (including BMD results), and claims data, and
cares for a racially/ethnically, socio-economically, and geographically diverse population.
To address innovative questions in implementation research, we will perform a multi-modal
group randomized trial involving over 18,000 patients seen by over 330 primary care
providers (PCPs) at 25 KP facilities in the Northwest and Southeast. If proven effective,
our system-centered and patient-centered approach will advance the state of implementation
science and be applicable to evidence implementation in other musculoskeletal disorders and
to other health care settings.