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Osteoporosis Management in Women who had a Fracture

The percentage of women age 50-85 who suffered a fracture and who either had a bone mineral density test or received a prescription for a drug to treat osteoporosis in the six months after the fracture.

Date Reviewed: November 19, 2017

Measure Info

MIPS 418NQF 0053CMS 418
Measure Type: 
Measure Steward: 
National Committee for Quality Assurance
Clinical Topic Area: 

Care Setting: 
Data Source: 
Electronic Health Records
Paper Medical Records

ACP supports QPP measure 418: "Osteoporosis Management in Women who had a Fracture" because a performance gap exists, the specifications align with current recommendations to screen for osteoporosis in women aged 65 years and older, and specifications include appropriate exclusion criteria for women with fracture related to traumatic injury. While we support this measure, implementation may promote overuse of bone mineral density testing. Developers should consider tapering the fracture definition to only include women with vertebral and hip fractures.

As part of an ongoing effort to improve user experience, we have made some updates to the Performance Measures section of ACP. Tell us what you think!