# Impact of the BHOF FLS TeleECHO program: a review of role and outcomes

## TL;DR

The BHOF FLS ECHO program uses telementoring to help healthcare providers improve secondary fracture prevention, showing high satisfaction and potential for reducing osteoporotic fractures.

## Contribution

The study evaluates the effectiveness of a telementoring program in promoting FLS adoption for secondary fracture prevention.

## Key findings

- Participants reported high satisfaction with the BHOF FLS ECHO program.
- Providers committed to applying learned strategies to improve fracture prevention.
- The program shows potential to expand access to effective secondary prevention strategies.

## Abstract

Osteoporosis-related fractures represent a major public health issue, impacting approximately 2 million Americans each year. Notably, 25–30% of these individuals suffer a subsequent fracture within 5 years. The concept of imminent fracture risk, which highlights the elevated risk of fracture within 1–2 years following an initial event, emphasizes the urgency of secondary prevention strategies. Fracture Liaison Service (FLS) programs have been shown to reduce the risk of subsequent fractures by up to 50%.

This review evaluates the Bone Health and Osteoporosis Foundation (BHOF) FLS ECHO program, which employs a telementoring model to guide and support healthcare providers in establishing and enhancing FLS programs. Data were collected from participant surveys to assess satisfaction and the application of knowledge gained through the program.

Survey responses indicated high levels of participant satisfaction with the FLS ECHO program. Respondents reported a strong commitment to implementing the strategies learned during the sessions to improve secondary fracture prevention within their practices.

The BHOF FLS ECHO program shows promise in addressing the burden of osteoporotic fractures by increasing the adoption and effectiveness of FLS models. Through targeted education and virtual mentorship, the program can expand access to secondary fracture prevention strategies, ultimately improving patient outcomes.