Major initiatives are ongoing in a growing number of countries to improve fragility fracture care and prevention, including:

McCaig Institute for Bone and Joint Health

The McCaig Institute for Bone and Joint Health is comprised of basic scientists, orthopedic surgeons, rheumatologists, kinesiologists and biomedical engineers who research bone and joint diseases affecting more than six million Canadians. The McCaig Institute strives for early and accurate diagnosis, understanding of disease cause and progression, development of personalized treatments, prevention of bone and joint conditions and improvement of health care delivery in Alberta. Founded in 2007, the McCaig Institute has over fifty member researchers and eighty trainees at the University of Calgary and the University of Alberta.  The McCaig Institute works closely with Alberta Health Services and the Alberta Bone and Joint Health Institute.

McCaig Institute for Bone and Joint Health

Osteoporosis New Zealand

Osteoporosis New Zealand is the only national organisation in New Zealand specifically committed to improving the lives of people living with osteoporosis, and preventing the fractures it causes.

Osteoporosis New Zealand

National Osteoporosis Society

The National Osteoporosis Society is the only UK wide charity dedicated to improving the diagnosis, prevention and treatment of osteoporosis and fragility fractures.

National Osteoprosis Society

National Bone Health Alliance (NBHA)

The National Bone Health Alliance (NBHA) in the United States, a public private partnership on bone health launched in late 2010, provides an exemplar of achieving an unprecedented level of participation and consensus across sectors. NBHA currently has 55 organisational participants including 16 private sector members, 35 non-profit members and four government agency liaisons (the Centers for Disease Control and Prevention, Food and Drug Administration, National Aeronautics and Space Administration and National Institutes of Health). The members of the Alliance are working from a shared vision: to improve the overall health and quality of life of all Americans by enhancing their bone health.

Major NBHA initiatives include:

2Million2Many Awareness Campaign

Launched in April 2012, this award winning campaign highlights the connection between fractures and osteoporosis for the 2 million fractures which occur in the United States every year. ‘2M2M’ encourages individuals aged ≥50 years who break a bone to ask their healthcare professional for an osteoporosis test and gets people thinking about bone health. The centrepiece of the campaign is ‘Cast Mountain’, a thought provoking 3.6 metre tall by 3.6 metre wide installation which represents the 5,500 fractures that occur every day in the United States. See

Fracture Prevention CENTRAL

Launched in March 2013, the Fracture Prevention CENTRAL online resource centre was created to help interested sites across the United States implement and maintain a Fracture Liaison Service program. By June 2014, over 2,100 individual users had registered to access the tools and resources available at ‘FPC’. NBHA also used FPC as a platform to deliver a six-part FLS webinar series, freely available for ‘live’ participation and archived as a video-on-demand service, hosted by champions of established high-performing FLS and NBHA staff. During 2013-14, 700 individuals participated online and a further 2,000 downloaded webinars for viewing at their own convenience. This resource centre is available at

Read more at:

National Bone Health Alliance: An Innovative Public-Private Partnership Improving America’s Bone Health. Lee DB, Lowden MR, Patmintra V, Stevenson K. Curr Osteoporos Rep. 2013 Dec;11(4):348-353. PubMed ID 24014197

Own the Bone

The American Orthopaedic Association’s (AOA) ‘Own the Bone’ was designed to address the osteoporosis treatment gap and prevent secondary fragility fractures; its goals include:

  • Increase overall awareness and improve utilisation of evidence-based management of osteoporosis and low bone density in fragility fracture patients aged 50 years and over
  • Change physician and patient behaviour to reduce the incidence of future fractures and improve patient care by promoting bone health
  • Encourage clinicians to identify, evaluate, diagnose, and treat patients with poor bone health after a fragility fracture
  • Close the treatment gap documented in the RAND and NCQA studies
  • Capitalise on the ‘Teachable Moment’ after a fracture

Own the Bone is currently being implemented by over 120 teaching hospitals, community hospitals, medical centres and private practice groups. Own the Bone has achieved statistically significant changes in established healthcare professional behaviour, treatment, and referral measures (most significantly, prescribing calcium and vitamin D, exercise, and fall prevention measures in addition to BMD testing, and recommendation for pharmacologic treatment). Through its clinically-proven, web-based patient registry that tracks ten prevention/treatment measures, Own the Bone provides tools and helps institutions establish a Fracture Liaison Service program in their setting.

Read more at: or for more information on how to become a participating site, contact Sarah Murphy, Senior Program Manager, at

The American Orthopaedic Association’s “own the bone” initiative to prevent secondary fractures. Tosi LL, Gliklich R, Kannan K, Koval KJ. J Bone Joint Surg Am. 2008 Jan;90(1):163-173. PubMed ID 18171971