Fragility Fracture Network Malaysia (FFNM) Fracture Liaison Service (FLS) Framework FFNM promotes multidisciplinary approach on fragility fracture care. It aims to create a national network of fragility fracture care. FLS is a relatively new approach fragility fracture care in Malaysia. The Framework functions as a systematic guide to achieve these goals. It provides a common platform for all FLS to work together for a successful outcome and sustainability. Minimum Common Dataset (MCD) has been incorporated into the Framework to have standardized data collection.

Abstract

Purpose/Aims

FFNM aims to create a national network of fragility fracture care, with the participation of various clinical specialists, allied health and primary care physician from different states throughout Malaysia. Fracture Liaison Service (FLS) is a relatively new approach and platform promoting fragility fracture care in Malaysia.

Rationale/Background

The Fragility Fracture Network of Malaysia (FFNM) which was formed in 2018, is a national organization aiming to promote multidisciplinary input on the three pillars of fragility fracture care which include post- fracture acute care, post-fracture rehabilitation and secondary fracture prevention.

Brief Description of the Undertaking/Best Practice

FFNM FLS Framework functions as a systematic guide to achieve these goals. It provides a common platform for all FLS to work together for a successful outcome and sustainability. It highlights the rationale and importance of an FLS to all who are interested in the initiation of FLS in their practice. The Framework provides a guide on how to initiate a new FLS or improve an existing FLS in their practice. It also illustrates the different models of care available and the success stories of some regional and global FLS models as a guide. A Minimum Common Dataset (MCD) has been designed and added into the Framework in order to assist all the FLS in Malaysia to have standardized data captured for comparison and assessment of Key Performance Indicators (KPI) that is crucial to improve services and optimize the benefit for patients.

Outcomes achieved/documented

In 2017, there was only one FLS service available (Beacon Hospital). In 2022, four years FFNM was formed, there are twenty FLS services available throughout the country, with eight being mapped on the International Osteoporosis Foundation (IOF) Capture the Fracture World Map. By establishing a framework, guidelines and standard of best practice in managing various fragility fractures, our patients presenting with fragility fractures will be allowed to return to their best functional status possible.

Conclusions

FFNM FLS Framework has been recognized and accepted as the guide for all existing FLS services to improve their outcome and also for all potential FLS services to initiate their FLS services in their hospitals.