APCO Bone Health QI Tool Kit


APCO Bone Health QI Tool Kit

The APCO Bone Health QI Tool Kit aims to address the major public health burden of osteoporosis throughout the Asia Pacific (AP) region through the promotion of quality improvement (QI) of osteoporosis care.

Currently one-in-four patients who sustain a hip fracture die within a year, and less than half of those who survive, regain their previous level of function. By 2050, one in four people in the AP will be aged over 60 years. This portion of the population is expected to triple between 2010 and 2050, reaching close to 1.3 billion people. Within the same timeframe, between 4.5 to 6.3 million hip fractures are predicted to occur worldwide, half of which will occur in Asia.

The tool kit is designed to help healthcare providers (HCPs) stem this current healthcare crisis through a process of working together, to achieve shared goals. It focuses on closing this care gap by:

  • Understanding the baseline variables and current state of osteoporosis care in any given institution or health care practice.
  • Enabling benchmarking clinical practice against The APCO Framework, evidence-based clinical practice guidelines or established protocols for the chosen standard of care.
  • Using the findings to then improve the quality of care through iterative PDSA cycles.
  • Using the lessons learned from implementation of the APCO Clinical Standard at an institutional level, to build momentum, and work towards inclusion of the quality improvement/clinical standard in national guidelines, and lobbying for funding and policy change, as appropriate.

The tool kit is based on seven selected standards from The APCO Framework that are applicable to the clinical setting. Implementation of the QI will be through Plan-Do-Study-Act (PDSA) cycles – a quality improvement strategy that tests a change on a small scale. The PDSA builds on the learning from these test cycles in a structured way before implementation on a wider scale.

The PDSA cycles are iterative. Each cycle involves the following four stages:

1. Plan – developing a plan to test the change;

2. Do – carrying out the test;

3. Study – observing and learning; and

4. Act – planning the next change cycle or full implementation.

Articulating the benefits of the APCO Bone Health and QI Tool Kit activity can help promote engagement and cooperation. Having a supportive organisational culture, good design and planning, and follow through on results to ensure the data collection is meaningful and achievable, will prove critical to success.

Data collected through the audit should be used to benchmark practice against the standards recommended by The APCO Framework, to demonstrate to stakeholders that the audit was worth the effort, and that it contributed to tangible change.

  • Access the APCO Bone Health QI Tool Kit

    Thank you for visiting the APCO website and requesting to download the APCO Bone Health QI Tool Kit.

    Please complete the following short form to request access to the tool kit. Once you have submitted the form, the APCO Secretariat will verify your details and will send you a downloadable link to the APCO Bone Health QI Tool Kit.

  • The information provided by APCO, including but not limited to the APCO Framework, the APCO Healthcare Practitioner Educational Slides, and the APCO QI Toolkit (collectively, the “APCO Materials”), are intended for qualified medical doctors and provided solely for information purposes only. The information provided does not constitute medical advice and shall not operate in any way to substitute, replace or affect any proper medical advice, diagnosis, analysis, testing, and treatment provided by qualified medical doctors. APCO assume no responsibility for any circumstances arising out of or in connection with the use, misuse, interpretation or application of any information contained in the APCO Materials.

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Channel News Asia (CNA) interview with APCO Chair, Dr Manju Chandran, reflecting on the launch of the APCO Bone Health QI Tool Kit

Listen below to Dr Manju Chandran’s radio interview with Channel News Asia (CNA) 938 Health Matters host, Daniel Martin, on May 31, 2022.To read the corresponding radio transcript, click on the pdf here.



Revised APCO Bone Health QI Toolkit Blog Thumbnail

Breaking News! The Launch Of The Revamped and Revised APCO Bone Health QI Tool Kit!

Blog 1

Hip Fracture Risk Reduction: The Little Big Things and the Prevention Paradox

Prof Tanawat PGH Blog pic 1

Was it a Pyrrhic Victory? Mortality and outcomes in fragility fracture care during the pandemic of the century.

APCO-IOF-MoU posed image blog 2

Landmark Collaborative Agreement between APCO and IOF to develop the Asia-Pacific Bone Health Regional Audit 2023

RBD Summit 2021 Blog pic 2

Disease and Drug Agnostic Method of fighting Rare Bone Diseases (RBDs). The RBD Summit approach and Publication of Position Paper on the deliberations of the 1st RBD Summit.

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