Models of Primary Osteoporosis Screening in Male Veterans

Inclusion Criteria: PACT Team inclusion criteria: * Provider with at least 0.75 FTE * Provider has completed training (i.e., PACT teams led by residents and fellows are excluded) * Care for male Veterans \>65 years (i.e., Women's Health PACTs are excluded) Patient Inclusion criteria: * No prior fracture or osteoporosis diagnosis * At least 1 VA Undersecretary Guideline risk factor (weight loss \>20% in 5 years; BMI \<25 kg/m2; diabetes; pernicious anemia; gastrectomy; anticonvulsants; glucocorticoids; androgen deprivation therapy; hyperthyroidism; hyperparathyroidism; rheumatoid arthritis; alcohol dependence; chronic lung disease; chronic liver disease; stroke; Parkinsonism; prostate cancer; and current smoking). Patients (enrolled in year 4/5 sub-sample) inclusion criteria: * Men aged 65-85 years * Enrolled in eligible PACT team for at least 2 years * Meet 1 or more criteria for osteoporosis screening as the protocol at PACT enrollment. Exclusion Criteria: None