For the capstone project a clinical protocol was developed to manage osteopenia or osteoporosis in men and women over age 50 with a history of a fracture. The purpose of this protocol was to promote bone health in the male or female patient over the age of 50 who had suffered a fracture and had contributing history making them at risk for osteopenia or osteoporosis. Based on a comprehensive literature review, the research evidence indicated a gap in current practice standards regarding bone health evaluation and treatment for osteopenia or osteoporosis in the post fracture aged 50 and older with or without a known history of osteopenia or osteoporosis. The research further identified specialty and primary care providers as playing a key role in closing this gap in care for post fracture men and women over the age of 50 with osteopenia or osteoporosis. The orthopedic provider can initiate evidenced based bone health protocols in the immediate post fracture period and improve quality of care for this patient population. The clinical protocol included a bone health evaluation by the project director (FNP, DNP candidate) for the patient over the age of 50 with a fracture admitted either to the acute care setting or as an outpatient for fracture care. The protocol included an educational component for the patient with the provider to discuss current underlying bone health, lifestyle change recommendations and the need for bone density testing. Treatment recommendations for osteoporosis were included in the consult to emphasize the importance of reducing the risk of future fractures. Patients received written recommendations and a copy of the consult was sent to the patient’s primary care provider. The outcomes of this protocol included improved quality of care as evidenced by early evaluation and treatment recommendations for the patient with osteoporosis in the immediate post fracture period. Early intervention by a nurse practitioner as protocol coordinator provided an early intervention that included screening and treatment recommendations. The intervention improved the bone health of the patient and included education and recommendations for prevention of future fracture. The implications for this protocol improved the quality of care for the post fracture male or female patient over 50 with osteopenia or osteoporosis. The impact of fracture reduction in the aging population will help to reduce healthcare cost while reducing morbidity and mortality and improving quality of life in this population.