Background: We conducted a multi-phase project to examine issues surrounding bone health following the Women’s Health Initiative (WHI) findings. Phase One involved surveying women regarding behaviors and concerns related to menopause management, and Phase Two involved surveying providers regarding these same issues. In Phase Three we developed a bone mineral density (BMD) testing prompt within the electronic medical record (EMR). Phase Four assessed whether the prompt made a difference in the number of patients at risk who received BMD and/or a bone health medication. Methods: Rheumatology patients were our target population (key priority for the health plan). All patients were age 40+, on prednisone, with no record of BMD in the previous two years. The Prompt: The following message appeared in the EMR: ‘This patient is at risk for osteoporosis due to prednisone use. We have no record of a recent Dexa scan.’ Data was obtained on BMD testing, prednisone use and treatment within the following time periods: 6-3 months and 3-0 months pre-prompt and 0-3 months and 3-6 months post-prompt. The proportions for whom BMD testing was ordered and/or who were on a bone health medication were determined; data were analyzed to assess if percentages were the same, decreasing or increasing. rheumatologists were asked the value of continuing its use. Results: BMD testing proportions were quite low in all periods but showed a slight increase over time (from periods 3-0 months pre and 0-3 and 3-6 months post). The use of prednisone was the same over time. Bone health medication was fairly consistent with a very slight increase in percentage use over time. These figures did not reach statistical significance. Providers reported the prompt was more of a hindrance than a help; it could not be tailored enough where clinical intervention was relevant. Due to the lack of enthusiasm, we dropped the alert. Conclusions: While prompts to providers seem beneficial in theory, putting them into practice has challenges. Providers do not always find them adequately tailored and report that too many competing reminders become distracting.