Abstracts from the Mid-Atlantic Section of the AUA 2020

© The Canadian Journal of Urology TM : International Supplement, October 2020 MP2-13 Unmet Needs in Post-Operative Communication after Urolithiasis Surgery M. Huang; J. Winoker; M. Allaf; B. Matlaga; K. Koo Johns Hopkins Hospital, Baltimore, MD, USA Introduction: Patient-centered communication can enhance satisfaction with care and facilitate shared decisionmaking. To identify opportunities to improve patient- centered communication after urolithiasis surgery, we performed a communication needs assessment. Materials &Methods: A survey about the content and quality of post-urolithiasis surgery communication was administered to patients in five clinics from October 2019 to March 2020 who had had undergone shockwave lithotripsy (SWL), ureteroscopy with holmium laser (URS), or percutaneous nephrolithotomy (PCNL) in the past two years. Results: Among the 48 respondents (response rate 91%), 34 (71%) had URS, 11 (23%) had PCNL, and 3 (6%) had SWL. The majority indicated they received a “good” amount of information after surgery. Among the 7 respondents (15%) who indicated they received “inadequate” or “little to no” information, suggestions included more information on stent symptoms and pain management (4, 57%) and information on how their surgery went (2, 29%). Among all respondents, patients were most interested in knowing how their surgery went (38, 79%) and diet and recovery recommendations (30, 63%). Among the 34 patients (71%) who had stents, 19 (56%) were most interested in stent symptoms, however 10 (29%) did not recall receiving this information. Although post-operative paperwork (21, 46%) was the second most referenced resource after surgery, only 4 patients (8%) stated that paperwork was the most helpful resource (Figure 1). Conclusions: After surgery, urolithiasis patients are most interested in how their surgerywent, diet and recovery, and stent symptoms.Although some of these topics are addressed in post-operative paperwork, existing written communication may not be formatted to effectively convey this information. These findings support opportunities for quality improvement in the delivery of effective, patient-centered communication. SatisfactionWith the Screen: ASingle Institutional ExperienceWithTelemedicine Visits in Female Urology Patients D. Glassman; A. Uhr; J.Y. Leong; L. Glick; L. Gomella Department of Urology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA Introduction: Telemedicine (TME) is a convenient and efficacious system that maintains quality patient care. Here, we provide our institutional experience with female patient TME visits. Materials & Methods: We retrospectively analyzed post-encounter satisfaction surveys from female TME visits conducted from March 2017 to December 2019. The survey included 13 items, ranging from satisfaction withmedical and technical aspects of the visit, to time saved and social media use as a proxy measure of comfort with new technologies. Responses were scaled on a 1-5 Likert scale with 5 representing the highest level of satisfaction. Visits were stratified by primary diagnosis, and anANOVAtest was performed to elucidate differences in satisfaction with TME by diagnosis. Results: 1,658 unique TME visits were conducted using the EPICTMEMR system, 366 of which were with female patients. Post-encounter data was collected from 173 of these patients, and 26 (15%) responded to the satisfaction survey. The mean age of patients seen was 66 years and the mean distance from the patient’s home was 47 miles. All areas of female urologic diagnoses were evenly represented in the respondent data. All respondents reported having saved ≥one hour compared to a traditional visit. Mean overall satisfaction was 4.5 of 5; patients were satisfied or highly satisfied with aspects of their visit (Figure 1). There was no significant difference in overall satisfaction among diagnoses (p = 0.38), and first-time TME use or social media use was not significantly associated with satisfaction (p = 0.22 and 0.84, respectively). Conclusions: Female patients are satisfied with TME visits, independent of their urologic condition, social media use or previous telemedicine experience. Future efforts should assess provider satisfaction and quantify the role of TME in reducing patient/provider costs. MP2-12 24 Poster Session 2: Urologic Best Practices