MP02-01 IMPLEMENTATION OF A UROLOGY E-CONSULT SERVICE AT A SAFETY NET COUNTY HOSPITAL

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making I (MP02)1 Apr 2020MP02-01 IMPLEMENTATION OF A UROLOGY E-CONSULT SERVICE AT A SAFETY NET COUNTY HOSPITAL Nathan Chertack*, Yair Lotan, Christian Mayorga, and Ryan Mauck Nathan Chertack*Nathan Chertack* More articles by this author , Yair LotanYair Lotan More articles by this author , Christian MayorgaChristian Mayorga More articles by this author , and Ryan MauckRyan Mauck More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000816.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To assess the implementation of an e-consult service at a urology clinic in a safety net county hospital. METHODS: An e-consult system was introduced in 2018 at our institution. All e-consults for 2018 were collected and data analyzed. Patient demographics were recorded. Total consults, clinic referrals, cystoscopy referrals, need to reschedule, and need for follow-up were compared. Time from referral to in-person clinic visit was collected. Reason for e-consult and final visit diagnosis were placed into urologic categories and subcategories. RESULTS: In 2018, 472 e-consults were received for 454 patients. The majority were men (62.3%) with a median age of 55 years (IQR 44-63). The majority (52%) were Hispanic. Most patients (69.1%) were scheduled for an in-person clinic visit, with 23.9% of these patients scheduled for a cystoscopy. Median time from referral to in-person clinic visit was 39.5 days (IQR 33-50). One-fourth of patients did not require further follow-up after initial consultation. The majority of e-consults were for hematuria (24%), renal pathologies (20%), and benign prostatic hyperplasia and lower urinary tract symptoms (17%). CONCLUSIONS: Implementation of a urology e-consult service is feasible and decreases need for in-person clinic visits. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e11-e11 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nathan Chertack* More articles by this author Yair Lotan More articles by this author Christian Mayorga More articles by this author Ryan Mauck More articles by this author Expand All Advertisement PDF downloadLoading ...