MP58-08 IMPACT OF A STREAMLINED SCHEDULING PROTOCOL ON TIME TO VASECTOMY COMPLETION

Abstract

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety IV (MP58)1 Sep 2021MP58-08 IMPACT OF A STREAMLINED SCHEDULING PROTOCOL ON TIME TO VASECTOMY COMPLETION Andrew Blazek, Thomas Schroeder, and Christopher Deibert Andrew BlazekAndrew Blazek More articles by this author , Thomas SchroederThomas Schroeder More articles by this author , and Christopher DeibertChristopher Deibert More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002088.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To ensure patient safety, AUA Guidelines recommend procedural vasectomies be preceded by a consultation visit. Although men may be prepared to proceed with vasectomy following the consultation, scheduling limitations and miscommunication could impact time to procedure completion and cancellation rate. To simplify this, our institution implemented a change in scheduling protocol where both consultation and procedure were scheduled simultaneously though on separate days, instead of scheduling the vasectomy at the conclusion of the consultation visit. We evaluated if the new scheduling protocol impacted rate of vasectomy completion, and time from consult to procedure completion. METHODS: Using retrospective analysis from health records data, we compared 213 men who had a vasectomy consultation in 2018 prior to the change in scheduling with 362 men who had consultation in 2019 following the scheduling intervention. We looked at rates of procedure completion, days from consult to procedure, cancellation rate, no show rate, and the average ages for each of these groups. RESULTS: Following the intervention there was a decrease of 3.36 days (14.8% decrease) for the average man in time from consultation to procedure. There was also a 1.24% increase in men completing the procedure with the cancellation rate dropping by 1.27%. While, the consultation with no follow-up decreased by 0.38%, the “no-show” rate did increase marginally by 0.41%. Men were the same age in both groups. CONCLUSIONS: Our research demonstrates that a streamlined scheduling protocol for vasectomy consultation and procedure can lead to reduction in completion time for men wishing to proceed forward with a vasectomy. This translated to a decreased time to procedure completion for both physician and institution, as well. Though there were improvements in the percentage of men completing vasectomies and decreases in cancellations, these improvements were of less magnitude compared to the variation in time to procedure completion. Source of Funding: Not applicable © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e991-e991 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andrew Blazek More articles by this author Thomas Schroeder More articles by this author Christopher Deibert More articles by this author Expand All Advertisement Loading ...