“Fifteen years ago, we started UroPoint Bladder Control Centers, which include incontinence specialists—urologists, uro-gynecologists, and advanced practice providers who work as a team to deliver care for patients with OAB and other lower urinary tract voiding dysfunction problems. But we still had the same issues as other practices with patients not staying on medications or returning for follow-up. That’s why we met 3 years ago with UroGPO and a work group of 13 practices to develop a consensus on a clinical pathway for OAB.
The group recognized that there was really a need to have a navigator plugged in from the start, to make sure patients come back for their appointment, check on how they’re doing, the efficacy of their medication, side effects, and to encourage patients to stay with behavior modification therapies, even adjust medications if the patient is not doing well.
That immediate follow-up seems to make a difference. One thing that stimulated the UroGPO meeting was a study that showed only 40% of OAB patients complied with their treatment. That was pretty uniform across the country. We all found that shocking.
We’re still in the process of formalizing our navigator position, but we think patient satisfaction levels are much higher than before. We haven’t had time to measure the results of having a navigator, but a Nashville group showed improvement to a 60%-70% return rate. That’s a 40%-50% improvement.”
Peter Knapp, MD
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