Project Summary/Abstract: Opportunities to Improve Palliative Care in Urology The American Urological Association (AUA) is requesting an AHRQ Conference Grant to support convening a Quality Improvement Summit on Improving Use of Palliative Care in Urology, with discussion focusing on: management of the disease course of individuals with advanced benign and malignant urologic diseases, identification of the aspects of palliative care services that may be offered in a urology practice, overview of current palliative care workforce, and the development of a health services and educational agenda that advances urologist-palliative care partnerships. The AUA’s Quality Improvement Summits address quality issues, define clinical problems, facilitate information exchange on quality efforts by clinicians across disciplines and care settings, and educate urology practitioners, primary care physicians, and specialists about developing patient-centered quality improvement programs. For its 2020 summit, the AUA will convene a multi- disciplinary panel of speakers to take part in a collaborative effort dedicated to addressing the palliative care needs of patients with advanced urological health conditions. The 2020 Summit will provide a unique and timely opportunity to accelerate the application of evidence into practice by bringing together physicians, researchers, and professional societies spanning the disciplines of urology, palliative care, other surgical specialties, psychiatry, and pain management around the shared goal of improving care delivery as it relates to the intersection of urology and palliative care. Our specific aims: Aim 1. To review the experiences of urologists and palliative care clinicians in managing the disease course of individuals with advanced benign and malignant urologic diseases. This will include assessments of the settings in which goals of care, prognosis, diagnosis, advance care planning, goals of operations and procedures, and physical and psychological symptom management are currently being pursued. Aim 2. To summarize and consolidate current data related to what aspects of care are most important to improve quality in individuals with advanced urologic conditions. Aim 3. To define current palliative care capacity, and aspects of palliative care that could be provided by urologists in a mixed-model setting. Aim 4. To create a health services research, policy, and dissemination agenda that advances urologist- palliative care partnerships to ensure that all aspects of care are adequately addressed in those with advanced disease. Aim 5. To build a national interdisciplinary implementation partnership to implement best practices agreed upon at the summit. Through the completion of these aims, we will better understand the gaps in care for urologists caring for advanced urological health conditions and work to construct an educational and clinical quality improvement implementation strategy to improve the care of men and women...