LAUSR

222 Background: The Oncology Care Model is an alternative payment model created by The Center for Medicare and Medicaid Services. Our goal was to improve patient education and to improve the patient experience. We hired nurse practitioners to achieve this. Methods: Crystal Run Healthcare is a multi-specialty group practice with nine oncologists. A total of 4 nurse practitioners have been hired since implementation of the OCM Program in July 1, 2016. All oncology patients and their family who are scheduled to initiate a new treatment program or a change in an existing treatment are scheduled to meet with a nurse practitioner for 60-75 minutes in order to review details of their treatment including a 13-point treatment summary recommended by the Institute of Medicine. Results: CMS administered anonymous patient surveys at baseline and in rolling 6 month episodes reported every 3 months. Data is represented from January-September 2016 (baseline)and is compared to July 2016-March 2017. Since implementation of our nurse practitioner access program, patient survey scores improved dramatically. Average overall rating improved from the 11th-20th percentile to 71st-80th percentile. The most dramatic improvement occurred in shared decision making which improved from 11th-20th percentile to the 91st-99th percentile. Conclusions: The addition of nurse practitioners who are tasked with educating patients regarding their treatment offers an opportunity for patients to have a comprehensive visit to review treatment details. The most striking improvement was seen in shared decision making which likely reflects the benefits of a prolonged discussion between the nurse practitioner, the patient and their family.[Table: see text]