median age of 55.2 (46-61.7) years. The median (IQR) SIPAT score was 14 (10-19) and 68 patients (17.2%) had a SIPAT score ≥ 21. Women were more likely to have a low (acceptable) SIPAT score (33% vs. 16%, p- value = 0.008). Recipients with a SIPAT score ≥21 were not at higher risk for ACR (p= 0.99) (Figure 1A), when adjusted for recipients’ demo- graphics. Between-group differences in survival and graft failure were not statistically significant (5-year survival: ≤21 vs. >21, 84.5% [79.3%, 88.5%] vs. 81.6% [65.0%, 90.8%], p= 0.74; 5-year GF CIF: ≤21 vs. >21, 6.5% [3.9%, 10.9%] vs. 10.2% [3.7%, 28.2%], p= 0.65 [GF]). Conclusion: The study did not show evidence that minimally acceptable recipients, according to psychosocial criteria, experienced an increased risk of rejection, graft failure or death. While the SIPAT tool has become an integral tool for heart transplant evaluation, a high SIPAT score alone may not be sufficient to risk stratify candidates. (73) Improving the Care for Pediatric Transplant Patients through Integration of Patient-Reported Outcome Measures into Clinical Practice S.J. Anthony, 1 K. Young, 1 S.J. Pol, 1 T. Blydt-Hansen, 2 A. Goldberg, 3 L. Hamiwka, 4 S. Urschel, 5 M. Santana, 6 J. Stinson, 1 and L.J. West. 7 1 The Hospital for Sick Children, Toronto, ON, Canada; 2 British Columbia Children's Hospital, Vancouver, BC, Canada; 3 Health Sciences Centre Winnipeg, Winnipeg, MB, Canada; 4 Alberta Children's Hospital, Calgary, AB, Canada; 5 Stollery Children's Hospital, Edmonton, AB, Canada; 6 University of Calgary, Calgary, AB, Canada; and the 7 University of Alberta, Edmonton, AB, Canada. Purpose: Subjective evaluation of medical care and treatment from the patient’s perspective is increasingly important. Patient-reported outcome measures (PROMs) are “any report of the patient’s health condition that comes directly from the patient, without interpretation of the patient’s response by a clinician or anyone else” and can comprise information about symptoms, functional status, and quality of life. PROMs have the ability to engage patients meaningfully, give them a voice in their health- care, and capture their experiences and attitudes. This study explores the perspectives of pediatric solid organ transplant patients, caregivers and healthcare providers on implementing PROMs into clinical practice. Methods: Semi-structured interviews were conducted at five Canadian pediatric transplant centres. Maximum variation sampling was used to pro- vide concurring and confirming data, and ensure saturation. An iterative coding process was applied with constant comparative data analysis to identify themes. Results: A total of 20 patients, 22 caregivers and 20 healthcare providers participated. Nearly all participants (n = 59, 95%) were supportive of implementing PROMs with the primary goals to 1) enhance patient-pro- vider communication - “Opens conversations”; “[Patients] state what they’re feeling”, and 2) increase patient engagement - “Like you’re part of the team”. Participants discussed the potential impact of PROMs as the provision of preventative - “You’ll be proactive”, and holistic care - “You cannot separate medical from other aspects. [Patients] are struggling from a mental health perspective”. Participants identified selected PROMs, the PedsQL TM Generic Core Scales - “Covers aspects I wouldn’t usually include in my assessment” and the PedsQL TM Transplant Module - “More related to transplant patients”. Recommendations included 1) PROM data collection for patients eight years of age and older, 2) remote administration and completion of electronic PROMs, prior to clinical appointments, and 3) visual data representation. Conclusion: Findings highlight support for the implementation of PROMs into pediatric solid organ transplantation. Future research is needed to develop implementation strategies to effectively integrate PROMs into clinical workflow and assess the impact on patient health outcomes. (74) Poor Health Literacy is Common in Patients with a Left Ventricular Device and is Predicted by Older Age, Lower Education Levels, and Depressive Symptoms J.H. Thompson, and D.K. Moser. College of Nursing, University of Kentucky, Lexington, KY. Purpose: Health literacy is an established concept in the health care world that seeks to understand people’s comprehension of various healthcare information and their ability to apply it. Health literacy has been exten- sively studied in the heart failure literature, and inadequate health literacy has been linked to impaired ability to assess risk versus benefit informa- tion, poorer physical and mental health, increased hospitalizations, and an inability to fully engage in treatment planning and self-care. To date, health literacy in the left ventricular assist device (LVAD) population has not been documented, and could have serious implications on outcomes, due to the demands placed on patients and caregivers of patients who have to live with the device. The purpose of this study was to describe the levels of health literacy in an LVAD population and to identify variables associ- ated with low health literacy. Methods: A cross-sectional, correlational study design was used, with 28 LVAD patients completing the Newest Vital Sign, a measure of health lit- eracy, along with demographic and clinical questionnaires. Results: Of the participants in our sample, 71% had inadequate health literacy. In bivariate analyses, we found that advancing age, fewer years of education, poorer cognitive function, and worse depressive symptoms were all associated with lower levels of health literacy (p < 0.05). In a multivariate, hierarchal linear regression model, after controlling for confounding variables, such as gender and INTERMACS profile, and including variables we found were significantly associated with health literacy in the bivariate analyses, higher age, fewer years of education, and higher levels of depressive symptoms were all independently associ- ated with lower levels of health literacy (p value < 0.001, adjusted r 2 0.627). Conclusion: Inadequate health literacy in this population is remarkably high, and is a more common in older, less educated, and more depressed persons. It is critical we evaluate health literacy in the LVAD population regularly and in the future, we need to analyze whether health literacy may impact outcomes in the LVAD population. (75) Short Term Retention of Ventricular Assist Device Self-Care Skills after Simulation-Based Mastery Learning J.H. Barsuk, 1 E.R. Cohen, 2 J.E. Wilcox, 2 R.S. Harap, 3 K.B. Shanklin, 3 K.A. Cameron, 1 K.L. Grady, 4 and D.B. Wayne. 1 1 Medicine/Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL; 2 Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL; 3 Surgery, Bluhm Cardiovascular Institute, Northwestern Memorial Hospital, Chicago, IL; and the 4 Surgery/Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL. Purpose: Patients implanted with a ventricular assist device (VAD) and their caregivers must learn self-care skills to help prevent complications. We created a VAD self-care simulation-based mastery learning (SBML) curriculum and evaluated the retention of VAD self-care skills between SBML and traditionally-trained patients and caregivers. Methods: From June 2017 to February 2019, patients and their caregivers at a tertiary care VAD center were randomized to SBML or traditional- training during their implant hospitalization. SBML consisted of participants taking a pretest on 3 VAD self-care skills (controller, power source, and driveline dressing changes), watching videos, and performing S40 The Journal of Heart and Lung Transplantation, Vol 39, No 4S, April 2020