P003 APPLYING THE TRANSITION READINESS ASSESSMENT QUESTIONNAIRE TO AN UNDERSERVED ADULT INFLAMMATORY BOWEL DISEASE POPULATION Arslan Talat, Arielle Radin, Eve Frangopoulos, Michela Isono, Lea Ann Chen Background: The Transition Readiness Assessment Ques- tionnaire (TRAQ) is a 20-item, 5-domain, validated measure of preparedness for youths with chronic illnesses to tran- sition into adult clinics. Each question is graded on a 1-5 scale, with higher scores indicating greater skill mastery. Studies of the TRAQ in pediatric inflammatory bowel dis- ease (IBD) patients have suggested a score of 4.5 as the threshold for readiness for adult clinics and have further- more highlighted the impact of language, race, and socio- economic status on successful transitions. We hypothesized that the TRAQ can similarly be used to identify those who require additional education in healthcare engagement among socioeconomically-disadvantaged adult patients with IBD. Methods: As a part of routine clinical care, the TRAQ was administered to adults with IBD presenting to Bellevue Hospital, an academic public hospital in New York City. The written survey was offered in English, Chinese, or Spanish, or was read with a phone interpreter to patients who preferred another language. In a subset of patients, a second TRAQ was administered 6 months after the initial evaluation to assess for differences in patients’ understanding and behavior over time. Demographic and clinical data were extracted from electronic medical records. Two-tailed, non- parametric t-tests were used to asses for differences be- tween groups, with a threshold of p<0.05 set for statistical significance. Missing data or questions marked as “not applicable” by study subjects were omitted from analysis and denominators were lowered accordingly. Results: Sixty-five patients (63% male) completed the TRAQ survey (68% English, 15% Chinese and 17% Spanish) and scored an average of 4.37. The highest scoring domain was ‘Managing daily activities’ (MDA; 4.59), while the lowest was ‘Tracking health issues’ (THI; 3.879). Overall and for each domain, there was a lower average TRAQ score for non- English speaking patients compared to English speakers that was not statistically significant. Thirty-three individuals completed a second TRAQ survey in 6 months, with no significant change in mean scores. However, when these patients were stratified based on language, we found that scores of English speakers did improve (4.42 vs 4.67, p¼0.01) while scores of Non-English speakers did not (4.11 vs 4.09, p¼0.94). Conclusion: As expected, most adult IBD patients were suc- cessful in managing activities of daily living. However, almost half of the surveyed population did not reach the threshold of healthcare utilization mastery set for pediatric patients. While TRAQ scores improved in a subset of in- dividuals, targeted education in “tracking health issues” with special attention to non-English speaking patients may be required to improve successful utilization of healthcare services in an underserved adult IBD population. P004 ASSESSMENT OF A BRAZIL’S REFERENCE CENTER USING “QUALITY OF CARE THROUGH THE EYES OF PATIENTS WITH INFLAMMATORY BOWEL DISEASE” (QUOTE-IBD) Debora M. Takamune, Giovana S. Cury, Jaqueline R. de Barros, Julio P. Baima, Rogerio Saad-Hossne, Ligia Y. Sassaki Background: The Inflammatory Bowel Diseases (IBD) are recurrent and chronic, demanding frequent interaction be- tween patient and healthcare services. Quality of care (QC) is a factor that interferes in treatment and quality of life improvement. It is required to evaluate QC conditions and improve its shortcomings. Methods: This cross-sectional study included 38 patients with confirmed IBD diagnosis (either Crohn’s Disease – CD – or Ulcerative Colitis – UC) from a single IBD Center (Hos- pital das Clínicas de Botucatu) of São Paulo State, Brazil. Disease activity was evaluated through Crohn’s Disease Activity Index (CDAI) and Mayo Score, in CD and UC pa- tients, respectively. QC was evaluated through QUOTE-IBD (questionnaire to assess quality of care through the patient’s eyes), which is composed by 10 generic and 13 IBD specific items and measures 8 dimensions of care: accessibility, costs, accommodation, continuity of care, courtesy, infor- mation, competence, autonomy. Each category is graded from 0 to 10, being considered satisfactory if graded 9 or above. Statistical analysis: descriptive. Results: 21 CD patients and 17 UC patients were inter- viewed. The average age was 31.11  9.32 years and 63.16% were women. The mean duration of the disease was 6.35  4.98 years and most patients were in remission in both the UC (64.71%) and the CD (76.19%) groups. Regarding the disease impact on the patient’s life, 81.82% of them declared having missed school or work, 18.18% had trouble with that and 39.47% referred that IBD limits routine activities. Despite that, 94.74% of patients feel confident about the treatment. According to the healthcare evaluation, the total QUOTE punctuation was 8.65  1.39, classifying the QC as unsatisfactory. The following QUOTE categories were classified as satisfactory: courtesy (9.24  1.28) and costs (9.34  2.11); the following were February 2019 Practice Management/Quality of Care/Quality Assurance S5