Shirley H. Lee, CRNP-FNP, MPH, presented “Developing Clinical Pathways to Improve Management and Outcomes in Women’s Health” during the 30th Annual Perspectives in Urology: Point-Counterpoint, on March 10, 2023, at Humphreys Half Moon Inn, San Diego, California.
How to cite: Lee, Shirley H. “Developing Clinical Pathways to Improve Management and Outcomes in Women’s Health.” March 10, 2023. Accessed Oct 2026. https://grandroundsinurology.com/developing-clinical-pathways-to-improve-management-and-outcomes-in-womens-health/
Developing Clinical Pathways to Improve Management and Outcomes in Women’s Health – Summary
Shirley H. Lee, CRNP-FNP, MPH, discusses developing clinical pathways to improve management and outcomes in women’s health, defining clinical pathways as the translation of complicated algorithms into efficient clinical workflows. Lee then explains the many treatment options for overactive bladder (OAB) for female patients, stating that 80 percent of patients are unsatisfied with their medication at six months, and asserting that clinicians must do a better job at successfully moving patients through the clinical pathway.
She then breaks the OAB clinical pathway into levels based on the invasiveness of treatment, and points out the importance of diagnostics between each of these levels in effectively tailoring treatment to individual patients. Lee explains that the clinical pathways can standardize care, leave fewer data gaps, and allow for earlier detection of treatment efficacy.
She then delves into a case study to illustrate the importance of a guided survey chart review whereby the navigator conducts an OAB symptom survey, instructs the patient on a voiding diary, and discusses OAB treatment options and follow-up. Lee explains the steps involved in executing clinical pathways for female patients, including establishing patient outcomes, ensuring that care pathways align with goals for those patient outcomes, and streamlining the workflow for all involved.
About the 30th Annual Perspectives in Urology: Point Counterpoint conference: Presented by Program Chair and Grand Rounds in Urology Editor-in-Chief E. David Crawford, MD, this conference brought together leading experts in urology, medical oncology, and radiation oncology to discuss and debate the latest topics in genitourinary cancers, primarily prostate cancer and bladder cancer. This interactive conference offered topical lectures, pro/con debates, interesting-case presentations, interactive panel discussions, and interactive audience and faculty networking.
ABOUT THE AUTHOR
Shirley H. Lee, CRNP-FNP, MPH, is Co-Founder and Vice President of Clinical Strategy at Preveta, an AI-powered care navigation platform focused on oncology and specialty care. She is a family nurse practitioner and healthcare leader with extensive experience in urology, oncology, chronic care management, patient navigation, and value-based care. Her work focuses on developing clinical workflows and technology-enabled care models designed to identify gaps in care, improve patient engagement, and help practices deliver timely, coordinated treatment.
Prior to focusing on Preveta, Lee held clinical and program leadership roles in large urology practices, including work with Unio Specialty Care, Genesis Healthcare Partners, and Skyline Urology. She has led chronic care management and oncology care initiatives and has particular expertise in prostate cancer navigation, clinical pathways, and improving outcomes through longitudinal care coordination.
Lee earned her graduate nursing education from the Johns Hopkins University School of Nursing and a Master of Public Health from the Johns Hopkins Bloomberg School of Public Health.
