Reducing Operative Complications from Kidney Stones (ROCKS)

Decreasing Emergency Department visits following Kidney Stone Surgery

What is MUSIC ROCKS?

Kidney Stones are small, hard deposits that form in the kidney and can often be painful for a person to pass. Two common treatment options are shockwave lithotripsy (SWL) and ureteroscopy (URS). In SWL procedures, shock waves are used to break up the stone. In URS, the stone is removed in an out-patient procedure.

With kidney stone incidences on the rise affecting both men and women, MUSIC created a program specifically focused on Reducing Operative Complications from Kidney Stones (ROCKS). The mission of MUSIC ROCKS is to make Michigan the best place in the world for comprehensive kidney stone care.  The focus of this initiative is on improving the quality of care for kidney stone patients, particularly decreasing modifiable Emergency Department visits following surgery, specifically ureteroscopy (URS) and shockwave lithotripsy (SWL).

What is MUSIC ROCKS working toward?

We are currently focused on strategies for decreasing complications and avoiding ED visits and hospitalization following a URS. Our quality improvement efforts include the following:

•   Improving patient education           •   Enhancing medical management

•   Better stent management               •   Increasing physician availability to improve patient engagement

More than 150 urologists are contributing data to ROCKS, we are making substantive progress on all of the above with the commitment of MUSIC urologists from across the state.

For a patient educational pamphlet on stent placement and removal, please click on the link below. This educational patient pamphlet is also available in MUSIC urologists’ offices.

Download Ureteral Stent Leaflet

Download Ureteral Stent Leaflet (EMR friendly)

For a patient educational document on what to expect and how to manage pain and urinary symptoms following ureteroscopy, please click on the link below. This educational patient document was developed in accordance with the MUSIC ROCKS Pain Optimization Pathway (POP) and is also available in MUSIC urologists’ offices.

Download Managing Pain and Urinary Symptoms Following Ureteroscopy Brochure

For patient educational documents on managing pain and what to expect after stent placement, please click on the link below. These educational patient documents are available for nationwide use.

Nationwide Patient Educational Materials

For a patient educational document about the importance of imaging after kidney stone surgery, please click the link below.

Download Importance of Imaging After Kidney Stone Surgery Brochure

For a patient educational video about managing pain and what to expect after stent placement, please click on the link below.

Watch “Ureteral Stent: What You Need to Know” Video

The purpose of this document is to ensure a standardized method for covering all relevant patient education material following kidney stone surgery. It is designed to be used as a checklist for educators while covering the key points within the accompanying ROCKS educational resources: Managing Pain and Urinary Symptoms following URS, Ureteral Stents: What to expect and how to manage.

Download ROCKS Patient Education Packet

For a physician resource on medication guidance recommendations intra- and postoperatively for patients undergoing a ureteroscopy, please click on the link below.

Download ROCKS Placard

For a physician resource that provides guidance related to stent placement or omission for a target population (derived from the findings of the MUSIC ROCKS Stent Panel), please click on the link below.

Download Stent Omission Appropriateness Criteria: Physician Placard

For a physician resource that provides guidance related to stent placement or omission for a number of clinical scenarios (derived from the findings of the MUSIC ROCKS Stent Panel), please click on the link below.

Download Stent Omission Appropriateness Criteria: Clinical Scenarios

If you have further questions or concerns regarding MUSIC ROCKS, please contact the MUSIC Coordinating Center at 855.456.2035 or musicurology@umich.edu.