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IMPLEMENTING LUNG CANCER SCREENING AT D-H Current Methods. Suzanne Lenz Wendy Oliver Caitlyn MacGlaflin , Sarah McDougall, Melissa Friedman. DISCLOSURE. Suzanne Lenz and Wendy Oliver have no actual or potential conflict of interest in relation to this program or presentation. COMMITTEE GOALS.

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implementing lung cancer screening at d h current methods

IMPLEMENTING LUNG CANCER SCREENING AT D-HCurrent Methods

Suzanne Lenz

Wendy Oliver

Caitlyn MacGlaflin, Sarah McDougall, Melissa Friedman

disclosure
DISCLOSURE
  • Suzanne Lenz and Wendy Oliver have no actual or potential conflict of interest in relation to this program or presentation.
committee goals
COMMITTEE GOALS
  • All patients will go through agreed upon process based on USPSTF recommendations.
  • Informed decision making major part of the process.
committee goals before screening
COMMITTEE GOALSbefore screening
  • Correct exam /correct order
  • Patients meet all eligibility requirements
  • All patients participate in informed decision making
  • Educate referring providers on our process
    • Provide Clinic Profile and patient education materials
  • Keep providers informed
    • Patient “self refers”
    • Patient’s status within the process
  • Schedule screening exams in a timely manner
committee goals after screening
COMMITTEE GOALS after screening
  • Each screening result is reviewed by coordinator
  • Referring provider and patient receive results
  • Patient and provider receive and understand follow-up recommendations
  • Immediate or near term follow up recommendations are tracked and expedited
  • Quality measures are obtained
additional goals
ADDITIONAL GOALS
  • Offer and arrange smoking cessation counseling
    • For all patients – eligible or not
  • Inform patients of financial issues
  • Assist patients without a PCP or insurance
  • Educate / inform ineligible patients re: low risk
  • Determine patient interest in future research
  • Develop and maintain database
    • Patient data, tracking, quality measures/improvement
resources
RESOURCES
  • 33% Coordinator Time
    • funded through June 30 by Cancer Center
  • Existing “Resources” Utilized
    • Interdisciplinary Thoracic Oncology Clinic
    • CT Surgery
    • Radiology
    • Cancer Center
current methods
CURRENT METHODS
  • 4-Part Process
    • 7 page word document (text + drop down menus)
    • Shared on secure folder - Radiology I:Drive
  • Two “pools” or teams
    • Screening Access Line (SAL)
      • 3 staff members
    • Coordinator Pool (CP)
      • Currently 1 staff member
    • Communication via eDH In-Basket system
methods continued
METHODS CONTINUED
  • Source of Intake to Screening Process

1. eDH Workbench and Image Cast queries: CP

      • D-H providers
      • Can “catch” ordered and scheduled exams
      • Reviewed and routed to SAL

2. Outside or direct provider calls & referrals to SAL

3. Patient inquiry for self or family member to SAL

      • CP informs / communicates with D-H providers
      • SAL informs outside providers
future directions
FUTURE DIRECTIONS
  • Transfer process form to an eDH system
  • Track patients in eDH
    • Status during screening process
    • Follow up after screening
  • In conjunction with other disciplines, develop Lung Cancer Screening Registry
  • Process improvement