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IMPLEMENTING LUNG CANCER SCREENING AT D-H Current Methods

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

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  1. IMPLEMENTING LUNG CANCER SCREENING AT D-HCurrent Methods Suzanne Lenz Wendy Oliver Caitlyn MacGlaflin, Sarah McDougall, Melissa Friedman

  2. DISCLOSURE • Suzanne Lenz and Wendy Oliver have no actual or potential conflict of interest in relation to this program or presentation.

  3. COMMITTEE GOALS • All patients will go through agreed upon process based on USPSTF recommendations. • Informed decision making major part of the process.

  4. 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

  5. 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

  6. 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

  7. RESOURCES • 33% Coordinator Time • funded through June 30 by Cancer Center • Existing “Resources” Utilized • Interdisciplinary Thoracic Oncology Clinic • CT Surgery • Radiology • Cancer Center

  8. 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

  9. All referrals/requests routed to SAL for intake and process initiation

  10. 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

  11. 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

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