TABLE OF CONTENTS
- Background
- Project Planning
- Collaborative Measure
- Current State Analysis
- Key Drivers
- Additional Resources
Background
Lung cancer is the leading cause of cancer death in the U.S., and currently up to 90% of eligible patients do not receive a low-dose computed tomography (LDCT) scan. If lung cancer is caught before it spreads, the likelihood of surviving 5 years or more improves to 61%, but only 4.5% of those who are eligible were screened in 2022.
Overview
The Lung Cancer Screening Improvement Collaborative uses one measure and one metric to increase the utilization of lung cancer screening programs. Organizations define their eligible population, determine the percentage of patients they are serving, and work to increase screening volumes to increase the percentage served.
Cohort one's experience can be found in the November 2023: Value over Volume Focusing on the future of lung cancer screening.
Project Management Template
LCS Project Charter, A3, and Sustain Plan (Click Here to Download Project Set)
Project Planning
| Project Title | Improving Lung Cancer Screening Utilization at {Organization} |
| Global Aim | To improve early detection of lung cancer through screening. |
| Problem Statement | Our Lung Cancer Screening program is underutilized by patients possibly leading to missed opportunities for early cancer detection and management. |
| Potential Team Members | Radiologist with a thoracic imaging clinical focus Program navigator or coordinatorCT supervisor/manager or technologist Primary care leader/champion Patient scheduler |
Collaborative Measure
Measure Specification Documents | Percentage of LCS eligible patients with baseline or annual screening exam |
| Metric Specification Documents | Number of LCS eligible patients with baseline or annual screening exam |
SMART Goal | Increase the volume of Lung Cancer Screening exams from baseline to target by DATE. |
Data Submission | HUB: Lung Cancer Screening: Data Collection and Control Chart in the Learning Network Hub |
Current State Analysis
Use these Lung Cancer Screening Current State Analysis Questions to plan your Gemba walk. Observations should be recorded on a cause-and-effect or fishbone diagram and root causes prioritized in a pareto chart.
Lung Cancer Screening Current State Analysis Questions (Click Here to Download CSA Questions)
Key Drivers
The following are common key drivers seen over multiple cohorts. Each project will select Key Drivers, that may or may not be on this list, related to the root causes identified during the Current State Analysis.
Consistent and reliable data collection and reporting
Broaden methods to identify more LCS patients
Patients understand the value and process of LCS program
Providers understand the value and process of LCS program
Ensure accurate smoking history documentation
A simplified, standard process for ordering exams
Easy and effective scheduling
Patient centered availability and access to CT scanners
Clearly defined patient navigator roles and responsibilities
Additional Resources
ACR Curated Resources
Go2Foundation Program Descriptions
- Centralized programs https://go2foundation.org/wp-content/uploads/GO2-Centralized-Model_FINAL.pdf
- Decentral programs http://go2foundation.org/wp-content/uploads/GO2-Decentralized-Model_FINAL.pdf
- Hybrid model http://go2foundation.org/wp-content/uploads/GO2-Hybrid-Model_FINAL_.pdf
Pack Year Calculators
- Tool by “Should I screen”
Additional Resources
- The Lung Cancer Policy Network developed this report to highlight the wealth of research in the implementation of lung cancer screening, supported by a variety of global case studies. The report also provides four practical lessons that provide a blueprint for governments and other institutions to build their own targeted screening programs.
- The ACS NLCRT’s Resource Center offers the opportunity to identify, select and utilize key materials for furthering work in early detection, biomarkers and staging, and stigma and nihilism in the context of lung cancer.