Burgess, Nicole M, BS

Greenberg, Grant M, M.D., M.H.S.A., M.A.

Johnson, Melanie B, MPA

Re\u27em, Hadar

Shaak, Kyle, BS

Sperrazza, Frank, DO

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Department of Family Medicine Piloting of a Centralized Primary Care-Based Outreach Model to Increase Lung Cancer Screening – 9-month Interim Results Melanie B. Johnson MPA Lehigh Valley Health Network, Melanie_B.Johnson@lvhn.org Frank Sperrazza DO Lehigh Valley Health Network, Frank_A.Sperrazza@lvhn.org Kyle Shaak BS Lehigh Valley Health Network, Kyle.Shaak@lvhn.org Nicole M. Burgess BS Lehigh Valley Health Network, Nicole.Burgess@lvhn.org Hadar Re'em Lehigh Valley Health Network, Hadar.Reem@lvhn.org See next page for additional authors Follow this and additional works at: https://scholarlyworks.lvhn.org/family-medicine Published In/Presented At Johnson, J. B., Sperrazza, F. Shaak, K. Burgess, N. Re'em, H. Greenberg, G. (2019, December 9). Piloting of a Centralized Primary Care-Based Outreach Model to Increase Lung Cancer Screening – 9-month Interim Results. Poster Presented at: American Cancer Society National Lung Cancer Roundtable, Washington DC. This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. Authors Melanie B. Johnson MPA; Frank Sperrazza DO; Kyle Shaak BS; Nicole M. Burgess BS; Hadar Re'em; and Grant M. Greenberg M.D., M.H.S.A., M.A. This poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/family-medicine/638 © 2019 Lehigh Valley Health NetworkLVHN.orgPROGRAM EVALUATION•  A clinician survey was conducted to measure behaviors, process and guideline adherence of pilot and non-pilot providers. In assessing the pilot program, the vast majority (n = 12, 85%) either responded agreed or strongly agreed that: w  the pilot program helped facilitate conversations with patients around lung cancer screening w  identify patients eligible for screening, and  w  educate patients through outreach provided by the  patient navigator. INTRODUCTION•  Development of a standard process in an outpatient, primary care setting that supports the US Preventive Services Task Force Lung Cancer Screening guidelines remains elusive. •  Current electronic medical record systems are limited and inconsistent in their ability to correctly identify eligible patients, specifically around patient smoking status and pack-year history. •  Comprehensive program development requires the testing of multifactorial solutions, from proper patient identification to implementing the required shared decision-making (SDM) to navigating patients through the screening process. OBJECTIVE•  To pilot and evaluate a patient navigation workflow in 5 Family Medicine Practices incorporating mailed and telephone contacts to facilitate population identification, pre-visit outreach, eligibility verification, decision-support, and navigation services through screening completion. METHODSw  Current or former smokersw  Age 55–80w  Scheduled PCP visit in  21–26 daysw  No history of lung cancer  or other condition where aoutreach is inappropriatew  No screening, referral or chest ct in 12 monthsw  Introductory letterw  Educational  infographicw  Smoking cessation resourcesw  Decision aid– option gridw  Telephone contacts up to  5 callsw  Pack year calculationw  Screening eligibility verificationw  Screening process educationw  Introduction of shared decision-making and smoking cessation informationw  EHR staff memo routed  to clinician.w  Eligibility statusw  Pack year calculationw  Quit datew  Prompt to complete SDM at upcoming visitw  Order codes and instructionsEHR  POPULATION IDENTIFICATIONEDUCATIONAL  MAILINGOUTREACH CLINICIAN COMMUNICATIONPiloting of a Centralized Primary Care-Based Outreach Model to  Increase Lung Cancer Screening – 9-month Interim ResultsMelanie B. Johnson, MPA, Frank Sperrazza, DO, Kyle Shaak, MPH, Nicole Burgess, BS, Hadar Re’em, Grant Greenberg, MD, MHSA, MA Lehigh Valley Health Network, Allentown, PAThe LDCT screening completion rate for those with completed visits is 20.6% (n=161),  resulting in 6 confirmed new  lung cancer diagnoses. Of the 6 confirmed new lung cancer diagnoses, 5 were Stage I.Take a picture for more details.RESULTSEMR Identified  Population1112Mailing and  Telephone Outreach Population838(75.4% of  EMR identified  population)Completed PCP visit780 (93.1% of outreach population)Completed Shared Decision-Making399(51.2% of completed  visit population)Completed Screening161 (20.6% of completed  PCP visits)

Piloting of a Centralized Primary Care-Based Outreach Model to  Increase Lung Cancer Screening – 9-month Interim Results

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1649&context=family-medicine

Piloting of a Centralized Primary Care-Based Outreach Model to Increase Lung Cancer Screening – 9-month Interim Results

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Lehigh Valley Health Network: LVHN Scholarly Works