ASPO Abstracts
Developing a Health System-Based Learning Community to Increase Lung Cancer Screening
Category: Early Detection & Risk Prediction
Conference Year: 2020
Abstract Body:
Purpose: The Centers for Medicare & Medicaid Services approved coverage of lung cancer screening in 2015, but
screening rates remain low, a problem that has especially unfortunate implications in populations experiencing lung
cancer disparities. In 2018, a large urban health system embraced the challenge of increasing screening in vulnerable
populations by launching the Lung Cancer Learning Community (LC2) Initiative.
Methods: Based on constructs drawn from the Interactive Systems Framework for Dissemination and Implementation
and the Collective Impact Model, health system personnel engaged patients, providers, organization leaders, and
community stakeholders to work toward achieve the following aims : 1) Develop a novel lung cancer screening outreach
program for diverse populations at increased risk for lung cancer, 2) Implement the outreach program to enhance
existing health system lung cancer screening activities, and 3) Evaluate outreach program implementation processes
and outcomes. Progress in infrastructure operationalization and aims achievement are presented here.
Results: We formed an infrastructure that includes 92 members and who serve on a Strategic Management Team
(SMT), Coordinating Team (CT), Steering Committee (CT), Patient and Stakeholder Advisory Committee (PASAC), a
Research and Evaluation Committee (REC), and a Policy Group (PG). Learning community members are working
together to develop and pilot test interventions intended to raise lung cancer screening rates in populations served by
the health system. Using a Consolidated Framework for Implementation Research-grounded approach, the learning
community developed a multi-level screening outreach strategy targeting primary care practices and patients to receive
a mailed and telephone Education, Assessment of eligibility, and Shared decision making Intervention (EASI). The
patient-level EASI strategy is being pilot tested in an institutional review board (IRB)-approved study that involves four
health system primary care practices and 2,500 patients identified through electronic health records as being current or
formers smokers and who are 50 to 80 years of age.
Conclusions: The learning community has developed a multi-level outreach intervention that targets primary care
practices and
Keywords: Lung cancer screening, health education, healthcare delivery