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Published byShon Edwin McCormick Modified over 9 years ago
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Suzanne Lenz Wendy Oliver Caitlyn MacGlaflin, Sarah McDougall, Melissa Friedman
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Suzanne Lenz and Wendy Oliver have no actual or potential conflict of interest in relation to this program or presentation.
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All patients will go through agreed upon process based on USPSTF recommendations. Informed decision making major part of the process.
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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
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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
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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
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33% Coordinator Time ◦ funded through June 30 by Cancer Center Existing “Resources” Utilized ◦ Interdisciplinary Thoracic Oncology Clinic ◦ CT Surgery ◦ Radiology ◦ Cancer Center
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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
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SAL CP order query D-H provider Outside provider Patient
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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
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Part 1 SAL Collect patient / provider / eligibility data Patient educational materials sent Inform providers: self referrals + program process +patient materials + order Part 2 Coordinator Pre Screen Confirm eligibility + medical / imaging history Informed decision making Address patient questions Schedule screening exam Part 2 After Screen Review Results Determine next steps for patient Results to patient + provider Arrange follow-up per provider preference
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Review statement with patient: “I understand that I am at increased risk to develop lung cancer and may benefit from screening for lung cancer with low-dose chest CT. I also understand that there are both potential benefits and harms to screening. I have had an opportunity to ask questions about the screening process. I agree to be screened with the reports sent to me and to my provider.”
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Part 3 Coordinator Pool Quality Measures Part 4 Coordinator Final check Immediate / near term follow up arranged All data logged for tracking + patient notifications
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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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