lca national framework of excellence in lung cancer...
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LCA NATIONAL FRAMEWORK OF EXCELLENCE IN LUNG CANCER SCREENING AND CONTINUUM OF CARE
National Lung Cancer Roundtable
Washington, DC
December 10-11, 2018
Angela Criswell, MA
Senior Manager of Medical Outreach
WHO WE ARE
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LUNGCANCERALLIANCE.ORG
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SCREENING CENTER OF EXCELLENCE DESIGNATION
Requirements• Provide clear information on risks and benefits through shared decision-making
process.
• Comply with best published practices for controlling screening quality, radiation dose and diagnostic procedures.
• Work with a lung cancer multidisciplinary clinical team to carry out coordinated process for screening, follow up and treatment when appropriate.
• Include comprehensive cessation program for those still smoking or refer to comprehensive cessation programs.
• Report results to those screened and their primary care doctors and transmit requested copies in a timely manner.
• Have received or intend to receive designation as a lung cancer screening program through the American College of Radiology.
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WHY BECOME A SCREENING CENTER OF EXCELLENCE?• Inclusion in LCA’s online directory
• Access to private peer-to-peer online community to share best practices and challenges and learn from others
• Technical assistance and learning opportunities, including LCA Annual Screening and Care Conference
• Early access to practice and policy updates and other news of interest
• Participation in policy sign-on letters
• Opportunities to participate in research
• Exclusive marketing materials
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SCREENING CENTERS OF EXCELLENCE
6630+ screening centers, 42 states plus DC represented
PROCESS
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Interactive monitoring and ongoing relationship building
Screening Program expresses interest in Screening Center of
Excellence designation
Application and Attestation
submitted via online portal
Review, Follow-up Questions
Approval!
WHO IS HERDING THE CATS?
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38.30% 61.70%University/Academic Center Affiliated?
Yes No
ADDRESSING CMS REQUIREMENTS
0
20
40
60
80
100
120
140
PCP Screening TeamMember
Non-PCPReferring Provider
Other
Num
ber
of
Cente
rs
9
0
20
40
60
80
100
120
140
Quitline CounselingWithinFacility
PrintResources
CounselingOutsideFacility
OnlineResources
Other
Entity leading SDM
visits for Medicare
beneficiaries:
Cessation services
offered to current
smokers:
Multiple responses allowed. Multiple responses allowed.
N=165
SCOE REPORTED RESULTS: CY 2016
10
46% 62%
15%
8%17%
13%
12%8%
6% 6%
4% 4%
0%
20%
40%
60%
80%
100%
Cancers Found at Baseline Scan Cancers Found on Annual Scan
SCLC - Extensive
SCLC - Limited
NSCLC - Stage 4
NSCLC - Stage 3
NSCLC - Stage 2
NSCLC - Stage 1
N=529 cancers reported
SCOE REPORTED RESULTS: CY 2016
11
193
6374
50
2716
66
814
8 6 4
Stg. 1 NSCLC Stg 2 NSCLC Stg. 3 NSCLC Stg 4 NSCLC Limited SCLC Extensive SCLC
Nu
mb
er
of C
an
ce
rs D
iag
no
se
d
Cancers diagnosed after initial/baseline screening
Cancers diagnosed after annual screeing
N=120 respondents
IDENTIFIED BARRIERS
68%61%
58%
52%
41%
30%
6%0%
20%
40%
60%
80%
100%
Insurance/BillingIssues
Lack of patientawareness of
screeningavailability
Internal workflowchallenges
Provider referralbarriers
Staffing/timelimitations
Lack of patientinterest inscreening
Other
12
Multiple responses allowed
N=147
PERSISTENCE PAYS OFF
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“We’ve had to reinvent ourselves several times, as screening requirements, coverage, and the general environment has changed.”
--LCA Screening Center of Excellence member
