LCA NATIONAL FRAMEWORK OF EXCELLENCE IN LUNG CANCER...
Transcript of LCA NATIONAL FRAMEWORK OF EXCELLENCE IN LUNG CANCER...
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
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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