• KY LEADS: Implementation of Quality Lung Cancer Screening
  • Study Training Modules
    • Faculty Information
    • Pre-test
    • For Radiologists
    • For Lung Cancer Screening Program Team
    • Post-test
  • Lung Cancer Screening Program Resource Library
    • 1. Development & Planning
    • 2. Program Management
    • 3. Operational Resources
    • 4. Patient Education Materials

Operational Resources :

Executive Summary:

This section serves as a repository of instruments to support you in your LC Screening program including: sample workflows, shared decision aids, information on responsible marketing, and much more. Understanding that each LC Screening Program is unique we have included multiple recommended guides and tools for you to select based on your preference.

Intake Risk Assessment

• KY LEADS: Lung Cancer Screening Questionnaire, Sample Intake Form
  • Adapted from Lahey Hospital and Medical Center- “Lung Cancer Screening Questionnaire” Revision 8, dated 4 Mar 2013.
• Markey Cancer Center, Intake Risk Assessment
  • Designed adaptation of MCC’s intake form- all intake data is captured electronically.

Job Descriptions

• UK Screening Navigator Coordinator Job Description

LDCT Lung Screening Program Process Flow

• KY LEADS Lung Cancer Screening Process Flow
• The Advisory Board Company: Oncology Roundtable, Oncology Hematology Care LC Screening Process Flow Chart
• Owensboro Health, EPIC: Lung Cancer Screening Group Process Flow
  • Judy Strobel, Owensboro Health

LDCT Order Forms

• KY LEADS LDCT Lung Cancer Screening Order Form
• UK Lung Cancer Screening Program, LDCT Order Form

Sample Letters and Patient Handouts

• UK Lung Cancer Screening Program, Patient Letter Template
• Owensboro Health LCSP Letter to PCP Abnormal Results Not Nodule
• Owensboro Health LCSP Normal Screening Letter
• Owensboro Health LCSP PT Letter Abnormal Not Nodule
• Owensboro Health LCSP PT Reminder Letter Next Appointment
• Owensboro Healthldct LCSP Whats Next? Your CT Lung Scan Results

Marketing Resources

• KY LEADS: Best Practices for Socially Responsible Lung Cancer Screening Marketing and Communication Strategies
• KY LEADS: Prescription for Lung Cancer Screening CT Scan
  • Reference: The Advisory Board Company, PPT file template- LC Screening Template (web)
• The Advisory Board Company: Oncology Roundtable, How to Get the Word Out and the Patients In
• The Advisory Board Company: Oncology Roundtable, Making the Case for LC Screening
• The Advisory Board Company: Oncology Roundtable, Lung Cancer Screening Marketing Resources
• Marketing and Communication Strategies in Developing a Lung Cancer Screening Program
• Fitzhugh, H. Lung Cancer Alliance Screening and Care Conference (2016). Marketing and Communication Strategies in Developing a Lung Cancer Screening Program.
• Terminate Lung Cancer Marketing Examples
• Terminate Lung Cancer Marketing Example 1
• Terminate Lung Cancer Marketing Example 2
• Terminate Lung Cancer Marketing Example 3
• Terminate Lung Cancer Marketing Example 4
• Terminate Lung Cancer Marketing Example 5
• Terminate Lung Cancer Marketing Example 6
• Terminate Lung Cancer Marketing Example 7
• The Terminate Lung Cancer (TLC) project is dedicated to reducing lung cancer deaths in Kentucky, a state with the highest cancer death rates in the US, through responsible and sensitive messages about screening.
  Project Principal Investigators:
  • Dr. Roberto Cardarelli (Principal Investigator), Professor & Chief, University of Kentucky College of Medicine/ Department of Family & Community Medicine/ Division of Community Medicine
  • David Reese, MA, MPH, FRSPH (Co-Principal Investigator), Research Director, Appalachian Osteopathic Postgraduate Training Institute Consortium
  For more information on the Terminate Lung Cancer project please contact: terminatelungcancer@uky.edu

Motivational Interviewing for Smoking Cessation

• The Advisory Board Company, Nursing Executive Center, Motivational Interviewing 101
• Decisional Balance Worksheet

PCP Education

• Agency for Healthcare Research and Quality, Lung Cancer Screening: A Summary Guide for Primary Care Clinicians, Lung Cancer Screening with Low-Dose Computed Tomography (LDCT)
  
  • Effective Health Care Program. Lung Cancer Screening: A Summary Guide for Primary Care Clinicians. (AHRQ Publication No. 16-EHC007-10). Rockville, MD: Agency for Healthcare Research and Quality; March 2016.
• American Lung Association, Lung Force, Providing Guidance on Lung Cancer Screening to Patients and Physicians
• American Lung Association, Lung Force, "Should My Patient Be Screened for Lung Cancer"
• Case Western Reserve University Readiness Ruler
  
  • Used with permission from: Center for Evidence-Based Practices at Case Western Reserve University (2010). “Readiness Ruler.” Cleveland, Ohio: Case Western Reserve University. A free PDF is available: http://www.centerforebp.case.edu/resources/tools/readiness-ruler
• NCI, NLST Overview for Patients & Physicians
  
  • NCI, NLST Overview for Patients & Physicians. https://www.cancer.gov/types/lung/research/
    NLSTstudyGuidePatientsPhysicians.pdf

Radiology Materials

• KY LEADS: Lung Cancer Screening Recommendations (KY Lung-RADS)
  • Developed by Dr. Michael Brooks, University of Kentucky
• KY LEADS: LC Screening Report Template
  • Developed by Dr. Michael Brooks, University of Kentucky
• American College of Radiology, ACR-STR Practice Parameter for the Performance and Reporting of Lung Cancer Screening Thoracic Computed Tomography (CT)
  • Information pulled from the American College of Radiology: https://www.acr.org/Quality-Safety/Resources/Lung-Imaging-Resources
• Recommended Lung Cancer Screening CT Protocols
  • Provided by Dr. Michael Brooks, University of Kentcuky. Information on protocols from the American Association of Physicists in Medicine (web).
• AAPM Lung Cancer Screening CT
  • To access the AAPM Lung Cancer Screening CT Protocol please click on the first adult protocol link ‘Lung Cancer Screening CT’. To view the PDF document, review and agree to the disclaimer message.
• Fleischner Society Pulmonary Nodule Recommendations (2017)
  • The Fleischner Society Pulmonary Nodule recommendations pertain to the follow-up and management of indeterminate pulmonary nodules detected incidentally on CT. The guidelines exclude patients aged 35 years or younger, patients with known malignancy, immunocompromised patients, and the lung cancer screening population. The lung cancer screening population are on active screening due to a high-risk for lung cancer development, usually current and former smokers, and therefore, should have their scans reported accordingly to Lung-RADS.

Reimbursement

• The Advisory Board Company: Oncology Roundtable, Lung Cancer Screening Reimbusement Primer
  • Please note that the code S8032 is no longer in use.
• ACR, Low-Dose CT Lung Cancer Screening
• Lung Cancer Screening Billing and Coding
  • Angela Criswell, MA, Senior Manager of Medical Outreach, Lung Cancer Alliance

Shared Decision Making

• Impact of a Lung Cancer Screening Counseling and Shared Decision-Making Visit
  • Mazzone, P., Tenenbaum, A., Seeley, M., Peterson, H., Lyon, C., Han, X., and Wang, X. (2017). Impact of a Lung Cancer Screening Counseling and Shared Decision-Making Visit. 151 (3): 572-578.
• KY LEADS Lung Cancer Screening Decision Aid
  
  • Developed by the Provider Education Component of the Kentucky LEADS Collaborative
• AHRQ, Lung Cancer Screening CLIN Checklist
  
  • Effective Health Care Program. Lung Cancer Screening: A Clinician’s Checklist. (AHRQ Publication No. 16-EHC007-11). Rockville, MD: Agency for Healthcare Research and Quality; March 2016.
• AHRQ Lung Cancer Screening Patient Education
  
  • Effective Health Care Program. Is Lung Cancer Screening Right for Me? A decision aid for people considering lung cancer screening with low-dose computed tomography. (AHRQ Publication No. 16-EHC007-12-A). Rockville, MD: Agency for Healthcare Research and Quality; March 2016.
• AHRQ Lung Cancer Screening Decision Aid
  
  • Effective Health Care Program. Is Lung Cancer Screening Right for Me? A Decisionmaking Tool for You and Your Health Care Professional. (AHRQ Publication No. 16-EHC007-13-A). Rockville, MD: Agency for Healthcare Research and Quality; March 2016.
• ALA Decision Aid
  • American Lung Association, Is Lung Cancer Screening Right for Me?
• ATS Decision Aid
  • American Thoracic Society, Patient Education, Decision Aid for Lung Cancer Screening with Computerized Tomography (CT)
• Option Grid Lung Cancer Screening Decision Aid
  
  • Black W, Lenz S, Macglafin C, Erkmen C, Elwyn G (2014). Lung cancer screening: yes or no? Option Grid™ decision aid.
• NLST Study Guide for Patients & Physicians (NCI)
• Norris Cotton Cancer Center Decision Aid
  • Dartmouth-Hitchcock Norris Cotton Cancer Center, Helping you decide about Lung Cancer Screening
• USPSTF Decision Aid
  • United States Preventive Services Task Force, Understanding Task Force Recommendations, Screening for Lung Cancer
• NCCN Lung Cancer Screening Guidelines for Patients
  • National Comprehensive Cancer Network, Guidelines for Patients, Lung Cancer Screening, Version 1.2017