@article{95a3a0ac3545470e81c701043d0fc070,
title = "Stakeholder engagement to initiate lung cancer screening in an urban safety-net health system",
abstract = "• Health systems, especially those caring for medically underserved populations, should consider a multi-level approach to patient and stakeholder engagement to advance adoption of population screening as guideline-based care. • Iterative engagement should inform design and activation of an electronic order set to (1) capture socio-demographic data to establish screening eligibility, and (2) provide CMS-mandated documentation of patient counseling, while minimizing order burden for referring clinicians. • Patients who most stand to benefit from guideline-based lung cancer screening may also be those least likely to complete the multi-step processes of screening.",
keywords = "EHR, Lung cancer screening, Population-based program safety-net, Smoking cessation, Stakeholder engagement",
author = "Lee, {Simon J.Craddock} and Hamann, {Heidi A.} and Travis Browning and Santini, {Noel O.} and Suhny Abbara and Balis, {David S.} and Hsienchang Chiu and Moran, {Brett A.} and Molly McGuire and Gerber, {David E.}",
note = "Funding Information: The [ORGANIZATION]-[ACADEMIC] Population-based Research Optimizing Screening through Personalized Regiments (PROSPR) Center supported by a National Institutes of Health grant (U54CA163308) and the Predicting Diabetes Risk Using Glucose Data NIDDK grant award (K23DK104065). Available information included basic demographics, smoking rates, adherence to other cancer screening modalities, and census-based income and education level by zip code. In discussions with the Ambulatory Adult Medicine director (N.O.S.), we leveraged physician communication channels between 12 lead physicians and their respective physician teams in each primary care setting. Subsequently, we conducted meetings at each site to describe screening guidelines, screening referral and follow-up pathways, and to answer questions about the process across theParkland system. We activated the order set system-wide in April 2017, with plans to provide periodic referral rates and other program updates to lead physicians and through the primary care quarterly forum meeting. Table 3 Funding Information: Supported by the Cancer Prevention and Research Institute of Texas (CPRIT; RP160030 to DEG, HAH, and SCL) and by a National Cancer Institute Midcareer Investigator Award in Patient-Oriented Research ( NCI; K24CA201543-01 ; to DEG). Additional support was received through the Harold C. Simmons Comprehensive Cancer Center (NCI; 5P30 CA142543 ) and the UT Southwestern Center for Patient-centered Outcomes Research (AHRQ; R24 HS022418 ). ",
year = "2020",
month = mar,
doi = "10.1016/j.hjdsi.2019.100370",
language = "English (US)",
volume = "8",
journal = "Healthcare",
issn = "2213-0764",
publisher = "Elsevier BV",
number = "1",
}