Julianna M. Czum MD, Presenter: Consultant, M2S, Inc

William C. Black MD, Abstract Co-Author: Nothing to Disclose

Cherie P Erkmen MD, Abstract Co-Author: Nothing to Disclose

1. An ideal lung cancer screening program (LCSP): is easily accessible, fair, safe, affordable, understandable and efficacious for patients; provides clear, accurate and timely results and meaningful recommendations for providers; emphasizes primary prevention/smoking cessation and facilitates education, research and continuous quality improvement. 2. Recognizing that each institution will develop a best-fit LCSP for its needs/priorities, program architects should prepare a comprehensive blueprint including cornerstone values, clinical pathway, shared decision making, financial plan, timetable, and resource assessment to muster support from institutional leadership and the community.          

Background: NLST/USPSTF Identifying institutional values Stakeholders/ multidisciplinary team Key personnel/ program coordinator Defining screening population Screening timing/duration Program rollout: informational brochures/outreach Community stewardship: education/ethical media strategy Primary prevention/smoking cessation Shared decision making CQI/safety: database CT technical standards Volumetric nodule analysis Reporting standards: LUNG-RADS Results notification/tracking Management algorithms for positive CT findings Clinical pathway Population research: registry Financial solvency: pricing/reimbursement  

http://abstract.rsna.org/uploads/2014/14003687/14003687_slwd.pdf

Czum, J, Black, W, Erkmen, C, Build it Right: Tools and Instructions for Assembling a Lung Cancer Screening Program.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003687.html