Michael Hanley MD, Presenter: Nothing to Disclose

Genevieve G. Easley BS, Abstract Co-Author: Nothing to Disclose

Cree Michael Gaskin MD, Abstract Co-Author: Author with royalties, Oxford University Press Author with royalties, Thieme Medical Publishers, Inc

Arun Krishnaraj MD, MPH, Abstract Co-Author: Nothing to Disclose

Juliana Marcela Bueno MD, Abstract Co-Author: Co-author, Oxford University Press

Juan Miguel Olazagasti MD, Abstract Co-Author: Nothing to Disclose

As Lung Cancer Screening with annual low dose CT becomes more common, the challenge will rest with ensuring studies are performed and interpreted at the highest standards and that patients are not lost to follow-up. Using your existing EMR can provide the structure and support needed to separate your facility from just being able to offer a low dose Chest CT to offering a Comprehensive Lung Cancer Screening Program.

Most Health Systems in the United States now offer a low dose CT scan for lung cancer screening and many are in the process of developing screening programs. While many Health Systems have the technology to conduct the low dose CT, most lack the infrastructure to offer a comprehensive screening program. We anticipate the future of Lung Cancer Screening Programs to parallel the current practice of screening mammography for breast cancer. With anticipated regulation and/or guidelines we have set out to use our existing Electronic Medical Record (EMR) to assist in the management of patients eligible and those subsequently enrolled in Lung Cancer Screening.  

In order to facilitate our Lung Cancer Screening Program we were able to make minor modifications in our existing EMR and tasked it with the following: Identify - Identify patients within our EMR who are eligible and notify the patient’s PCP.   Record - Record CT scan results and follow-up recommendations.   Follow-up - Remind both the PCP and the patient of their yearly screening CT. Identify patients who are not adhering to recommendations and allow our coordinator to initiate contact.   Quality Assurance - Ability to audit CT reports to ensure recommendation are consistent with national guidelines and that individual readers are falling within expected guidelines.  

The use of our existing EMR to administer our Lung Cancer Screening Program had many benefits when compared to a stand-alone program. By expanding existing pathways for PCP notification we were able to get immediate support. We received feedback from PCPs and were able to modify workflow in a way that improved patient care and did not put excess burden on the health system.

Hanley, M, Easley, G, Gaskin, C, Krishnaraj, A, Bueno, J, Olazagasti, J, How to Leverage Electronic Medical Record to Administer a Lung Cancer Screening Program.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14045703.html