LCSR participants be sure you check out the two new LCSR measures to see how they can help you monitor program performance!
TABLE OF CONTENTS
- New Measures Available
- New Performance Improvement Reports
- Plan-Do-Study-Act Resources
- Seeking LCSR PI Project Early Adopters
New Measures Available
LCSR participants can now track the percentage of patients with a Lung-RADS® score of 1 or 2 who are returning for their annual screening exam. While the U.S. Preventive Services Task Force recommends annual lung cancer screening for eligible patients, the patient adherence rate for annual screening remains low.
In addition, LCSR facilities can also track the overall smoking cessation rate of patients enrolled in their lung cancer screening (LCS) programs to help determine if smoking cessation programs within the health system or local community are helping patients quit smoking.
These two new measures are included in both the interactive LCSR Facility Comparisons Report and the Quarterly Aggregate Report.
New Performance Improvement Reports
LCSR participants can now access performance improvement (PI) reports developed with guidance from the LCSR Quality Improvement and Education (QED) subcommittee, comprised of thoracic radiologists and LCS program administrators. The PI Analysis Report (a tab in the Facility Comparisons Report ) allows you to dive into performance details — by corporate account or individual facilities — for the three measures:
Adherence to annual screening.
Radiation exposure (CTDIvol).
Non-smoking rate (coming soon!).
You can use the report to help identify opportunities for improvement.
The new PI Assessment Report (also a tab in the Facility Comparisons Report) provides LCS programs that undertake an improvement initiative with insight into how interventions they employ result in improved performance. The report enables comparing performance data at baseline (before initiating improvement interventions) to post-intervention (after waiting for interventions to take effect) and monitoring if improvements are sustained over time.
Starting an improvement project can be challenging. To address start-up challenges, the QED subcommittee developed improvement tools and materials to help facilities proceed with improvement efforts. For each measure, these materials include a project rationale, instructions on reviewing data and guidance to implement interventions for improvement.