Development and Pilot Testing of a Clinical Informatics Lung Cancer Screening Intervention

Development and Pilot Testing of a Clinical Informatics Lung Cancer Screening Intervention

This study evaluates the feasibility of a clinical informatics system-based approach to lung cancer screening. Patients of a large academic medical center who may qualify for lung cancer screening will be sent an electronic invitation to complete an online lung cancer screening decision aid.

The Center for Medicaid and Medicare Services (CMS) recently approved the use of low-dose chest CT scans for lung cancer screening in patients who meet specific criteria. However, many individuals who meet these criteria do not realize they qualify for screening. This study will determine the feasibility of using a clinical informatics approach to systematically identify potential candidates for LDCT screening, reach out to them via the patient portal, and use a web app to provide them with a personalized LDCT screening decision aid and facilitate the ordering of screening tests.

Inclusion Criteria:

• Has an active patient portal account
• Scheduled to see a Wake Forest primary care provider within the next 4 weeks

Exclusion Criteria:

• Never smokers
• Current or former history of lung cancer
• Receipt of chest CT scan within last 12 months
• Need for a language interpreter
• Presence of disease predicting short life-expectancy