This is an optimization pathway for lung cancer screening programs. Enrolled programs will undergo an audit for elements associated with improved quality and retention of patients in the screening process. A feedback report is delivered to identify priorities for process improvement.

Inclusion Criteria:

• Participants in Lung Cancer Screening Program, including physicians, nurses, administrators and other staff responsible for the conduct of the program.
• Willing to participate in the QUILS Index Assessment Survey process
• Willing to participate in the QUILS Audit Feedback presentations Willing to participate in formative evaluation interviews

Exclusion Criteria:

• Unwilling to participate in the QUILS Index Assessment Survey process
• Unwilling to participate in the QUILS Audit Feedback presentations
• Unwilling to participate in formative evaluation interviews