Stakeholder engagement to initiate lung cancer screening in an urban safety-net health system

Healthc (Amst). 2020 Mar;8(1):100370. doi: 10.1016/j.hjdsi.2019.100370. Epub 2019 Aug 31.


• Health systems, especially those caring for medically underserved populations, should consider a multi-level approach to patient and stakeholder engagement to advance adoption of population screening as guideline-based care.

• Iterative engagement should inform design and activation of an electronic order set to (1) capture socio-demographic data to establish screening eligibility, and (2) provide CMS-mandated documentation of patient counseling, while minimizing order burden for referring clinicians.

• Patients who most stand to benefit from guideline-based lung cancer screening may also be those least likely to complete the multi-step processes of screening.

Keywords: EHR; Lung cancer screening; Population-based program safety-net; Smoking cessation; Stakeholder engagement.

Publication types

  • Case Reports

MeSH terms

  • Early Detection of Cancer / methods
  • Female
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / psychology
  • Male
  • Mass Screening / methods*
  • Mass Screening / psychology
  • Mass Screening / trends
  • Middle Aged
  • Safety-net Providers / trends*
  • Stakeholder Participation / psychology*
  • Urban Population / statistics & numerical data
  • Urban Population / trends