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Amy W Clary



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    P3.11 - Screening and Early Detection (Not CME Accredited Session) (ID 977)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
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      P3.11-05 - Use of Electronic Medical Record (EMR)-Embedded Clinical Decision Support Tools Improves Lung Cancer Screening Rates (ID 12384)

      12:00 - 13:30  |  Author(s): Amy W Clary

      • Abstract
      • Slides

      Background

      Atrium Health (AH) is a large, community-based healthcare system serving approximately 1.1 million primary care patients in the southeastern United States. In this region lung cancer incidence, death rates and rate of advanced stage of disease at diagnosis are among the highest in the nation. Previous work demonstrated that primary care providers in our region were not aware of lung cancer screening eligibility requirements. AH aimed to improve lung cancer outcomes for our patients by integrating new clinical decision support tools within our electronic medical record (EMR) to increase referral rates to our lung cancer screening program.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      We collaborated with the AH Information and Analytics Services team to embed new clinical decision support tools within the EMR simplifying identification of patients eligible for lung cancer screening. We first revised the smoking history section of the EMR with data fields to record the number of years a patient smoked, the average packs consumed per day and the specific quit date for former smokers. A health maintenance alert (HMA) was then designed which would appear in a conspicuous location in the charts of patients aged 55 to 77 with a 30 pack/year smoking history who were active smokers or former smokers with quit dates within the last 15 years.

      4c3880bb027f159e801041b1021e88e8 Result

      Since integration of the clinical decison support tools into the EMR, over 22,000 patients in our system who meet eligibility criteria have been identified. Lung cancer screening referrals in the first quarter of 2018 increased by almost 500% compared to quarter 1 2017.

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      8eea62084ca7e541d918e823422bd82e Conclusion

      Clinical decision support tools embedded into the EMR have increased lung cancer screening rates among AH patients.

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