March 06, 2023

New Tools for Lung Cancer Screening

The ACR Lung Cancer Screening Registry (LCSR®) helps clinicians monitor and demonstrate the quality of CT lung cancer screenings in their practice through periodic feedback reports that include peer and registry benchmarks. Now there are new measures and tools available to help you improve patient care and maximize your LCSR participation.

New LCSR Measures

Have you checked out the two new LCSR measures? 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 Facility Comparisons Report and the LCSR 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 dive into performance details — by corporate account or individual facilities — for three measures:

  • Adherence to annual screening.
  • Radiation exposure (CTDIvol).
  • Non-smoking rate.

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 (prior to initiating improvement interventions) to post-intervention (after waiting for interventions to take effect) and monitoring if improvements are sustained over time.

Read more about the PI Analysis Report and the PI Assessment Report for the improving adherence to annual screening and achieving appropriate radiation dose.

Plan-Do-Study-Act Resources

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.

How can you learn more? Read the Knowledge Base article in the NRDR Support Portal: LCSR Performance Improvement Overview.
The QED subcommittee is seeking LCSR facilities to pilot the new PI reports to obtain feedback and showcase improvement results and lessons learned in ACR communications.

Increase Your LCSR Report Savvy

Updated videos are now available to help you navigate the LCSR interactive reports. The four videos cover:

  1. Facility Peer Comparisons: Interpret summary and facility metrics, and gain insight about peer comparisons.
  2. Annual Trends: Understand the annual rankings table and drill down to measure trends.
  3. Measure Calculations: Gain an overview of measure calculations with several examples.
  4. Peer Rankings: Learn how quartiles are calculated and used for peer rankings.