Mary Luvisi, KY Regional Extension Center (UKHC)

Pam Temple, Kentucky Cancer Program, Louisville

Stacy Crum- Passport Health Plan by Molina Health Care

Lori Beth with Friend for Life Cancer Support Network...

Elizabeth Anderson-Hoagland, KY Dept for Public Health

Shaun Orme, Executive Advisor, Department of Insurance.

Tom Hagan, VA Medical

Angela Combs, KCP-East

Ashley, Nurse Navigator for Owensboro Health

Angie Parker, KY Medicaid

Jennifer Redmond Knight, Kentucky Cancer Consortium, University of Kentucky, College of Public Health, KY LEADS Collaborative

Khadijah Wallace, KCP East

Angie Timmons, KCP-West

If you have just joined us, please take the poll and let us know who you are in the chat!

Sarah Minton, VA Medical

Lisa Sanders, Passport plan by Molina Healthcare

Elizabeth Holtsclaw, ACS

Teran Herthel, Anthem Medicaid

Wynona Padgett, Kentucky Cancer Program-East

If you have just joined us, please take the poll and let us know who you are in the chat!

Mindy Rogers, Kentucky Cancer Program, Markey Cancer Center

Audrey Darville, UK College of Nursing

Diane Corsey, Passport by Molina Healthcare

Where there are “flags!”

Rudy Bess - Hope Light

Mischelle Dukes, Anthem Medicaid

Jamie Studts, University of Colorado Cancer Center (formerly UK Markey Cancer Center and UofL Brown Cancer Center)

Pam Hull, UK Markey Cancer Center

If you have just joined us, please take the poll and let us know who you are in the chat!

Sarojini Kanotra, KY Department for Public Health

Melissa Karrer, Kentucky CancerLink

Ellen Cartmell, Tobacco Prevention & Cessation Program (DPH)

Tim Laugh

Scott Kindred - Stages Lung Cancer Support Community

April Thomas KDPH

Tim Laugh, Owensboro Health, Mitchell Memorial Cancer Center

Angela Criswell, GO2 for Lung Cancer

growing our tobacco treatment program to include teen smoking cessation

What is something you have been doing re: Lung cancer Screening? Or what is something new you have recently learned about lung cancer screening?

Shaina Board Anthem Community Relations Rep II

Teresa Davis Ky Department for Public Health

Recently held a large event at our HealthPark including the Lung Better Breathers Club / support group where we had several informational tables and a large blow-up lung to teach individuals

still some small logistics here to work out

Radon maps by county and a newly added STATEWIDE radon map! https://breathe.uky.edu/radon/radon-data-county-and-statewide

Supporting the National Cancer Screen Week that is taking place from December 5th-9th. https://www.cancerscreenweek.org/resources.html

Who is the contact to have the lung come to your area?

Working in Missouri and Illinois to establish Lung Cancer Roundtables...

The Kentucky LEADS Collaborative has been thinking a great deal about Equitable Implementation of Lung Cancer Screening and offering a program to enhance equity in Kentucky

We participated in lung cancer screening day on November 12th.We are also about to start a research study that involves genetic testing for patients at high risk for developing lung cancer.

MEGALungs Contact: Amy SteinkuhlRegional Cancer Control Specialist- Bluegrass West ADDCancer Survivorship Program Coordinator859-608-9021amy@uky.edu

Partnering with community stakeholders to implement local evidence-based practices addressing tobacco use and cessation resources; knowledge of screening recommendations; youth-focused education; utilizing Mega Lung to raise awareness on many facets of lung cancer and lung health.

National Lung Cancer Roundtable it coming up very soon!

Leigh Ann Holt, Kings Daughters Medical Center Lung Health Nurse Navigator Kings

I've learned that the Epic Medical Record is updating its tobacco history to be able to document historical tobacco use which will more accurately capture tobacco use for LCS eligibility.

Mega Lung contact: Kentucky Cancer Program - East, KCPEast@uky.edu or 859-323-9949

At GO2 for Lung Cancer, we recently hosted a webinar on leveraging mammography to increase lung cancer screening uptake among at-risk women. And we're also working to identify ways to leverage the recent passage of the PACT Act to increase lung cancer screening referral and uptake among eligible Veterans.

Is there any help for those who find they have too much radon in their home?

Glad to hear about the updated maps, Stacy!

When we first started the Lung Cancer Network, we realized that the conversation for lung cancer needed to include screening, tobacco treatment, secondhand smoke and radon. We also discuss the importance of lung cancer survivorship as well! This continues!

I tested my home with a free test. I forgot how I got the test. Does anyone have the website for ordering?

stacy.stanifer@uky.edu

If you have a library card for the libraries in Christian, Logan, Pulaski, or Rowan county you can borrow a continuous home radon monitor from the library for free. You may also check with your local health department. The state radon program typically has some available, but they have not yet received their funding from the EPA for the year so they are not available there, yet.

Thanks, Angela!

Thanks for the update on the PACT Act. That’s great to hear that it was passed to provide coverage for veterans for exposures during service.

https://www.youtube.com/watch?v=IEYMJxeLP50

Jack Hillard, Kentucky Cancer Foundation

Current eligibility: Age 50-77 (CMS) 50-80 (USPSTF) in fairly good health, Smoking history of 20 pack years (pack a day for 20 years) and continuing to smoke or have quit smoking within the past 15 years.

FYI, for those in the screening implementation arena...if you aren't yet aware, ACR has released revised LungRADS: https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/Lung-Rads

Thank you, Angela!

That link takes you to ACR's main LungRADS page...from there you can download the new assessment categories, a summary document outlining the changes, and view the brief presentations they are uploading to explain some of the key changes.

Research is still needed -and happening!

Elaine and Jennifer: can KCC collate a list of all the wonderful links being shared in the chat post-meeting?

Yes! We will share links

I'm sorry Jamie!

If you have any questions about the discussion thus far, please put them in the chat!

When do people get rescreened if their original scan is clear?

Every year…

Thanks

Until they are outside of eligibility criteria or are more than 15 years from quitting tobacco use.

I have another obligation but thank you for your time and work on this!

Not much could keep Jamie away from Lung Cancer Screening conversations…!

I was actually smiling at Jennifer's note about Jamie not being kept away from screening conversations!

I have to hop off for a little bit but will try to come back on.

I may have shared this before, but this study is illuminating "Assessment of Physician Priorities in Delivery of Preventive Care": https://pubmed.ncbi.nlm.nih.gov/32716515/

I have to drop off the meeting. Good to see you all!

Are we able to get a copy of these slides?

Yes, Sarah!

I'm not sure exactly how to work this question, but if we do our jobs well and the stars align and we have an increase in number of people getting screened, do we have the CT site capacity to handle more patients?

slides https://www.kycancerc.org/wp-content/uploads/sites/14/2022/11/KCC-Partner-LCS-KY-CAP-REVISION-11292022.pdf

Thank you!

what are the typical hours of operation for these centers? weekends?

To Elizabeth's question, I do think we need health systems to invest in scaling up overall program capacity as volumes grow--not just in equipment but in overall program resources including staffing. And lung cancer screening is definitely cost effective in comparison to treating late stage diagnoses, though for health systems themselves the reimbursement rates for the screening exam itself are low.

The 'conversation’ doesn't have to happen at the same time of the scan. Some additional capacity from scanners can be achieved by using 'after hours' time. The shared decision making, tobacco assessment and treatment and radon risk can happen anytime prior to the scan.

And don't forget that the shared decision-making encounter can be delivered via telehealth.

Kings Daughters Medical Center, Ashland KY. We have 5 locations available to patients for LDCT. Two in Ashland, 1 in Grayson, Prestonsburg and Portsmouth OH. We offer scans between 7am - 8pm Monday through Saturday. We are currently reporting 250-300 LDCT exams/month. Our annual exams are returning at around 50%. October we scanned 249 patients and out of 249, 108 were annuals. As of right now we have not had an issue with scheduling.

Thank you for sharing, Leigh Ann! This is very helpful to know!

Great example of the data we need LCS PROGRAMS to report! Wonderful job, Leigh Ann!

Is there a “Kentucky” video series on Lung Cancer specifics on educational, sharing resources? believe this could be helpful within rural Kentucky and beyond.

Please include questions in the chat! Or information to share!

To Scott's point, we need some KY stories like this one (a 2 minute video on a rural lung cancer screening patient in Alabama--it's great...take a moment to watch when you can): https://vimeo.com/739111694/35c0c9f572

I wish to make one clarifying point about Mobile LDCT, my comments today were about mobile in Kentucky. There are CT scanner deserts out there where a mobile solution is absolutely the best and only available option to deliver care.

Yes! It's coming up.

ElizabethA.Hoagland@ky.gov

If you have any questions for Elizabeth, please put them in the chat!

Elizabeth,

Can you restate the legislative mandate again for review?

HB 219

KRS 214.560 - KRS 214.564

https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/screening-resources/state-lung-cancer-screening

This isn't a zero sum game...its not as if Kentucky has lost ground! This is still incremental success that should be celebrated...and sustained...and exponentially increased.

Gotta run,,,Very informative meeting! Thanks....Rudy

https://nlcrt.org/lung-cancer-coalition-guide/

@Angela—the data is a little wonky though. The Kentucky data they used showed a decline in 2018, which is not real. Confused by that data.

https://www.kycancerc.org/wp-content/uploads/sites/14/2022/05/Lung-Network-Infographic-05122022.pdf

We need Dr. Tucker's message to be our morning wake up call each day, to inspire and start us out in the right frame of mind each day!

I think that the national rates of lung cancer screening should report the rates of uptake among both the historical eligibility criteria and the current criteria, so we can stratify and understand how we are doing in both categories until the new 50-20-15 has much more history.

KCF, ACS, Cancer Link - all working together on Strategies # 2 Communication

In mirrors.

LOL

Kentucky CancerLink Improving access - reducing barriers and patient navigation program

well-said Elizabeth W!

BREATHE has an updated FREE radon CE available for CME, CPHCE, CHES, KBRC and CNE for educating health professionals: https://www.cecentral.com/node/1781

KHC - bits and pieces of each of these areas, very exciting work of the KHC and it's membership!

On behalf of the Ky Tobacco Prevention and Cessation Program - we have been able to increase state capacity for cessation, not only with QuitNowKentucky but also TTS, Freedom From Smoking facilitators, and youth cessation options

KCP implements many of these strategies.

BREATHE should brag a bit about the increase in comprehensive smoke-free ordinances this years as well. A study from Lexington showed that comprehensive smoke-free policy reduces rates of lung cancer.

ACS continues to lead around that health professional education- we lead the Nat'l lung cancer round table, are continuing our lung cancer biomarker ECHO trainings in states (KY did it last year), incorporating it into other ECHO and learning collaboratives. Additionally ACS staff continue to be leaders in development and leadership of roundtables in states such as our friends in Mississippi. Next year KY will be joining NC, SC, VA in providing cancer learning collaboratives for various cancer screenings and hpv vaccination

Stages community focuses #2, State local support, local coordination with other communities/health systems.

Couldn't agree more, Debbie. So important. ❤️

Thank you, Elizabeth. BREATHE has also recently updated the KY Smoke-free ordinance database: https://breathe.uky.edu/tobacco-policy/smoke-free-communities/Kentucky-Smoke-free-Ordinance-Database

Yay! Thank you.

https://redcap.uky.edu/redcap/surveys/?s=KHHDKXEMCLW3797D

Amanda.Beckett@uky.edu

Elaine.Russell@uky.edu

https://www.kycancerc.org/wp-content/uploads/sites/14/2022/11/KCC-Partner-LCS-KY-CAP-REVISION-11292022.pdf

KCC MeetingDecember 8, 2022 | 12:00 pm – 2:00 pm ESTRegister here: https://redcap.uky.edu/redcap/surveys/?s=4WMRCCX4DXDKM4NPKCC Wellness Through Cancer Digital Storytelling ScreeningDecember 15, 2022 | 9:00 am – 11:00 am ESTRegister here: https://uky.zoom.us/meeting/register/tZMtdO-pqzkuGdSAYhWk8symAco53KNMgM3q

We will work on stuff for Dec 8th!

The relationship between cannabinoid use and lung cancer risk is complicated and unclear.

Further complicated by edibles that would not be related.

Complicated indeed

Dr. Shanna Babbalonis

At UK

thank you Jamie

Yes, Elaine is going to meet with Dr. Babbalonis to learn more about the new Cannabis Research Center funded by the state that she is leading to learn more about what they are working on and insights related to cancer. So she could be a potential future speaker.

Thank you all! I've learned so much and thank you Jamie, for helping me think about mobile LCS from a different perspective.

As always Thanks

wonderful meeting!

thank you Jennifer