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KCC Lung Cancer Network Meeting - Shared screen with speaker view
Mary Luvisi
15:49
Mary Luvisi, KY Regional Extension Center (UKHC)
Pam Jennings
15:52
Pam Temple, Kentucky Cancer Program, Louisville
Stacy Crum Passport Health Plan
15:57
Stacy Crum- Passport Health Plan by Molina Health Care
Lori Beth
15:58
Lori Beth with Friend for Life Cancer Support Network...
Elizabeth Anderson-Hoagland
16:00
Elizabeth Anderson-Hoagland, KY Dept for Public Health
Shaun Orme
16:04
Shaun Orme, Executive Advisor, Department of Insurance.
Tom Hagan
16:05
Tom Hagan, VA Medical
Angela Combs-Kentucky Cancer Program-East
16:06
Angela Combs, KCP-East
Ashley Shemwell Owensboro Health Nurse Navigator
16:12
Ashley, Nurse Navigator for Owensboro Health
Angie Parker, KY Medicaid
16:12
Angie Parker, KY Medicaid
Jennifer Knight
16:25
Jennifer Redmond Knight, Kentucky Cancer Consortium, University of Kentucky, College of Public Health, KY LEADS Collaborative
Khadijah Wallace, Kentukcy Cancer Center East, Markey Cancer Cen
16:31
Khadijah Wallace, KCP East
Angie Timmons
16:35
Angie Timmons, KCP-West
Jennifer Knight
17:42
If you have just joined us, please take the poll and let us know who you are in the chat!
Sarah Minton
17:58
Sarah Minton, VA Medical
Lisa Sanders
18:00
Lisa Sanders, Passport plan by Molina Healthcare
Elizabeth Holtsclaw (she/her)
18:13
Elizabeth Holtsclaw, ACS
Teran Herthel-Anthem Medicaid
18:14
Teran Herthel, Anthem Medicaid
Wynona Padgett - KCP Lake Cumberland RCCS
18:25
Wynona Padgett, Kentucky Cancer Program-East
Jennifer Knight
18:25
If you have just joined us, please take the poll and let us know who you are in the chat!
Mindy Rogers
18:30
Mindy Rogers, Kentucky Cancer Program, Markey Cancer Center
Audrey Darville
18:30
Audrey Darville, UK College of Nursing
Diane Corsey
19:06
Diane Corsey, Passport by Molina Healthcare
Jennifer Knight
19:09
Where there are “flags!”
Rudy
19:12
Rudy Bess - Hope Light
Mischelle.Dukes@Anthem.com
19:18
Mischelle Dukes, Anthem Medicaid
Jamie L. Studts, PhD
19:25
Jamie Studts, University of Colorado Cancer Center (formerly UK Markey Cancer Center and UofL Brown Cancer Center)
Pamela Hull
19:31
Pam Hull, UK Markey Cancer Center
Jennifer Knight
19:45
If you have just joined us, please take the poll and let us know who you are in the chat!
sarojini.kanotra
20:27
Sarojini Kanotra, KY Department for Public Health
Melissa Karrer
20:38
Melissa Karrer, Kentucky CancerLink
Ellen Cartmell
20:40
Ellen Cartmell, Tobacco Prevention & Cessation Program (DPH)
Tim
21:33
Tim Laugh
Scott Kindred
21:36
Scott Kindred - Stages Lung Cancer Support Community
April Thomas
21:51
April Thomas KDPH
Tim
22:24
Tim Laugh, Owensboro Health, Mitchell Memorial Cancer Center
Angela Criswell
22:59
Angela Criswell, GO2 for Lung Cancer
Holly Logsdon
25:03
growing our tobacco treatment program to include teen smoking cessation
Jennifer Knight
25:09
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
25:35
Shaina Board Anthem Community Relations Rep II
Teresa Davis
25:45
Teresa Davis Ky Department for Public Health
Tim
26:16
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
Holly Logsdon
26:26
still some small logistics here to work out
Stacy Stanifer
26:35
Radon maps by county and a newly added STATEWIDE radon map! https://breathe.uky.edu/radon/radon-data-county-and-statewide
Marcia Luckett
27:48
Supporting the National Cancer Screen Week that is taking place from December 5th-9th. https://www.cancerscreenweek.org/resources.html
Mischelle.Dukes@Anthem.com
27:48
Who is the contact to have the lung come to your area?
Rudy
27:54
Working in Missouri and Illinois to establish Lung Cancer Roundtables...
Jamie L. Studts, PhD
29:11
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
Ashley Shemwell Owensboro Health Nurse Navigator
30:10
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.
Claire Miller
30:27
MEGALungs Contact: Amy SteinkuhlRegional Cancer Control Specialist- Bluegrass West ADDCancer Survivorship Program Coordinator859-608-9021amy@uky.edu
Mindy Rogers
30:34
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.
Elizabeth Holtsclaw (she/her)
30:38
National Lung Cancer Roundtable it coming up very soon!
Leigh Ann Holt
31:07
Leigh Ann Holt, Kings Daughters Medical Center Lung Health Nurse Navigator Kings
Stacy Stanifer
32:59
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.
Mindy Rogers
33:48
Mega Lung contact: Kentucky Cancer Program - East, KCPEast@uky.edu or 859-323-9949
Angela Criswell
35:51
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.
Mischelle.Dukes@Anthem.com
37:36
Is there any help for those who find they have too much radon in their home?
Mindy Rogers
37:51
Glad to hear about the updated maps, Stacy!
Jennifer Knight
39:00
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!
Mischelle.Dukes@Anthem.com
40:17
I tested my home with a free test. I forgot how I got the test. Does anyone have the website for ordering?
Stacy Stanifer
42:26
stacy.stanifer@uky.edu
Stacy Stanifer
46:58
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.
Mindy Rogers
47:00
Thanks, Angela!
Pamela Hull
47:35
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.
Elizabeth Holtsclaw (she/her)
52:13
https://www.youtube.com/watch?v=IEYMJxeLP50
jack hillard
55:31
Jack Hillard, Kentucky Cancer Foundation
Jennifer Knight
56:45
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.
Angela Criswell
57:51
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
Jennifer Knight
58:28
Thank you, Angela!
Angela Criswell
59:03
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.
Jennifer Knight
01:00:00
Research is still needed -and happening!
Mindy Rogers
01:00:47
Elaine and Jennifer: can KCC collate a list of all the wonderful links being shared in the chat post-meeting?
Elaine Russell
01:01:38
Yes! We will share links
Elizabeth Anderson-Hoagland
01:02:07
I'm sorry Jamie!
Jennifer Knight
01:07:51
If you have any questions about the discussion thus far, please put them in the chat!
Mischelle.Dukes@Anthem.com
01:08:25
When do people get rescreened if their original scan is clear?
Tim Mullett
01:08:40
Every year…
Mischelle.Dukes@Anthem.com
01:08:50
Thanks
Tim Mullett
01:09:07
Until they are outside of eligibility criteria or are more than 15 years from quitting tobacco use.
Ellen Cartmell
01:09:29
I have another obligation but thank you for your time and work on this!
Jennifer Knight
01:09:45
Not much could keep Jamie away from Lung Cancer Screening conversations…!
Angela Criswell
01:11:06
I was actually smiling at Jennifer's note about Jamie not being kept away from screening conversations!
Pamela Hull
01:13:47
I have to hop off for a little bit but will try to come back on.
Angela Criswell
01:13:49
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/
Audrey Darville
01:14:04
I have to drop off the meeting. Good to see you all!
Sarah Minton
01:15:54
Are we able to get a copy of these slides?
Jennifer Knight
01:16:17
Yes, Sarah!
Elizabeth Anderson-Hoagland
01:18:09
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?
Elaine Russell
01:18:56
slides https://www.kycancerc.org/wp-content/uploads/sites/14/2022/11/KCC-Partner-LCS-KY-CAP-REVISION-11292022.pdf
Sarah Minton
01:19:18
Thank you!
Stacy Stanifer
01:21:07
what are the typical hours of operation for these centers? weekends?
Angela Criswell
01:23:01
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.
Tim Mullett
01:23:16
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.
Angela Criswell
01:24:22
And don't forget that the shared decision-making encounter can be delivered via telehealth.
Leigh Ann Holt
01:28:29
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.
Jennifer Knight
01:29:17
Thank you for sharing, Leigh Ann! This is very helpful to know!
Tim Mullett
01:29:18
Great example of the data we need LCS PROGRAMS to report! Wonderful job, Leigh Ann!
Scott Kindred (Stages)
01:29:48
Is there a “Kentucky” video series on Lung Cancer specifics on educational, sharing resources? believe this could be helpful within rural Kentucky and beyond.
Jennifer Knight
01:29:52
Please include questions in the chat! Or information to share!
Angela Criswell
01:33:47
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
Jamie L. Studts, PhD
01:36:22
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.
Elaine Russell
01:39:39
Yes! It's coming up.
Jennifer Knight
01:44:04
ElizabethA.Hoagland@ky.gov
Jennifer Knight
01:44:31
If you have any questions for Elizabeth, please put them in the chat!
Debbie Zuerner
01:44:58
Elizabeth,
Debbie Zuerner
01:45:16
Can you restate the legislative mandate again for review?
Elizabeth Anderson-Hoagland
01:46:02
HB 219
Elizabeth Anderson-Hoagland
01:48:18
KRS 214.560 - KRS 214.564
Jennifer Knight
01:51:00
https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/screening-resources/state-lung-cancer-screening
Angela Criswell
01:51:19
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.
Rudy
01:52:28
Gotta run,,,Very informative meeting! Thanks....Rudy
Jennifer Knight
01:52:57
https://nlcrt.org/lung-cancer-coalition-guide/
Jamie L. Studts, PhD
01:53:04
@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.
Elaine Russell
01:55:11
https://www.kycancerc.org/wp-content/uploads/sites/14/2022/05/Lung-Network-Infographic-05122022.pdf
Angela Criswell
01:56:35
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!
Jamie L. Studts, PhD
01:57:36
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.
jack hillard
02:03:42
KCF, ACS, Cancer Link - all working together on Strategies # 2 Communication
Jamie L. Studts, PhD
02:04:15
In mirrors.
Mindy Rogers
02:04:26
LOL
Melissa Karrer
02:04:38
Kentucky CancerLink Improving access - reducing barriers and patient navigation program
Mindy Rogers
02:05:42
well-said Elizabeth W!
Stacy Stanifer
02:06:14
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
Andrea Slone
02:06:31
KHC - bits and pieces of each of these areas, very exciting work of the KHC and it's membership!
Elizabeth Anderson-Hoagland
02:07:16
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
Mindy Rogers
02:07:17
KCP implements many of these strategies.
Elizabeth Anderson-Hoagland
02:08:11
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.
Elizabeth Holtsclaw (she/her)
02:10:44
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
Scott Kindred (Stages)
02:10:45
Stages community focuses #2, State local support, local coordination with other communities/health systems.
Melanie Hunter, KY CancerLink
02:10:48
Couldn't agree more, Debbie. So important. ❤️
Stacy Stanifer
02:11:09
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
Mindy Rogers
02:14:37
Yay! Thank you.
Jennifer Knight
02:16:02
https://redcap.uky.edu/redcap/surveys/?s=KHHDKXEMCLW3797D
Jennifer Knight
02:18:47
Amanda.Beckett@uky.edu
Jennifer Knight
02:19:01
Elaine.Russell@uky.edu
Elaine Russell
02:19:07
https://www.kycancerc.org/wp-content/uploads/sites/14/2022/11/KCC-Partner-LCS-KY-CAP-REVISION-11292022.pdf
Amanda Beckett
02:19:33
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
Jennifer Knight
02:21:49
We will work on stuff for Dec 8th!
Jamie L. Studts, PhD
02:22:28
The relationship between cannabinoid use and lung cancer risk is complicated and unclear.
Jamie L. Studts, PhD
02:22:43
Further complicated by edibles that would not be related.
Jamie L. Studts, PhD
02:22:48
Complicated indeed
Jamie L. Studts, PhD
02:23:04
Dr. Shanna Babbalonis
Jamie L. Studts, PhD
02:23:16
At UK
Debbie Zuerner
02:24:46
thank you Jamie
Pamela Hull
02:24:56
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.
Angela Combs-Kentucky Cancer Program-East
02:25:08
Thank you all! I've learned so much and thank you Jamie, for helping me think about mobile LCS from a different perspective.
Scott Kindred (Stages)
02:25:10
As always Thanks
Pam Temple Jennings, KCP-UofL
02:25:25
wonderful meeting!
Debbie Zuerner
02:25:29
thank you Jennifer