VA Partnership to Increase Access to Lung...
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VA Partnership to Increase Access to Lung Screening
Drew Moghanaki, MD, MPH
Service Chief, Radiation Oncology
Atlanta Veterans Affairs Health Care System
Principal Investigator: VA-PALS
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The Mystery of VA
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VA Demonstration Project (2012-15)
Robert Petzel, Under Secretary for HealthVHA – Central OfficeResigned 2014
Linda Kinsinger, MD, MPHVHA Chief Consultant for Preventive Services (NCP) Retired 2015
Charles Anderson, MD, PhDVHA Chief Consultant Diagnostic ServicesRetired 2016
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2017
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CHALLENGES1. Approx 2/3 = abnormal finding2. Tracking = complex3. Coordination of care = variable
NEEDS1. System-wide tracking registry2. Radiologists, CT scanners, staff3. Training for primary care4. Engaging pulmonology & oncology
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> 4mm
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Why We Can’t Sit Still
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Co-Principal Investigators
Claudia Henschke, PhD, MDMt Sinai Medical School, NY
Rick Avila, MSParaxial
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VHA Support and Guidance
Central Office- Office of Strategic Partnerships- Diffusion of Excellence- Office of Rural Health- Center for Innovation
National Programs- Diagnostic Services- Office of Information & Technology- Health Promotion & Prevention (NCP)- Oncology- Radiation Oncology- Quality Enhancement Research Initiative
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I-ELCAP – Lung Screening Sites
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Project Goals Funded through FY20
1) VAPALS-IELCAP Software Management System• VistA-based – open source
2) Implement Best Practices at 10 VAMCs• Structured reporting (LungRADS or I-ELCAP protocols)• LDCT phantoms (Accumetra)
3) Centralized Training and QA• Navigator training • Radiology training (dual reads, on-site in-services)
4) Evaluate Implementation, Analyze Outcomes• Present to VA leadership (Quality, Operations, Policy)
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ALPHA Site-Phoenix
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BETA Sites-St Louis-Philadelphia
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VA-PALS Sites-Phoenix-St Louis-Philadelphia-Atlanta-Indianapolis -Denver-Nashville-Chicago (Hines)-Houston-Los Angeles
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