Support and Outreach to Increase Screening for Lung Cancer in Patients With a History of Smoking

Inclusion Criteria: PRACTICE LEVEL: Primary care practice (family medicine, geriatrics, internal medicine) in one of the 4 participating health systems Practice using the main electronic medical record (EMR) of each system, in order to run appropriate patient recruitment reports Practice with at least 50% of practice providers (physicians and advanced care providers) consenting to participate PATIENT LEVEL: Have an office or telemedicine established patient visit scheduled with a primary care provider in one of the participating practices within next 14 to 25 days 50 to 77 years of age Have at least a 20-pack-year smoking history (based on self-report at baseline eligibility assessment) Currently smoke or have quit smoking within the past 15 years (based on self-report at baseline eligibility assessment) Able to communicate in English or Spanish (determined at baseline eligibility assessment) Exclusion Criteria: PATIENT OUTREACH: Any lung computed tomography (CT) or low-dose computed tomography (LDCT) scan in the past 11 months, current procedural terminology (CPT) Codes are as follows G0297 - LDCT screening 71250 - CT w/o contrast 71260 - CT w/ contrast 71270 - CT with and w/o contrast 71275 - CT angiography chest 78815 - Positron emission tomography computed tomography (PET CT) skull base to mid-thigh 78816 - PET CT whole body Prior history of lung cancer (The patient's problem list includes a problem with an international classification of diseases (ICD10) code of "Z85.118" or one beginning with "C34.", or by self-report at baseline eligibility assessment) Recent hospitalization (Admission date within the last 60 days listed in electronic health record (EHR), or by self-report at baseline eligibility assessment) Dementia (diagnosis codes F03.90 or F03.91) in EHR