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

This clinical trial tests how well providing education improves screening for lung cancer in patients with a history of smoking. Screenings may help doctors find lung cancer sooner when it may be easier to treat. Education and counseling may be an effective method to help providers and patients learn about lung cancer screening. Providing education and decision counseling to providers and patients may increase lung cancer screening.

Inclusion Criteria:PRACTICE LEVEL:Primary care practice (family medicine, geriatrics, internal medicine) in one of the 4 participating health systemsPractice using the main electronic medical record (EMR) of each system, in order to run appropriate patient recruitment reportsPractice with at least 50% of practice providers (physicians and advanced care providers) consenting to participatePATIENT 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 days50 to 77 years of ageHave 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 followsG0297 - LDCT screening71250 - CT w/o contrast71260 - CT w/ contrast71270 - CT with and w/o contrast71275 - CT angiography chest78815 - Positron emission tomography computed tomography (PET CT) skull base to mid-thigh78816 - PET CT whole bodyPrior 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