Empowering Patient-Centered Care: Shared Decision-Making in Lung Cancer Screening-Empowering Patient-Centered Care_ Shared Decision-Making in Lung Cancer Screening

Video Transcription

Video Summary

The webinar from ACCC focused on effective patient-provider communication for lung cancer screening, with an emphasis on shared decision-making. Speaker Amy Strong reviewed lung cancer basics, including its high mortality, the survival benefit of early detection, and key evidence from the NLST and NELSON trials showing low-dose CT screening reduces lung cancer deaths. She explained current screening guidelines from CMS, USPSTF, ACS, and NCCN, and noted that insurance coverage and eligibility criteria can be confusing.<br /><br />Much of the session covered how to conduct shared decision-making conversations: verify smoking history and eligibility, discuss benefits and risks, address anxiety, stigma, and radiation concerns, and reinforce that screening is an annual process. Strong highlighted patient decision aids such as shouldiscreen.com, visual tools, and simple provider scripts that can improve understanding and engagement.<br /><br />She also reviewed billing and reimbursement, including Medicare requirements, relevant ICD-10 and G-codes, and the importance of documentation. Practical advice included using empathy, open-ended questions, smoking cessation counseling, and clarifying that screening does not mean a patient already has cancer. The session ended with Q&A and shared tips for improving adherence to yearly screening, especially through navigator support and reminder systems.

Keywords

lung cancer screening

shared decision-making

low-dose CT

patient-provider communication

screening guidelines

Medicare reimbursement

smoking cessation counseling

patient decision aids

annual screening adherence