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Mobile Lung Screening: Should We All Get on the Bus?

James R Headrick1, Olivia Morin2, Ashley D Miller3

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A mobile lung screening program successfully provided low-dose CT scans to rural patients, exceeding financial break-even goals. Centralized management of incidental findings is crucial for sustained financial viability.

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Area of Science:

  • Public Health
  • Medical Technology
  • Health Services Research

Background:

  • National lung cancer screening adoption remains low, particularly in rural areas due to access challenges.
  • A mobile lung screening program was developed to address these barriers for at-risk rural populations.
  • This study details the feasibility and outcomes of a 12-month pilot project.

Purpose of the Study:

  • To assess the feasibility of a mobile lung screening program for rural populations.
  • To evaluate the operational and financial viability of a mobile lung screening initiative.
  • To identify key factors influencing the success and sustainability of such programs.

Main Methods:

  • A multidisciplinary team designed and implemented a mobile screening unit over 8 months.
  • The program utilized a radiology technician, nurse practitioner, and specialized software for data management.
  • Financial projections were based on Medicare claims data and generally accepted accounting principles.

Main Results:

  • The mobile unit conducted 548 low-dose lung screenings at 104 sites within 12 months.
  • Five lung cancers and one thymoma were detected; the program exceeded break-even analysis by 28%.
  • Financial projections indicated a strong net present value and internal rate of return, contingent on downstream revenue.

Conclusions:

  • A commercially viable mobile lung screening program is achievable.
  • Financial sustainability is significantly dependent on effective management of downstream revenue from incidental findings.
  • Addressing challenges in centralized management is critical for long-term program viability.