Implementación de Calidad del Sistema de Detección de Cáncer de Pulmón (QUILS™ 1.0): Un sistema para apoyar la...

The historic National Lung Screening Trial (NLST) demonstrated lung cancer-specific and all-cause mortality reductions associated with low-dose computed tomography (LDCT), and nearly all relevant authoritative organizations established guidelines and policies supporting implementation and insurance coverage for individuals who meet eligibility criteria. The immediate challenge became translating results into community settings. Early translation demonstrated substantial challenges to quality LCS delivery. The Kentucky LEADS (Lung Cancer Education Awareness Detection Survivorship) Collaborative™ developed a comprehensive system to evaluate and support LCS delivery in community contexts with an emphasis on supporting rural and low-resource settings. The QUILS^TM System 1.0 (Quality Implementation of Lung Cancer Screening) featured four key components: (1) the QUILS ^TM Index 1.0, a quantitatively-driven evaluation system assessing quality across six essential LCS implementation domains; (2) the QUILS^TM Audit and Feedback Approach 1.0, a strategy for providing feedback and guidance to bridge the QUILS^TM Index and the QUILS^TM Resource Portal; (3) the QUILS^TM Resource Portal 1.0, online tools and trainings that are directly tied to components within the QUILS^TM Index 1.0; and (4) QUILS^TM Coaching and Technical Assistance 1.0, providing additional problem-solving and support upon request. The six essential domains included: (1) Screening Eligibility, (2) Radiology Operations, (3) Team Operations, (4) Prevention Efforts, (5) Patient Education, and (6) Community Outreach. To collect initial feedback and evaluate the QUILS^TM System 1.0, the investigative team planned and conducted a rigorous evaluation of this initial framework across 10 sites in Kentucky over a period of 18 months.