Table 1 Input file for demonstrative example: VA lung cancer screening program
From: Developing a systems-focused tool for modeling lung cancer screening resource needs
Initial VA Population: 75,000 | |||||
|---|---|---|---|---|---|
ID | Task | Resources Minutes per patient | Next Task ID: Percentage Outcome | ||
NN | PCP | Radiologist | |||
1 | Computer checks eligibility of VA population | 0 | 0 | 0 | 2: 30% Eligible 3: 70% Ineligible |
2 | PCP discusses screening and offers smoking cessation | 0 | 3 | 0 | 3: 40% Screening no 5: 60% Screening yes |
3 | NN offers smoking cessation | 1 | 0 | 0 | 4: 60% Yes smoking cessation 13: 40% No smoking cessation |
4 | PCP connects to smoking cessation program | 0 | 1 | 0 | 13: 100% Initial screening cycle completed |
5 | PCP schedules LDCT | 0 | 2 | 0 | 6: 10% No-show 7: 90% Patient comes for LDCT |
6 | NN follows up | 5 | 0 | 0 | 7: 75% Successful follow-up 13: 25% Failed follow-up |
7 | Radiologist conducts LDCT | 0 | 0 | 10 | 8: 0.5% lungRADS0 9: 49.6% lungRADS 1a, 2a, 2b 10: 41.8% lungRADS 3a 11 : 3.4% lungRADS 4a, 4b, 4x 12: 4.7% lungRADS s |
8 | lungRADSO: Radiologist conducts additional LDCT | 0 | 0 | 10 | 13: 100% Initial screening cycle completed |
9 | lungRADS 1a, 2a, 2b: PCP and NN follow up to continue annual LDCT | 10 | 0 | 0 | 13: 100% Initial screening cycle completed |
10 | lungRADS 3a: NN follows up | 10 | 0 | 0 | 13: 100% Initial screening cycle completed |
11 | lungRADS 4a, 4b, 4x: NN follows up | 10 | 0 | 0 | 13: 100% Initial screening cycle completed |
12 | lungRADS s: NN notifies PCP for follow up | 10 | 0 | 0 | 13: 100% Initial screening cycle completed |
13 | Patients complete one cycle of screening in the program | 0 | 0 | 0 | N/A |