Appendix A

Statement of Task

An ad hoc committee will plan and host a 1.5-day public workshop to examine the current state of lung cancer screening, challenges to the clinical implementation of low-dose computed tomography screening for lung cancer, and potential policy actions to improve lung screening programs. The workshop will feature invited presentations and panel discussions on topics that may include

• Barriers to implementation of lung cancer screening and strategies to overcome these obstacles.
• Challenges and strategies for identifying populations eligible for and most likely to benefit from screening.
• Decision aids for health care providers and patients to support shared decision making regarding lung cancer screening, including considerations of the balance of benefits and harms of screening.
• Strategies to best provide smoking cessation support for current smokers in the context of lung cancer screening.
• Practical measures for state and national public health surveillance of lung cancer screening.
• Strategies to promote continuous quality improvement of screening programs and downstream care, including monitoring and reducing adverse outcomes or harms resulting from follow-up of false-positive screening results.

• The economics of lung cancer screening, including considerations of costs broadly defined, such as impact on quality of life and morbidity and mortality related to screening.
• Measurement of the impact of lung cancer screening (including morbidity and mortality) on those who are eligible based on the U.S. Preventive Services Task Force recommendation as well as those who are outside the recommended age and other criteria.

The committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. An individually authored workshop proceedings of the presentations and discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.