Five Lessons for Building a Scalable Lung Nodule Program
Insights from a thoracic surgeon on achieving earlier diagnosis and clinical impact
From one late-stage disease diagnosis to systemwide transformation, this clinical perspective shares practical lessons for designing longitudinal lung care. Dr. Emily Cassidy lays out the disciplined clinical and operational foundations that enabled measurable growth in early detection and downstream care at FMOL Health | Our Lady of the Lake (OLOL).
- 260 Lung cancers diagnosed since Eon implementation (2021–2024)
- 75% Successful return rate for patients with incidental findings (2024)
- 2X Growth in thoracic oncology referrals and surgeries (2021–2024)
Infrastructure is the foundation of early detection
The clinical perspective explores how intentional program design creates the conditions for consistent, reliable lung nodule management across a health system.
Core program components:
- Defined clinical ownership
- Standardized care pathways
- Risk-based surveillance models
- Clear governance and oversight
Data visibility strengthens clinical decision-making
Scalable lung programs require longitudinal tracking and structured review processes that reduce variability and support timely intervention.
Operational enablers:
- Longitudinal patient tracking
- Objective risk thresholds
- Structured data reviews
- Cross-specialty coordination
Intentional design drives access, quality, and growth
With disciplined workflows and centralized management, OLOL achieved meaningful stage shift and sustained program outcomes.
Program Outcomes:
- 260 cancers diagnosed
- 70% Stage I–II diagnosis rate
- 75% return rate for incidental findings
- 3.4× new patient growth