The Reach Of A Community-Based Multidisciplinary (Md) Thoracic Oncology Program (P)

e18045 Background: MD care is a recommended strategy for improving lung cancer outcomes, but access may be skewed away from the highest risk populations. We compared the demographics of patients seen within an MD Program to those across a large healthcare system spanning five states in a high US lung cancer mortality zone. Methods: Lung cancer providers within a healthcare system were encouraged to refer patients for discussion in a weekly MD conference with or without referral to a weekly co-located MD clinic in the same healthcare system. The RE-AIM evaluation framework assessed the reach and representativeness of our MD program. In 2014-2015, MD participants were compared on key generalizability characteristics with the potentially eligible population of the: 1) Memphis metropolitan (metro) area and 2) entire mid-south region from 2014. P-values comparing MD clinic and the mid-south region were calculated using chi-square and t tests. Results: 550 patients were presented at MD conference and 265 attended MD clinic. Compared to regional and metro demographics, MD patients were younger and more likely to be female (p<0.01); a higher percentage were African-American (p<0.01). In patients <65 years old, MD care had over twice the percentage of uninsured patients compared to regional and metro (p<0.01). In patients >= 65 years old, MD care had a higher percentage of commercial insurance (30% vs. 7%) and a lower percentage of Medicare (60% vs. 91%) (p<0.01). Conclusions: The MDP effectively reached two traditionally underserved populations, uninsured and racial minorities. Medicare only patients >= 65 were under-represented, indicating an area to improve the reach of the MDP. The more extensive, co-located MD clinic model was successful in reaching similar patients compared with the MD conference-only model. Our results demonstrate that both levels of MD care can be implemented in a way that is inclusive of all potential participants. Mid-South Region (N=2279)/ Metro (N=999) MD Conference (N=550) MD Clinic (N=265) % African American (p