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Home / Education And Resources / Health Equity Access / Appalachian Community Cancer Alliance
Health Equity & Access
  • 3, 2, 1, Go! Practical Solutions for Addressing Cancer Care Disparities
  • Appalachian Community Cancer Alliance
  • Oncology Advanced Practitioners
  • Personalizing Care for Patients of All Backgrounds
  • Social Drivers of Health
  • Social Drivers of Health in Metastatic Breast Cancer

APPALACHIAN COMMUNITY CANCER ALLIANCE

The region known as Appalachia stretches 250,000 square miles and includes all of West Virginia and parts of 12 other states. Of Appalachia’s 420 counties, 25 percent are rural. Approximately 25.7 million people call the region home. The poverty and lack of healthcare resources that characterize this area have led to sustained, elevated levels of morbidity and mortality for many diseases, including cancer. Compared to other regions in the U.S., Central Appalachia has the highest cancer rate in the region at 32 percent higher than the national rate. Since the start of the pandemic, Americans have missed nearly 10 million recommended cancer screenings.

In response to the need for cancer screening and care in Appalachia, ACCC—together with several of its state chapters—launched the Appalachian Community Cancer Alliance (the Alliance) in December 2021. This project is a partnership with several state oncology societies representing the Appalachian region. The focus is on improving patient and operational cancer outcomes by identifying effective evidence-based practices that can be replicated throughout the region.

Featured Resources

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Lung Cancer Screening Implementation Change Package

The Lung Cancer Screening Implementation Change Package is a comprehensive guide and resource suite tailored for healthcare organizations aiming to initiate, enhance, or broaden their existing lung cancer screening programs. This invaluable package provides a strategic step-by-step process and a wealth of resources to facilitate change with confidence. Accompanying the guide are downloadable, customizable worksheets that serve as practical tools to aid in the implementation process.

Download Guide

Download Worksheets

Lung Cancer Screening Implementation Change Package

On-Demand Webinars

Lung Cancer Screening & Tobacco Cessation: Identifying, Engaging, and Supporting Patients

Accurately identifying eligible patients for lung cancer screening is critical to early detection and improved outcomes. This webinar provides an overview of current screening guidelines, best practices for calculating pack years, and effective approaches to discussing smoking cessation. Participants will also learn how to connect patients with evidence-based tobacco cessation resources to support their journey toward quitting.

Empowering Patient-Centered Care: Shared Decision-Making in Lung Cancer Screening

Patient hesitation about lung cancer screening is common, but shared decision-making (SDM) can help overcome resistance by fostering open, informed conversations. This ACCC webinar will explore SDM principles, reimbursement policies, and practical strategies to engage patients, address concerns, and encourage active participation. Attendees will learn how to guide patients toward informed screening decisions. Join us to enhance your approach to patient conversations and ensure informed, value-based choices in lung cancer screening.

Impact of Nurse Navigation in Transitions of Lung Cancer Care

Optimizing Lung Cancer Care Through Patient Navigation

This webinar explores how patient navigation services enhance lung cancer care by guiding patients through each step of the care continuum, from screening to diagnosis and treatment. Join us as experts share the benefits of patient navigation, including the positive impact on care teams and patients, as well as recent CMS reimbursement support. Through real-world case examples, discover actionable strategies that have helped other cancer programs successfully integrate patient navigation into their practice.

ACCC was identified by the White House's Cancer Moonshot initiative as one of the five private sector actions in response to the goal of Bringing Cancer Screening to More Communities through its Rural Appalachian Lung Cancer Screening Initiative.

The Rural Appalachian Lung Cancer Screening Initiative seeks to increase lung cancer screening rates by identifying and addressing informational, literacy, and cultural barriers that inhibit rural Appalachian residents from seeking preventative cancer care. Partnering with local advocates, the initiative focuses on developing and implementing new patient-centric approaches to promote the importance of these screenings. Best practices identified by the initiative will be shared with ACCC members and the broader oncology community.

On 13 of March, Michael Gieske, MD; Mary Reid, PhD, MSPH; and Richard Martin III, MD, MPH joined our LinkedInLive event to give us closer look at the Rural Appalachian Lung Cancer Screening Initiative through thought-provoking discussions.

If you have any questions about either the Appalachian Community Cancer Alliance or the Rural Lung Cancer Screening Initiative, please contact the ACCC Provider Education department.

News & Media

ACCC Rural Appalachian Lung Cancer Screening Initiative Fuels Increased, Early Cancer Detection

Association of Cancer Care Centers
June 17, 2025

Highlighting Progress: Private Sector Actions Through the Biden Cancer Moonshot Are Increasing Access to Cancer Screening

The White House
May 9, 2024

FACT SHEET: Private Sector Steps Up on Cancer Moonshot Call to Action on Cancer Screening

The White House
May 11, 2022

Pikeville Medical Center ACCC visit interview with Dr. Michael Gieske and Dr. Aasems Jacob

Pikeville Medical Center and the Association of Cancer Care Centers are working together to help improve the survival rate of lung cancer by promoting screenings

Pharma Giants Take on Appalachian Cancer Rates in Newest Screening Initiative

From the ACCCBuzz Blog

When Prevention Isn’t Enough: Bridging Cervical Cancer Screening Gaps in Appalachia

When Prevention Isn’t Enough: Bridging Cervical Cancer Screening Gaps in Appalachia

Rachel Radwan
January 21, 2026

This January, ACCC invites its membership to take part in promoting cervical cancer awareness by sharing resources and research about the importance of the HPV vaccine and regular screening, to work towards a future free of cervical cancer.

Lung Cancer Awareness Month: Addressing Inequities and Expanding Access to Care

Lung Cancer Awareness Month: Addressing Inequities and Expanding Access to Care

November 24, 2025

In recognition of Lung Cancer Awareness Month, ACCC spotlights the ongoing need for more robust research, expanded treatment options, and early diagnosis and intervention for a disease that, though it impacts millions of lives, is often under-discussed.

Rural Lung LinkedIn Live_ACCCBuzz

ACCC Spotlights Critical Lung Cancer Screening Needs in Appalachia

March 23, 2023

ACCC held a LinkedIn live event on March 13, 2023, with subject matter experts, who shared strategies for tackling lung cancer disparities in the Appalachian Region and beyond.

Colorectal Cancer Awareness Month_ACCCBuzz_Square

Effective Patient-Provider Communication for Colorectal Cancer Screening

March 15, 2023

ACCC is recognizing National Colorectal Cancer Awareness Month by highlighting the importance of cancer screenings and early detection.

Dr. Ingram_ACCCBuzz

PCP Insights Needed to Improve Cancer Screening in Rural Appalachia

By Richard Ingram, MD
June 15, 2022

Dr. Richard Ingram shares why he got involved in ACCC's Appalachian Community Cancer Alliance and why it's so important for this initiative to collaborate closely with primary care providers in the region.

Abstracts and Presentations

Exploring Rural Appalachian Community Perceptions and Practices on Health and Lung Cancer to Inform Screening Interventions

Opportunities to Leverage Navigation and Other Evidence-Based Strategies to Increase Lung Cancer Screening in Appalachia

Leveraging a Geographic Information System (GIS) to Identify Lung Cancer Care Disparities and Opportunities in Rural Appalachia

Our Partners

The Appalachian Community Cancer Alliance is in partnership with:

KYSCO
VAHO
ACCC
TOPS
WVOS
ACS
SCOS
NCOA

The Rural Appalachian Lung Cancer Screening Initiative is in partnership with:

CSC
LUNGEVITY

Our Supporters

The Appalachian Community Cancer Alliance is made possible by support from Bristol Myers Squibb.

Bristol Myers Squibb

The Rural Appalachian Lung Cancer Screening Initiative is made possible by support from AstraZeneca.

AstraZeneca