Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

Salem Health Hospitals and Clinics

Lung screening gap across 5 counties in Oregon

27,000to50,000adults in its service area qualify for lung cancer screening and are not being screened

About 500 people here are diagnosed with lung cancer each year, and 61% are found at a late stage, when it is hardest to treat.

Explore the screening network
ORWA
5 counties2 acute care hospitalsService area
31,000 to 57,000adults likely qualify under USPSTF 2021 criteria (estimate)
320lung cancer deaths a year in these counties, 2020 to 2024
11.9%of eligible adults screened in the state, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of Salem Health Hospitals and Clinics's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Adults likely eligible, per neighborhood

0+220+300+350+380+480+580+

Acute care hospital in this system

Counties in the service area

CountyAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Marion County13,400 to 26,00031.0249
Linn County6,400 to 10,60039.4None billed locally
Yamhill County4,300 to 8,40028.4None billed locally
Polk County3,400 to 6,60026.3None billed locally
Lincoln County3,300 to 5,50035.4None billed locally

4 of the 5 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 11.9% to the national rate of 18.2%, about 1,900 to 3,600 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 61% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

500new lung cancers
300found at a late stage
320lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at Salem Health Hospitals and Clinics today

Public Medicare claims do not attribute lung screening reads to Salem Health Hospitals and Clinics locations. Radiologists who read for a health system often bill through a separate radiology group, so Salem Health Hospitals and Clinics's screening volume is best measured from its own records.

Most adults who qualify see a primary care clinician every year. We count 204 primary care clinicians, 0 pulmonologists and 4 thoracic surgeons practicing at Salem Health Hospitals and Clinics locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to Salem Health Hospitals and Clinics by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (60%, CMS) and, at the high end, by the share of eligible adults under 65 (61%).

2 acute care hospitals

  • Salem HospitalSalem, OR
  • Salem Health West ValleyDallas, OR

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of Salem Health Hospitals and Clinics patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See Salem Health Hospitals and Clinics's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.