Effective Strategies for Tobacco Treatment and Referral
Christin D’Ovidio
JSI Research and Training Institute, Inc.
Participants will:
Understand 1-800-QUIT-NOW quitline
tobacco treatment services
Understand QuitWorks-NH clinical referral
resource to tobacco treatment services
•
What % of your patient population uses
tobacco?
•
What % of the patient population has been
referred for tobacco treatment?
•
What was the outcome of that treatment was?
•
What is the quit rate among patient
population?
•
6,000 research articles
•
Dose-response
•
Multiple medications
•
Counseling
•
Quitlines are effective
•
Today’s tobacco products contain higher
amounts of nicotine
•
More addictive
•
Results in current medications losing effectiveness
•
Self-medication with nicotine to cope with
underlying mental health conditions
•
Practitioners advice makes a difference
•
Requires repeated interventions-
•
Motivational Interview skills are critical
•
Remains on the Problem List
•
Common practice within Concord Hospital and
affiliated offices
•
EHR vendor flexibility
•
ICD 10 codes for tobacco use/dependence
•
Electronic referral protocol to any medical
specialty group
http://www.icd10data.com/ICD10CM/Codes/F01-F99/F10-F19/F17-
•
Stage of readiness is critical
•
Meet the patient where they are
•
Message care, compassion and support
•
Ask THEM what they want
1-800-QUIT-NOW (1-800-784-8669)
•
“You have reached…”
•
“Press 1 for English”
•
“How may I help you?”
•
www.QuitNowNH.org
•
On-line Enrollment
•
June 2017 On-line Quit Coaching!!
•
Paper fax
•
Electronic fax
•
eReferral using C-CCD
Contact Teresa Brown BS, TTS at
NH Tobacco Prevention and Cessation Program
Division of Public Health Services
Teresa.Brown@dhhs.nh.gov
603-271-8949
•
Referrals to QuitWorks-NH are received at National
Jewish Health Hospital’s Call Center for Integrated
Health-Denver Colorado
•
Over 100 trained Quit Coaches
•
Out reach calls are within 24 hours (1-800-784-8669)
•
3 calls in 3 days-they leave messages
•
Feedback reports sent to the referring professional
•
Out reach calls show up as 1-800-784-8669
•
Auto-dialed then connected to Intake Specialist
•
Split-second lag time with a ‘click’ before Intake
Specialist says anything
•
5 Minute Intake Screener must be completed
before transferred to a Quit Coach
•
There is a 30 second HOLD to connect to a Quit
Coach
•
Choose a Hospital Unit or Office Practice
•
Assess patient population for tobacco use
•
Assess co-morbidity among this population
•
Assess current workflow for treating these
patients
•
Insert Quit Now NH into the workflow based on
training and technical assistance from NH
Tobacco Prevention and Cessation Program
•
Plan Do Study Act cycles
•
https://www.bhwellness.org/resources/videos/
conversations-for-change-series
•
www.cdc.gov/tobacco
•
www.QuitNowNH.org
•
www.QuitWorksNH.org
•
www.ATTUD.org
Teresa Brown 603-271-8949 tmbrown@dhhs.nh.gov
Tobacco Treatment Quitlines are telephone-based services that offer counseling and information to help smokers quit. In 1992 research completed by a panel of health system experts demonstrated that telephone-based counseling for cessation is an effective treatment. California Health Department launched the first statewide telephone counseling services to help smokers quit. The North American Quitline Consortium is a non-profit organization that unites quitline stakeholders, funders, service providers, researchers and national organizations in US and Canada to maximize access, use and effectiveness of North American quitlines through forums, conducting research and providing leadership and a unified voice to promote quitlines as a valuable healthcare community resource.
Funding is an important issue around quitline sustainability because the reach and scope of services a quitline provides is directly related to funding.
This presentation explores key objectives for webinar participants regarding tobacco treatment services, clinical referrals, and quit rates among patient populations. It emphasizes the chronic nature of tobacco use, evidence of effectiveness in providing advice, and the importance of asking, assisting, and referring patients for treatment. Strategies such as electronic referrals and meaningful advice are discussed, highlighting the critical role practitioners play in supporting patients in overcoming tobacco dependence.
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Presentation Transcript
Christin DOvidio JSI Research and Training Institute, Inc.
Objectives for this Webinar Participants will: Understand 1-800-QUIT-NOW quitline tobacco treatment services Understand QuitWorks-NH clinical referral resource to tobacco treatment services
Do you know What % of your patient population uses tobacco? What % of the patient population has been referred for tobacco treatment? What was the outcome of that treatment was? What is the quit rate among patient population?
Treating Tobacco Use and Dependence 6,000 research articles Dose-response Multiple medications Counseling Quitlines are effective
Tobacco Use is a Chronic Disease Today s tobacco products contain higher amounts of nicotine More addictive Results in current medications losing effectiveness Self-medication with nicotine to cope with underlying mental health conditions Practitioners advice makes a difference Requires repeated interventions- Motivational Interview skills are critical Remains on the Problem List
Evidence of Effectiveness Advice Research Arms Estimated odds ratio (99% C.I.) Estimated Abstinence Rate (99% C.I.) 7.9 No advice to quit 9 1.0 Physician advice to quit 10 1.3 (1.1 1.6) 10.2 (8.5 12.0)
Ask, Assist and Refer for Treatment Common practice within Concord Hospital and affiliated offices EHR vendor flexibility ICD 10 codes for tobacco use/dependence Electronic referral protocol to any medical specialty group http://www.icd10data.com/ICD10CM/Codes/F01-F99/F10-F19/F17-
What is Meaningful Advise? Stage of readiness is critical Meet the patient where they are Message care, compassion and support Ask THEM what they want
Self-Referral 1-800-QUIT-NOW (1-800-784-8669) You have reached Press 1 for English How may I help you? www.QuitNowNH.org On-line Enrollment June 2017 On-line Quit Coaching!!
QuitWorks-NH.org is HIPPA compliant: Paper fax Electronic fax eReferral using C-CCD Contact Teresa Brown BS, TTS at NH Tobacco Prevention and Cessation Program Division of Public Health Services Teresa.Brown@dhhs.nh.gov 603-271-8949
What Professionals Need to Know Referrals to QuitWorks-NH are received at National Jewish Health Hospital s Call Center for Integrated Health-Denver Colorado Over 100 trained Quit Coaches Out reach calls are within 24 hours (1-800-784-8669) 3 calls in 3 days-they leave messages Feedback reports sent to the referring professional
What Patients Need to Know Out reach calls show up as 1-800-784-8669 Auto-dialed then connected to Intake Specialist Split-second lag time with a click before Intake Specialist says anything 5 Minute Intake Screener must be completed before transferred to a Quit Coach There is a 30 second HOLD to connect to a Quit Coach
Quality Improvement Project Choose a Hospital Unit or Office Practice Assess patient population for tobacco use Assess co-morbidity among this population Assess current workflow for treating these patients Insert Quit Now NH into the workflow based on training and technical assistance from NH Tobacco Prevention and Cessation Program Plan Do Study Act cycles
Resources https://www.bhwellness.org/resources/videos/ conversations-for-change-series www.cdc.gov/tobacco www.QuitNowNH.org www.QuitWorksNH.org www.ATTUD.org
