3Work To Be Done Indiana smoking rate = 21% down from 27% National smoking rate = 18%Over 1 million smokers in IndianaContinue working for a tobacco-free Indiana
4We can help them/you achieve this. Adult Population80% want to quit60% of Hoosier adult tobacco user attempt quitting through a variety of methods each yrMultiple attemptsHealth Care professionals need a place to refer their diverse populations for successful quitWe Can Help!2002 & 2008 Indiana Adult Tobacco Survey.Healthcare professionals need a place to refer their patients to that can service their diverse populations for successful quit.We can help them/you achieve this.
5Quit-Now Indiana Program A Solution…Telephone-based cessation servicesOffered toll-free to the general publicEvidence-basedReactive or ProactiveQuit-Now Indiana Program~Refer to Preferred Employer Toolkit~
6What Is A QuitLine? Telephone-based Cessation Services Offered Toll-freeEvidence-basedProactiveCoachesHighly trained in cognitive behavioral therapy240 hours of trainingSpanish speaking competency (170 other languages)Educated up to graduate levelOver 50% with 3+ years prior experience in counseling66
7Overcome BarriersImproves cessation rates by increasing the percentage of smokers making a quit attempt & reduce the probability of relapse(Cummins, Bailey, Campbell, Koon-Kirby, & Zhu, 2007a; McAfee, 2007; Zhu, et al., 2002).Access transportation especially rural / remote areasAppeal to those reluctant to take part in group(Zhu, Anderson, Johnson, Tedeschi, & Roeseler, 2000)Successfully extended the reach of more traditional programs (Zhu, Rosbrook, Anderson et al., 1995).
8Benefits Confidential Free National call number 1-800-QUIT-NOW Provides intensive one on one counselingUnlimited access as long as necessaryHIPAA Compliant EntityAssess ability to all tobacco usersEasy to useInitial call does not need to be made by tobacco users, but by Quit Coach™88
9QUIT RATES Quitline evaluation Using random sampling, we have evaluated the INQL by surveying callers 7- and 13-months after they have registered and received Quitline Services. The goal was to compare the satisfaction and quit rates between participants who received NRT benefits from the INQL and those who did not.7-month surveyConsisted of 784 participants that had registered in the INQL between December 1, 2007 and September 30, Of the 794 participants, 392 were NRT recipients, and 392 were non-recipients.The sample was composed of 263 uninsured, 260 Medicaid recipients, and 270 insured non-Medicaid.13 month surveyConsisted of 983 participated that registered in the INQL between June 1, 2007 and March 31, Of to the 983 participants, 393 were NRT recipients and 590 were non-recipients.The sample was composed of 328 uninsured, 328 Medicaid recipients, and 327 insured non-Medicaid.
10KEY PROGRAM COMPONENTS Four prearranged calls w/coachTen prearranged calls for pregnant woman (special program)Web coachUnlimited call in privileges and access to coachesFree 2 wk NRT starter kit (uninsured, Medicaid, Medicare)Support MaterialsOur treatment approach is comprised of 4 key program components – the Quit Coach, Web Coach, Medication and Quit Guide.Whether through out Quit Coaches, Web Coach or in our printed Quit Guide, our participants learn how to overcome their addiction by following The 4 Essential Practices to Quit For Life.QUIT COACH Highly trained in addiction studies and behavior change, our coaches are experts in helping participants over the phone and online to successfully quit tobacco use. Coaches must complete 240 hours of rigorous training and evaluation before they are qualified to speak independently with participants.WEB COACHQUIT GUIDEMEDICATION DECISION SUPPORTNOTES: The 4 Essential Practices
112 wk starter kit (patches or gum) THE PARTICIPANT EXPERIENCE1. Fax Referral or Person Calls3. Professional Coach2. Intake Specialist4. Professional Web CoachPhysician RX or OTC2 wk starter kit (patches or gum)MedicaidMedicareUninsured
12Something For Everyone Mention each of the links participants can click onSmokerProviderEmployerFamily & FriendsConnect w/Quit Coach…they will call you backNew consumer website hereThe new look for the website should be live in the next week or so.1212
13The Program Works Practices based on 25 yrs of research helped hundreds of thousands of smokers quit & stay quitChoose own Quit Date, personal Quit Coach help prepare & get readyLearn when & where urges strike & how to cope & manage stress w/o smokingRecommend meds right for each participant and teach how to use correctlyQUIT for good-support to make this the LAST Quit, help with weight issuesQuit at personal paceConquer urges to smokeUse Pharmaco so they really workDon’t just Quit,become NON-SMOKERThe participant sets the “quit date”Tools for coping w/triggers & stressAnswer questions re NRT & RX meds and watch for red flagsUnlimited access1313
15Preferred Provider = Multiple Benefits Patients 2.5 x more likely to quit if you tell them to quitA place to send patients to help them quit smokingAccess to professional evidence based resourcesExclusive tobacco cessation services and materialsUnlimited QUIT NOW fax referring privilegesPromotional and educational materialsData on participating fax referred patientsPharmacotherapy chart w/insurance reimbursement codesDirect access to ITPC cessation specialistsITPC support every step of the wayYour patients look to you for direction about their individual health issues.Your help and guidance can give them the power to curb this devastating problem.Please enroll today in this lifesaving program and begin referring patients to the Indiana Tobacco Quitline immediately.We are with you every step of the way.
16Join Our Preferred Provider Network YOU ARE READY:Promote the Indiana Tobacco QuitLine to patientsBegin referring patients who are ready to quit to1-800-QUIT-NOWSimple easy form to fill out, fax, or leave w/me today1616
17Recommend a medication, if appropriate Brief Intervention (less than 3 minutes)Ask Advise ReferWe now know that this brief 3 minute approach to the 5 A’s is very if not more effective.2 As and an R…Staff can record this during intakeProvider simply needs to reinforce1-800-QUIT-NOWRecommend a medication, if appropriate
18Fax Referral You fax it… We take it from there… Clinic Employer InformationYou fax it…We take it from there…Review specific areas of the formCaptive audienceProvides intensive counseling option often not feasible in busy clinic environmentImplementation in a variety of settingsEasy to use formInitial call not made by tobacco users, but by Quit Coach™Outcomes reported back to physician/clinic1818
19ConclusionsTreatment of tobacco use = at least same attention that other chronic diseases demandProviders need to:Engage in effective behavioral interventionsEnroll PPN-enhance your servicesOptimize medication useHave knowledge of support and utilize resourcesFax Referral is the cornerstone of diverse cessation success.
20Take Action NOW! ?QUESTIONS? Camille Kalil, Director of Tobacco TreatmentTobacco Prevention and Cessation CommissionIndiana State Department of Health20