1. Christin D’Ovidio JSI Research and Training Institute, Inc.
6/23/ :19 PM
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.
Christin D’Ovidio
JSI Research and Training Institute, Inc.
© 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries.
The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION. 1

2. Objectives for this Webinar
Participants will:
Understand QUIT-NOW quitline tobacco treatment services
Understand QuitWorks-NH clinical referral resource to tobacco treatment services
Based on the 2012 response of 37 states to the NAQC annual survey, 34 (92%) receive their funding from CDC,
17 (less than ½) receive MSA funding,
5 receive Federal financial participation (FFP) for quitline administrative expenditures for Medicaid beneficiaries
7 receive State/provincial dedicated tobacco tax funds
7 receive State/provincial general funds
24 have cost-sharing agreement in progress or are operational at level

3. 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?

4. Treating Tobacco Use and Dependence
6,000 research articles
Dose-response
Multiple medications
Counseling
Quitlines are effective
NH was funded, Year 1 funds went directly to enhancing the Helpline’s capacity and Year 2 was released as the Partnerships for Sustainability RFP.
To promote improved health plan coverage for tobacco cessation.
Achieve partnerships for financial support of the Helpline.
Scope of the contract
Carry out 3 phases of work relative to engaging health plan stakeholders to share the cost of Helpline services to their members.
Document research and activities.

5. 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

6. Evidence of Effectiveness
Advice
Research Arms
Estimated odds ratio (99% C.I.)
Estimated Abstinence Rate (99% C.I.)
No advice to quit 9
1.0
7.9
Physician advice to quit 10
1.3 (1.1 – 1.6)
10.2 (8.5 – 12.0)

7. 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

8. 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

9. Self-Referral 1-800-QUIT-NOW (1-800-784-8669) “You have reached…”
“Press 1 for English”
“How may I help you?”
On-line Enrollment
June 2017 On-line Quit Coaching!!

11. 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

12. 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 ( )
3 calls in 3 days-they leave messages
Feedback reports sent to the referring professional

13. What Patients Need to Know
Out reach calls show up as
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

14. 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

15. Resources

16. Teresa Brown 603-271-8949 tmbrown@dhhs.nh.gov