1. Quit Now Indiana Indiana Tobacco QuitLine &
Tobacco Prevention and Cessation (TPC)
Indiana Tobacco QuitLine &
TPC Preferred Provider Network
October, 2011 1

2. Presentation Overview
Indiana Tobacco QuitLine
Success w/Preferred Provider Network 2

3. Work To Be Done Indiana smoking rate = 21% down from 27%
National smoking rate = 18%
Over 1 million smokers in Indiana
Continue working for a tobacco-free Indiana

4. We can help them/you achieve this.
Adult Population
80% want to quit
60% of Hoosier adult tobacco user attempt quitting through a variety of methods each yr
Multiple attempts
Health Care professionals need a place to refer their diverse populations for successful quit
We 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.

5. Quit-Now Indiana Program
A Solution…
Telephone-based cessation services
Offered toll-free to the general public
Evidence-based
Reactive or Proactive
Quit-Now Indiana Program
~Refer to Preferred Employer Toolkit~

6. What Is A QuitLine? Telephone-based Cessation Services
Offered Toll-free
Evidence-based
Proactive
Coaches
Highly trained in cognitive behavioral therapy
240 hours of training
Spanish speaking competency (170 other languages)
Educated up to graduate level
Over 50% with 3+ years prior experience in counseling 6 6

7. Overcome Barriers
Improves 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 areas
Appeal 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).

8. Benefits Confidential Free National call number 1-800-QUIT-NOW
Provides intensive one on one counseling
Unlimited access as long as necessary
HIPAA Compliant Entity
Assess ability to all tobacco users
Easy to use
Initial call does not need to be made by tobacco users, but by Quit Coach™ 8 8

9. QUIT 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 survey
Consisted 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 survey
Consisted 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.

10. KEY PROGRAM COMPONENTS
Four prearranged calls w/coach
Ten prearranged calls for pregnant woman (special program)
Web coach
Unlimited call in privileges and access to coaches
Free 2 wk NRT starter kit (uninsured, Medicaid, Medicare)
Support Materials
Our 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 COACH
QUIT GUIDE
MEDICATION DECISION SUPPORT
NOTES: The 4 Essential Practices

11. 2 wk starter kit (patches or gum)
THE PARTICIPANT EXPERIENCE
1. Fax Referral or Person Calls
3. Professional Coach
2. Intake Specialist
4. Professional Web Coach
Physician RX or OTC
2 wk starter kit (patches or gum)
Medicaid
Medicare
Uninsured

12. Something For Everyone
Mention each of the links participants can click on
Smoker
Provider
Employer
Family & Friends
Connect w/Quit Coach…they will call you back
New consumer website here
The new look for the website should be live in the next week or so. 12 12

13. The Program Works Practices based on 25 yrs of research helped hundreds of thousands of smokers quit & stay quit
Choose own Quit Date, personal Quit Coach help prepare & get ready
Learn when & where urges strike & how to cope & manage stress w/o smoking
Recommend meds right for each participant and teach how to use correctly
QUIT for good-support to make this the LAST Quit, help with weight issues
Quit at personal pace
Conquer urges to smoke
Use Pharmaco so they really work
Don’t just Quit,
become NON-SMOKER
The participant sets the “quit date”
Tools for coping w/triggers & stress
Answer questions re NRT & RX meds and watch for red flags
Unlimited access 13 13

14. Preferred Provider Network
Preferred Provider Patients
Preferred Employer Employees
Preferred Organization Clients/Participants/Other
~Refer to Preferred Provider Toolkit~ 14

15. Preferred Provider = Multiple Benefits
Patients 2.5 x more likely to quit if you tell them to quit
A place to send patients to help them quit smoking
Access to professional evidence based resources
Exclusive tobacco cessation services and materials
Unlimited QUIT NOW fax referring privileges
Promotional and educational materials
Data on participating fax referred patients
Pharmacotherapy chart w/insurance reimbursement codes
Direct access to ITPC cessation specialists
ITPC support every step of the way
Your 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.

16. Join Our Preferred Provider Network
YOU ARE READY:
Promote the Indiana Tobacco QuitLine to patients
Begin referring patients who are ready to quit to
1-800-QUIT-NOW
Simple easy form to fill out, fax, or leave w/me today 16 16

17. Recommend a medication, if appropriate
Brief Intervention (less than 3 minutes)
Ask Advise Refer
We 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 intake
Provider simply needs to reinforce
1-800-QUIT-NOW
Recommend a medication, if appropriate

18. Fax Referral You fax it… We take it from there… Clinic
Employer Information
You fax it…
We take it from there…
Review specific areas of the form
Captive audience
Provides intensive counseling option often not feasible in busy clinic environment
Implementation in a variety of settings
Easy to use form
Initial call not made by tobacco users, but by Quit Coach™
Outcomes reported back to physician/clinic 18 18

19. Conclusions
Treatment of tobacco use = at least same attention that other chronic diseases demand
Providers need to:
Engage in effective behavioral interventions
Enroll PPN-enhance your services
Optimize medication use
Have knowledge of support and utilize resources
Fax Referral is the cornerstone of diverse cessation success.

20. Take Action NOW! ?QUESTIONS?
Camille Kalil, Director of Tobacco Treatment
Tobacco Prevention and Cessation Commission
Indiana State Department of Health 20