Download - Support for Systems Conducting Tobacco Cessation Work Gillian Schauer, Program Manager, TCRC
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Agenda
• Introduction
• Why Tobacco Cessation?
• What is TCRC?
• Resources and Tools
• Upcoming Events
• Q & A and Discussion
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Why Don’t They Just Quit?
Chain of Addiction:
• Biologically Addictive
• Psychologically Addictive
• Culturally Addictive
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The Opportunity
• Most tobacco users want to quit.
• Half make a serious attempt each year.
• 80% see a healthcare provider each year.
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Benefits
Benefits of a focus on tobacco cessation?
• Patient Satisfaction 1
• Improved Outcomes
• Cost Effective 2, 3
• Reimbursable 1 Solberg, LI et al.Patient Satisfaction and Discussion of Smoking Cessation
During Clinical Visits. Mayo Clin Proc. 2001;76:138-143.
2 Cummings SR, Rubin SM, Oster G. The costeffectiveness of counseling smokers to quit.JAMA 1989;261:75–79.
3 Tsevat J. Impact and cost-effectiveness of smoking interventions. American Journal of Medicine 1992;93:43S–47S.
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The Tobacco Cessation Resource Center (TCRC)
Mission Statement: • TCRC exists to provide
training, mentoring, and resources to Health Care Providers, Health Delivery Systems, and those who work with Health Care Providers.
Objective: • To increase the number of
Health Care Providers who effectively intervene with their patients who use tobacco.
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7www.tobaccoprc.org/TCRC/
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5As Brief Intervention
ASK about tobacco use.
ARRANGE for follow-up.
ASSIST the patient in quitting.
ASSESS readiness to quit.
ADVISE the patient to quit.
The 5A Intervention
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2A and R Brief Intervention
ASK about tobacco use.
ASSESS ASSIST
ARRANGE
REFER to resources
internal or external
entity that completes
the rest of the 5As.
ADVISE the patient to quit.
Schroeder (2005), JAMA.
The 2A and R Intervention
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Free State Resources
• Free State Tobacco Quit Line
• Free Patient and Provider Materials
• Free Training and Technical Assistance
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WA State Tobacco Quit Line
• Free telephone counseling support and medication.
• A Quit Kit of stage and language appropriate materials.
• A personalized quit plan.
• Tools to cope with withdrawal symptoms.
• Medication decision support.
1-800-QUIT-NOW or 1-877-2NO-FUME
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WA State Tobacco Quit Line
All adult residents in Washington have access to free telephone-based coaching and medications. In some cases, the overall benefit may be more if covered by Medicaid, their
employer or health plan.
1-800-QUIT-NOW or 1-877-2NO-FUME
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Who is Covered?
Coverage from July 1, 2008 – June 30, 2009 (subject to change)
Services provided in Spanish and in over 100 additional languages.Fax Referral Program available for proactive outreach to tobacco users. Email [email protected] to request fax referral forms Updated regularly. Last updated: 9/02/2008. For the most recent coverage update, go to: http://www.tobaccoprc.org/TCRC/QuitLine.cfm.
Age Eligible Population Quit Line Program Limitations
Adults Specific Populations- Uninsured- Indian Health Services- Referred by Veteran’s Administration
Multiple-Call ProgramDetails: 1 participant-initiated call, 4 Quit Line-initiated callsStage appropriate “self-help” materials8 weeks of Nicotine Replacement Therapy (NRT), if appropriate
Enrollment once per year, but participant may call Quit Line as neededAge 18 and overPrepared to quit within 30 days OR already quit
Adults Residents with WA State Medicaid
Multiple-Call ProgramDetails: 1 participant-initiated call, 4 Quit Line-initiated callsStage appropriate “self-help” materials12 weeks of Nicotine Replacement Therapy (NRT) OR 12 weeks of buproprion or varenicline (with a prescription), if appropriate.
Adults Pregnant Women (regardless of insurance status)
Multiple-Call ProgramDetails: 1 participant-initiated call, 9 Quit Line-initiated callsPopulation-specific “self-help” materials8 weeks of NRT, if appropriate (only with Medical Override)
Adults Any Washington State resident (regardless of insurance status)Note: Some callers may be eligible for additional services through their employer, a community resource or their health plan.
1-Call ProgramDetails: 1 participant-initiated callStage appropriate “self-help” materialsIf prepared to quit in 30 days OR already quit, participant is eligible to receive a 2-week starter kit of NRT (if appropriate)
Multiple calls per year, but must be initiated by participantAge 18 and over
Age 17 & under
Youth (age 17 and under) 1-Call ProgramDetails: 1 participant-initiated callNo materials or NRT can be provided.
Multiple calls per year, but must be initiated by participantAge 17 and under
1-800-QUIT-NOW or 1-877-2NO-FUME
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Fax Referral Program
• Allows you to refer patients to the Quit Line using a fax referral process.
Benefits:
- Saves Time and Resources
- Ensures Proactive Follow-up
- Eliminates Patient Barriers
- Creates Opportunity
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How to order?
To access directions go to: www.tobaccoprc.org/TCRC --> click on “Order Tobacco Cessation and/or Quit Line materials.
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TCRC Provider Training
On-Site Healthcare Provider Training
Online Training and e-Learning
www.2AandR.org
Quit Line
Fax Referral
Brief Intervention
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Online 2A and R Training
www.2AandR.org
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Technical Assistance
Assistance helping organizations to:
• Set up systems to document tobacco use
• Develop tobacco cessation referral systems
• Tailor Electronic Medical Records
• Amend policies and procedures
• Implement smokefree campus policies
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Upcoming Events
Webinar series (Winter, Spring 2009):
• Pharmacotherapy
• Reimbursement
• Setting up Systems to Identifying and Referring Tobacco Users
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Thank you!
206-876-2275