Transcript MOQC Tobacco Cessation Project Staff Training Slides

Staff Training
MOQC/MCC Tobacco Cessation
Patient Education Video:
Why Cancer Patients Should Quit Tobacco
Agenda
1.
2.
3.
4.
5.
Background
Future State
Change Packet
MOQC Resources
Next Steps
1. Background
Background
• There is growing evidence that using tobacco:
– Compromises the effectiveness of cancer treatments
(e.g., chemotherapy, surgery)
– Reduces treatment tolerance
– Increases the risk of complications and the risk for a
secondary primary cancer
• Stopping tobacco use immediately after being
diagnosed with cancer gives patients the best chance
for their cancer treatment to work
Background
• Oncologists play a vital role in tobacco cessation by
providing the recommendation and education to
patients to help them quit
• Clinicians can make a difference with even a minimal
intervention (less than 2 minutes)
• Barriers to referring patients to tobacco cessation
counseling include:
– Physician attitudes and behaviors
– Financial burden for patient
– Scarce resources at the practice level
Goal and Approach
• Goal: To change clinical culture and practice patterns to
ensure that every patient being treated for cancer who
uses tobacco is identified, advised to quit, and offered
scientifically sound treatments
• Approach: MOQC is collaborating with the Michigan
Cancer Consortium and Michigan Department
Community Health to implement a standard process
within participating oncology practices to automatically
refer cancer patients who smoke to the free Michigan
Tobacco Quitline
Measure of Success
• Percent of target population with tobacco use STATUS
DOCUMENTED in the medical record
TARGET: 100%
• Percent of tobacco users with REFERRALS to Michigan
Tobacco Quitline (or other program) DOCUMENTED in
the medical record
TARGET: 90%
Results to Date – Pilot Group
Data Source: Michigan Tobacco Quitline
2. Future State
Future State
Michigan Tobacco Quitline Services
• Program is free and confidential for the patient
• Open 7 days per week, 7am-1am ET
• All Quitline coaches are highly trained in Motivational
Interviewing and Behavior Modification
• Provides:
- Referrals to local programs
- Counseling
- Unlimited reactive calls for one year
- Self-help materials
- Text messaging
- Online program
Michigan Tobacco Quitline Eligibility
Michigan Tobacco Quitline Process
Timing
Action
Day one
(initiated by
participant)
• Participants call or are referred to the MI Tobacco Quitline
• Tobacco cessation specialist will likely conduct intake and first
of four coaching sessions
Within 5 days • Participant receives welcome letter and self-help workbook
of enrolling
• If participant completes first coaching call, 1st shipment of
Nicotine Replacement Therapy (NRT) is sent out at this time
Over next 6
to 8 weeks
• Tobacco cessation specialist conducts three remaining coaching
sessions as outbound calls to participant
At any time
• Participants call Michigan Tobacco Quitline for support
Program
completion
• Participant receives completion certificate after 4 coaching calls
• Participants will receive a follow up call at 3/6/12 months after
intake to determine their quit status
Quitline Fax Referral Process
• Use only the pre-populated
form provided by MOQC to
ensure proper data tracking
• Provider signature NOT
required unless patient has
one of three listed conditions
• Patient signature and initials
NOT required
• Instruct patient to expect a
call from the Quitline:
1-800-QUIT-NOW (784-8669)
Quitline Fax Referral Process
• Patient should expect call from the Quitline:
1-800-QUIT-NOW (784-8669)
• Patient is called within 24 hours of receipt or based on
the preferred times indicated by the participant
• 3 attempts to reach the patient based on the preferred
times indicated on the fax referral form
• If no preferred times are indicated, patient is called at
24 hours, 3 days, and 10 days
Quitline Process: Office Follow Up
• Providers will receive fax back updates on patient’s
progress with the Quitline:
1. Fax Received (within 48 hours)
2. Enrolled
3. NRT Ordered
4. Program Complete
5. Declined to Enroll
6. Unreachable
Updates dependent on complete information on fax referral form
BEST PRACTICE: Update medical record in standard location or
image Quitline status faxes into record so staff can provide
appropriate patient support at return visit
3. Change Packet
4. MOQC Resources
Resource Tool Kit
5. Next Steps
Go Live Date
Our practice will go live on:
____________________
Tips for Success!
 Accountability is defined by role
 Buttons worn; brochures visible
 Auto Referral (Opt Out) Process: All patients in
target population who use tobacco will be referred
to the Michigan Tobacco Quitline (patients have to
actively opt out)
 Staff show empathy & support – personal triumphs
shared with patients
 Staff engage families in the quit process
Tobacco Cessation Demonstration Project: Voice of the Customer
Thank You!
ASK ADVISE REFER
[email protected]
www.moqc.org
MOQC is a Blue Cross Blue Shield of
Michigan funded quality initiative