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Center for Tobacco Research and Intervention University of Wisconsin Medical School Integrating Tobacco Dependence Treatment with Inpatient Care Introduction by Michael Fiore, MD, MPH Presentation by Tyler Roberts Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Tobacco Use... Is the #1 preventable cause of illness and death in the U.S. and in Wisconsin. Treatment is clinically effective and cost effective. Michael C. Fiore, MD, MPH Director of the UW Center for Tobacco Research and Intervention Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Overview of UW-CTRI University of Wisconsin Center for Tobacco Research and Intervention Research Basic Science Intervention Applied Science Education and Training Clinical, Systems Dissemination, Outreach, Training Transdisciplinary Tobacco Use Research Centers Services Quit Line, Clinic, Patches Center for Tobacco Research and Intervention University of Wisconsin Medical School What is UW-CTRI Outreach? Healthcare providers help patients break free from Tobacco Dependence. Outreach Specialists train healthcare providers. Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School UW-CTRI Outreach Programs • Working with healthcare providers, insurers, and employers to ensure evidence-based treatment for tobacco dependence • Providing expertise in how to provide the best and most cost-effective help for smokers • Wisconsin Tobacco Quit Line and other cessation support, including linkages to local programs and selfhelp materials Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Why should we treat tobacco dependence? • Tobacco causes the premature death of almost half a million Americans each year (#1 preventable cause) • 1/2 of all lifetime tobacco users in this country will die prematurely from tobacco dependence, losing an average of 14 years • Tobacco use causes or worsens every ailment your patients face, and hinders their recovery • 70% of smokers want to quit Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Why Don’t They Just Quit? • Most smokers WANT to quit (70%) • Nearly 50% of smokers make a serious quit attempt each year • Most do not succeed because they try without assistance (only 2-5% succeed quitting “cold turkey”) • Assisted quit attempts - medication and counseling success rates leap to 25%- 30% • Quitting takes practice • Quitting takes treatment Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School What Can Hospitals Do? • Ensure that every smoker is offered the very best possible chance to succeed with quitting – Counseling • Person-to-person counseling is most effective (over the phone, in groups or individual) and more sessions offer better chances of succeeding • Smokers are much more likely to use telephone counseling than group or individual counseling – Medications • Zyban and/or Nicotine replacement (gum, patch, inhaler, lozenge, nasal spray) Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Wisconsin Tobacco Quit Line • Cognitive-behavioral counseling combined with motivational interviewing (evidence-based) • Tailored solutions • Relapse prevention focus • Comprehensive materials • Link to local programs and resources • Data collection/management Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Fax to Quit – Where do I start? • Pick a designated staff person to be the contact person at your site • Staff discuss Quit Line and Fax to Quit program with patient. Patient will sign a consent form • The contact person faxes the consent form to the Quit Line • A Quit Line counselor contacts the patient to provide counseling Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School 9 23 2004 . Dr. Cathy Martin . . . Patient hospitalized, recouping from knee replacement surgery. X Ernie Von Schledorn 14301 Main St. 262 251 Menomonee Falls 5600 262 10 4 53181 251 1956 1548 EVS EVS Ernie Von Schledorn 9 X Transdisciplinary Tobacco Use Research Centers 23 2004 Center for Tobacco Research and Intervention University of Wisconsin Medical School Fax to Quit Program • Benefits to Hospitals: – Directly links your patients to effective cessation treatment – Free to all Wisconsin residents – Easy to implement Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School UW-CTRI Outreach Staff Will: • Link your hospital directly with the resources of the Wisconsin Tobacco Quit Line through the Fax to Quit Program • Train your staff and providers to intervene briefly and effectively with smokers • Supply posters, materials, strategies and others support and technical assistance on-site Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School UW-CTRI Outreach Experience • Trained 10,000 healthcare providers to intervene effectively with their patients • Systems changes underway in hundreds of clinics and hospitals in Wisconsin • Provided assistance to more than 30,000 tobacco users through the Wisconsin Tobacco Quit Line Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Next Steps: • UW-CTRI Regional Outreach Specialist will contact you to arrange a meeting • UW-CTRI Regional Outreach Specialist will personally deliver the Hospital Binder Toolkit to your hospital • UW-CTRI Regional Outreach Specialist will assist with training and technical assistance for your hospital • UW-CTRI Regional Outreach Specialist will continue to be a resource for your hospital Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School Laurie Groskopf 715-365-2706 Kristine Hayden 715-855-7312 Roger Dier 920-448-4800 Within Milwaukee Co. Mary Balistreri Cywinski 414-227-4507 Tricia Brein 608-243-2386 Surrounding Mil. Co. Tyler Roberts 414-227-4926 Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School www.ctri.wisc.edu Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School E & Answers Transdisciplinary Tobacco Use Research Centers Center for Tobacco Research and Intervention University of Wisconsin Medical School “Not since the polio vaccine has this nation had a better opportunity to make a significant impact in public health.” David Satcher, MD, PhD, Former U.S. Surgeon General Transdisciplinary Tobacco Use Research Centers