Transcript What Worked Community Health Centers

1
Identify smoker and
document smoking
status
5
Receive patient
status report and
aggregate reports
2
Talk with patients
about their
tobacco use
The
3
QuitWorks
Solution
During hospital stay or
outpatient visit, enroll patient
in QuitWorks
Fax enrollment form
4
Prescribe
Medication
QuitWorks completes
patient assessment and
offers intensive counseling
options,
Post discharge,
QuitWorks calls your
patient
Linking:
•
Eight Massachusetts Commercial and Medicaid
Health Plans
•
1700 Provider Practices with QuitWorks Kits
•
22 Hospitals, 12 community health center sites,
14 Harvard Vanguard centers, 144 WIC and
Women’s Health Network sites
•
All patients who use tobacco regardless of health
insurance
•
Proactive telephone counseling
@ Try-To-STOP TOBACCO Resource Center
In Time of Uncertain Funding: The Value of Quitline
Partnerships
Helpline Quarterly Client Volume
Smokers/Quitters (without NRT pilot) 04/02-03/05
Self Referred
QuitWorks
Total
Ap
r
02
Ju - Ju
l0 n
0
Oc 2-S 2
e
t
02 p 0
2
J a -D
e
n
03 c 0
Ap -M 2
a
r
03 r 0
3
Ju -Ju
l0 n
0
Oc 3-S 3
ep
t
0
0
Ja
3De 3
n
04
c
0
Ap
Ma 3
r
r
Ju 04- 04
l 0 Ju
n
4
0
Oc
Se 4
t
pt
0
0
Ja 4 De 4
n
05
c
- M 04
ar
05
1800
1600
1400
1200
1000
800
600
400
200
0

Total n= 12,269 for 12 quarters reported. QuitWorks enrollments (n= 6,127) + Self Referred (n= 6,142).

Self Referred total includes tobacco users (smokers/quitters) and repeat callers and 1,611 cases from the
Ready, Set, Quit Pilot Project (3/21-3/31/05) . Cases with abbreviated intakes and proxy/professional callers
are NOT included in client data.
Results: Service Utilization
Total Clients 36 Mos
4/02-3/31/05
•
Total Clients
13,273
•
Self referred
5,539
•
QuitWorks enrollees
6,123
•
NRT Pilot (2 weeks)
1,611
FY O5 Year To Date (9 mos)
•
•
•
•
Total Clients
Self Referred
QuitWorks
NRT Pilot (2 weeks)
5, 917
1,854
2,452
1,611
Working with Health Care
• Strive for a universally-endorsed system
• Integrate quitline fax-referral into all existing
systems-
• Keep it simple: 2As Ask-Arrange
• Provide on-site detailing and provider training to
hospitals and health centers
• Provide feedback reports
What Worked
• Health Plans
— Get all major plans to buy in to a single system
— Define roles clearly from the outset: MDPH provides
counseling; Health plans provide medications,
promote QuitWorks and pay for feedback reporting
— Co-own and co-brand QuitWorks; partners meeting
quarterly to monitor and improve.
What Worked
• Hospitals
- JACHO is the incentive + champion MDs
(pulmonologists; respiratory therapists)
- Works best where there is a team or dedicated,
responsible person to oversee system (e.g.
Respiratory Therapists)
- Hospitals all report strongly enthusiasm with
QuitWorks system--easy to use; keeps smoking and
cessation ever-present, helps meet JACHO
What Worked
• Community Health Centers
- Demonstration program with competitive
application and press release
- Provided free on-site presentation, detailing and
provider training
- Need to adapt QW services for cultural and
linguistic minorities