Helping Providers Help Patients Break the Habit

1. Helping Providers Help Patients Break the Habit Embedding the Indiana Tobacco Quitline Electronically

2. 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 2

3. The Program • Four prearranged appointments w/coach • Ten prearranged appointments for pregnant woman • Unlimited call in privileges and access to the web • Two weeks Free NRT for Uninsured, Medicare, Medicaid • Support Materials 3

4. Referral from tobacco cessation community or paid media The Participant Experience 1. Fax Referral or Person Calls 18 yrs. or older 3. Professional Coach 2. Intake Specialist 3. Professional Web Coach 4. Physician RX or OTC 4

5. 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 use by employers and participants • Initial call does not need to be made by tobacco users, but by Quit Coach™ 5

6. Embedding the Indiana Tobacco Quitline E-Referral

7. The Electronic Referral • What is an Electronic Referral? • It allows a medical provider to refer a patient to the 1-800-QUIT-NOW electronically through their electronic health record (EHR) or electronic medical record (EMR). • Benefits • The electronic referral prompts medical providers to consistently Ask, Advise & REFER, REFER, REFER. • A paper free option to assist a tobacco user • Requires a small amount of time • May increase the number of tobacco users to 1-800-QUIT NOW

8. Electronic Referral • Embedding the fax referral electronically takes TIME. • Identifying and engaging key stakeholders at the healthcare organization is VITAL. • A commitment NEEDS to be obtained. • Examine and develop appropriate electronic fax referral form with healthcare organization APPROVED by TPC & ITQL. • Launch and train staff of ITQL. • Monitor

9. Hendricks Regional Hospital Experience • Executive Level Buy-In • Series of Presentations to HRH Staff • Approval from TPC & ITQL vendor • Launch • Training of HRH Staff • Increase of referral from 25 FY 2012 to 198 FY 2013.

10. Conclusions • Treatment of tobacco use = at least same attention that other chronic diseasesdemand • Providers need to: • Engage in effective behavioral interventions • Optimize medication use • Have knowledge of support and utilize resources • E-Referral is the cornerstone of diverse cessation success.

11. ?QUESTIONS? Monique Hill French, MPH Regional Program Director & Cessation Systems Specialist Indiana Tobacco Prevention & Cessation Commission 2 N. Meridian, 5th Floor, Indianapolis, In. 46204 Telephone: (317) 234-2439 E-mail: mohill@isdh.in.gov ; www.in.gov/isdh/tpc Michael McDonald, MA Telephone: (317) 828-9248 Email: TFHendricksco32@hotmail.com