Indiana Rural Health Tobacco Treatment Collaboration w/Indiana Tobacco Prevention & Cessation

1. Indiana Rural Health Tobacco Treatment Collaboration w/Indiana Tobacco Prevention & Cessation ~Indiana Rural Health Association October 2010~

2. Presentation Overview • Rural Population Tobacco Facts • Successful Tobacco Treatment Services for Rural Health • Preferred Provider Network

3. Indiana Tobacco Facts Smoking Rate For Adults • 2009 reached the lowest rate of adult smoking in Indiana (23%) ever recorded • National rates for tobacco use = 18% • 80% adult tobacco users want to quit

4. Rural Tobacco Use Facts Rural vs. Urban notable Differences-2006 ATS • 34% of Rural smokers tried to quit in past year ( 56% living in urban areas) • 62% of Rural smokers say cost of cigarettes most important reason for recent quit attempt ( 43% living in urban areas)

5. Rural Tobacco Facts cont’Rural vs. Urban notable Differences-2006 ATS • 60% of Rural smokers get specific types of advice from physicians for quitting • (75% urban smokers) : • advised not to smoke • recommended medications • counseling service • >50% HC providers in all areas identify tools to help users quit… • The rates are different, but not statistically.

6. Rural Tobacco Facts cont’ Rural vs. Urban notable Differences-2006 ATS • Rural Hoosiers less likely to request smoke free workplace • Rural residents feel smoking more acceptable Attitudes about how Hoosiers think others in their community feel about smoking • Rural Hoosiers less likely to report adult smoking AND adult smoking around children something that should definitely not happen

7. Successful Tobacco Treatment Services for Rural Health

8. EssentialFact • Clinicians & healthcare delivery system must consistently identify and document tobacco use status • Treat every tobacco user seen in a healthcare setting at each visit must be treated HOW? TIME? OVERLOAD!

9. AskAdvise Refer Brief Intervention (less than 3 minutes) 1-800-QUIT-NOW Recommend a medication, if appropriate

10. 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 10

11. 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 • Support Materials 11

12. 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 12

13. Something For Everyone www.indianatobaccoquitline.net www.quitnowindiana.com www.itpc.in.gov 13

14. The Program WorksPractices based on 25 yrs of researchhelped hundreds of thousands of smokers quit & stay quit • Quit at personal pace • Conquer urges to smoke • Use Pharmaco so they really work • Don’t just Quit, become NON-SMOKER • Choose own Quit Date, personal Quit Coach help prepare & get ready • Learn when & where urges strike & how to cope & manage stress w/o smoking • Recommend meds right for each participant and teach how to use correctly • QUIT for good-support to make this the LAST Quit, help with weight issues 14

15. 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™ 15

16. Preferred Provider Network

17. Preferred Provider = Multiple Benefits Tina Elliott & local experts Create platform to help patients quit smoking Access to professional evidence based resources Exclusive tobacco cessation services and materials Unlimited QUIT NOW fax referring privileges Promotional and educational materials Data on participating fax referred patients Pharmacotherapy chart w/insurance reimbursement codes Direct access to ITPC cessation specialists ITPC support every step of the way

18. Join Our Preferred Provider Network • YOU ARE READY: • Promote the Indiana Tobacco QuitLine to patients • Begin referring patients who are ready to quit to • 1-800-QUIT-NOW 18

19. Fax Referral Clinic Employer Information You fax it… We take it from there… 19

20. Next Steps • Become ITPC Preferred Provider today • Advocate the importance of smoking cessation to your staff and patients through the resources provided by our community partners • Begin fax referring patients immediately

21. ?QUESTIONS? Camille A. Kalil, Director of Tobacco Cessation Indiana Tobacco Prevention & Cessation Agency PO Box 128, La Porte, IN 46352 Telephone: (317) 519-9763 E-mail: ckalil@itpc.in.gov