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Integrating Tobacco Dependence Treatment with Inpatient Care

WISCONSIN HOSPITAL ASSOCIATION. Integrating Tobacco Dependence Treatment with Inpatient Care. Introduction by Michael Fiore, MD, MPH Presentation by Tyler Roberts. Tobacco Use. Is the #1 preventable cause of illness and death in the U.S. and in Wisconsin.

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Integrating Tobacco Dependence Treatment with Inpatient Care

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  1. WISCONSIN HOSPITAL ASSOCIATION Integrating Tobacco Dependence Treatment with Inpatient Care Introduction by Michael Fiore, MD, MPHPresentation by Tyler Roberts

  2. 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, MPHDirector of the UW Center for Tobacco Research and Intervention

  3. Overview of UW-CTRI University of Wisconsin Center for Tobacco Research and Intervention Research Intervention Basic Science Applied Science Clinical, Systems Education and Training Dissemination, Outreach, Training Services Quit Line, Clinic, Patches

  4. Healthcare providers help patients break free from Tobacco Dependence. Outreach Specialists train healthcare providers. What is UW-CTRI Outreach?

  5. 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 self-help materials

  6. 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

  7. 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

  8. 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)

  9. 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

  10. 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

  11. 9 23 2004 Dr. Cathy Martin X Ernie Von Schledorn 10 4 1956 14301 Main St. Menomonee Falls 53181 262 251 5600 262 251 1548 Ernie Von Schledorn 9 23 2004 • . • . • . • . Patient hospitalized, recouping from knee replacement surgery. EVS EVS X

  12. Fax to Quit Program • Benefits to Hospitals: • Directly links your patients to effective cessation treatment • Free to all Wisconsin residents • Easy to implement

  13. 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

  14. 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

  15. NextSteps: • 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

  16. 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

  17. www.ctri.wisc.edu

  18. ? U E Q S ? T ? ? ? ? I O ? N ? S ? ? ? ? ? ? ? ? Answers &

  19. “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

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