Welcome to the FY2016 NAQC Annual Survey of Quitlines Training Webinar!

1. Welcome to the FY2016 NAQC Annual Survey of Quitlines Training Webinar! • We’ll get started at 3:00 p.m. Eastern Time • To mute your line: *1 • To unmute your line: *1 • Please print out a copy of the survey so you can follow along: http://www.naquitline.org/page/2016survey • We will be recording the webinar and posting it to the FY2016 Survey web page:

2. The FY2016 NAQC Annual Survey of QuitlinesTraining Webinar Maria Rudie, MPH Research Manager North American Quitline Consortium September 2016

3. FY16 Annual Survey Overview Annual Survey Background & Timeline Changes from FY15 How to submit survey response FY16 Survey Section Details

4. Annual Survey Background Conducted Annually 2004-2006, 2008-2013 and 2015 Previous Research Partners: 2012, 2013 and 2015 PDA 2010 and 2011 Westat 2008 and 2009 Evaluation, Research and Development Unit, University of Arizona 2006 Center for Tobacco Research and Intervention, University of Wisconsin 2005 University of California, San Diego 2004 Tobacco Technical Assistance Consortium

5. Annual Survey Background Designed to collect information about: Quitline service offerings Budgets Utilization Evaluation data The data will be used by NAQC to: Report on the state of quitlines and trends over time Compile quitline benchmarks Help make the case for funding quitlines Help forecast technical and other needs  

6. FY16 Annual Survey Timeline • Survey opens on October 3, 2016 • Survey closes on November 4, 2016 • Data cleaning: November 2016 • Data analysis: December 2016 – January 2017 • Benchmarking and Presentation of data to NAQC members: March 20/21, 2016

7. Planning for FY16 Annual Survey Goal for Review of Annual Survey Review of survey questions to ensure NAQC continues to collect high quality data for reporting on current and relevant quitline services, budgets, utilization, participant demographics and participant outcomes to NAQC members, the quitline community, CDC and tobacco control partners Review of timeline for fielding of survey Timeline and Process May – August 2016 Annual Survey Workgroup 1:1 conversations with NAQC members 1:1 conversations with NAQC staff Phone calls, conference calls and email correspondence

8. Planning for FY16 Annual Survey Annual Survey Workgroup Anne Rechlin, Cessation Specialist, Montana Tobacco Use Prevention Program Ann Wendland, MSL, Policy Analyst, New York State Dept. of Health Uma Nair, PhD, Assistant Professor, Arizona Smokers Helpline, University of Arizona Becky Lien, MPH, Senior Analyst, Professional Data Analysts Hilary Baca, Client Relationship Manager, National Jewish Health Kara Gordon, Director, Client Services, Optum

9. Key Changes From FY15 Annual Survey Questions 56 Questions in FY15 76 Questions in FY16 (Note: multiple skip patterns, so number answered will be less) Addition of questions on: amount of NRT provided by quitlines provision of NRT to Medicaid enrollees special outreach to specific populations cost-sharing agreements eligibility for quitline services adoption of recommendations from NAQC Issue Papers

10. FY16 Annual Survey Sections

11. Steps for Submitting Data Survey Launch Email – October 3, 2016 Download the WORD or PDF version of the FY16 Annual Survey Designate one staff member to gather all responses Access Survey Monkey Complete survey in Survey Monkey during ONE Uninterrupted Session.

12. Survey Monkey Tips • Best viewing Internet Explorer (also works with Mozilla/Firefox) • Do not use browser “back” or “forward” arrows! • Use “PREV” and “NEXT” • Required questions marked with * • Enter “-9” if you are unable to report • Enter “0” only no funds received/budgeted or no people to report. • Directions for responding are listed immediately after each question • For help, email annualsurvey@naquitline.org

13. Reasons for Error Messages • Left a required field blank • Enter a response. Use “-9” for “unable to report.” • Entered a response in the wrong format • Delete commas, decimals, or other symbols for whole-number responses • Delete commas or other symbols for decimal responses • Enter response within the acceptable range

14. 2016 ANNUAL SURVEY SECTION DETAILS

15. Section 1: Contact Information *Required, 1 item, Q#1 • Section 1 exactly the same as FY15

16. Section 2: Quitline Services & Referrals • Includes questions 2 – 23 • This section has some changes from FY2015 • Question 2: Quitline Services with revised terminology • Questions 9 – 12: Amount of NRT provided • Questions 13 – 17: Provision of NRT to Medicaid enrollees • Questions 20 and 21: Special Outreach

17. Section 3: Budget & Funding Sources • Includes questions 24 – 28. • Questions only ask about FY16 budgets and funding sources • Question 24 - TOTAL State Tobacco Control Budget • Question 25 - TOTAL Quitline Budget and Quitline Budget Categories • Questions 26 - Government Funding Sources • Question 27 - “Cost-Sharing” agreements • Questions 28 - Amount of funding from key sources

18. Section 4: Eligibility for Quitline Services • Includes Questions 29 – 34 • New set of questions on changes to quitline eligibility since 2010 when ACA was signed into law. • Questions have skip patterns

19. Section 5: Utilization • Includes Questions 35 – 47 • Question 35 – 40: Volume by Mode of Entry • Questions 41 – 43: Completed Registrations by Mode of Entry • Questions 44 – 47: Unique Tobacco Users

20. Section 5: UtilizationKey Definitions • Definition of DIRECT CALLS: • The total number of inbound calls to the quitline telephone • systems, regardless of whether or not the calls were answered. • This includes proxy calls and wrong numbers/prank calls. • Definition of Web Visits to Web Enrollment Page/Site: • A web visit to web enrollment page/site refers to any page view • to the state quitline’ s web enrollment page/site, regardless of • whether the view results in any clicks or registration entry.

21. Section 5: UtilizationKey Definitions • Definition of REFERRALS: • Referrals are client referrals to the quitline from health • Professionals (e.g., health care provider, dentist, pharmacist), • state services or community-based service organizations (e.g., • WIC, Head Start, workforce development) on behalf of a patient or • client who expressed interest in assistance with quitting tobacco, • which generates an out bound call initiated from the quitline to the • tobacco user.

22. Section 5: UtilizationKey Definitions • Definition of Electronic Health Record (EHR): • The terms electronic health record (EHR) and electronic medical • record (EMR) are often used interchangeably, although technically • there is a distinction between the two.  An EMR is a computerized • medical record designed to replace the traditional paper chart in a • provider setting. EHRs are essentially EMRs with the capacity for • greater electronic exchange (e.g., following patients from practice • to practice, data exchange and messaging among physicians).

23. Section 5: UtilizationKey Definitions • Definition of REGISTRATION: • Registration refers to questions asked by the state quitline of • tobacco users seeking cessation assistance to enroll the tobacco • user in cessation services.

24. Section 5: UtilizationKey Definitions • Definition of WEB ENROLLMENT: • Web Enrollment is an online intake form for enrollment in • cessation services offered by the state quitline and completed via • the state quitline’ s Web Enrollment Page/Site.

25. Section 5: UtilizationKey Definitions • Definition of UNIQUE TOBACCO USER: • A unique tobacco user is a single unique unduplicated tobacco • user. A unique tobacco user can be a smoker, chewer, etc ., and • can be a current user or recent quitter interested in staying quit • (i.e., have not been quit at intake or registration for more than 30 • consecutive days).

26. Section 5: UtilizationKey Definitions • Definition of RECEIVED SERVICES: • Received services includes receipt of one or more of the following: • Quitline self-help materials • Began at least one counseling call with a cessation coach/counselor (Note: Intake/Registration time does not qualify as a counseling call) • Received FDA approved cessation medication

27. Section 5: UtilizationKey Definitions • Definition of COUNSELING CALL: • Counseling Call is defined as tobacco-user centered, person • tailored, in depth, motivational interaction between a cessation • coach/counselor and tobacco user. This DOES NOT include time • spent on intake/registration or administration.

28. Section 5: UtilizationKey Definitions • Definition of FDA APPROVED CESSATION MEDICATIONS: • FDA approved cessation medications include: • Nicotine Replacement Therapy (NRT) in the form of gum, patch or lozenge • Nicotine Inhaler • Nicotine Nasal Spray • Bupropion (Wellbutrin) • Varenicline (Chantix)

29. Section 6: Minimal Data Set (MDS) • Question 48 - 57 • Same questions as asked in FY15

30. Section 7: Evaluation • Questions 58 - 71 • Same questions as asked in FY15 • NAQC standard quit rate based on 2009 issue paper

31. Section 8: Recommendations from NAQC Issue Papers • Questions 72 - 75 • New set of questions on adoption of recommendations made in the following updates or issue papers: • MDS update adding questions on ENDS • Calculating Quit Rate, 2015 Update • Quitline Services for Pregnant and Postpartum Women • Integration of Tobacco Cessation Medications

32. Section 9: Final Comments • Question 76 • Opportunity to provide NAQC Staff with feedback/comments about the survey items • Notes about your responses to specific items • Comments about the survey process • Things NAQC should consider for future surveys

33. How Annual Survey Data Will Be Used • Summary report presented to NAQC members • Full set of findings available on NAQC website • Data are available to members and researchers for additional analysis • Publications and reports (aggregate data) • Benchmarking work (reach, spending, and quit rates) • Populate quitline profile “metrics” section

34. Need assistance with the survey? • Contact NAQC: • Email: annualsurvey@naquitline.org • Call: (800) 398-5489 ext. 701 • http://www.naquitline.org/page/2016survey

35. QUITLINE MAP UPDATES: • Text messaging (under services offered) • Open text field under each section for additional information • Online services button Please make sure your information is current at all times and refer to the quitline map TA page for additional information. Please keep your profile updated at all times. Please contact profiles@naquitline.org for any assistance.

36. Maria Rudie, MPH Research ManagerNorth American Quitline ConsortiumPhone: 800-398-5489 x704Email: mrudie@naquitline.org

37. Q&A DISCUSSION