Expert Task Group Recommendations
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- Philomena Bridges
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1 Expert Task Group Recommendations
2 CASE FOR ACTION 157,000 Champlain residents smoke daily. Tobacco use will kill half of these residents if they do not quit. Tobacco use is a very powerful modifiable CVD risk factor. Tobacco use is a key driver of health care spending. Smoking Cessation is a highly hl cost effective intervention.
3 Economic Costs of Tobacco Use for the Year 2002 Champlain* Ontario Canada Deaths per year 1,128 13,224 37,209 Acute hospital days per year 66, ,520 2,210, Direct health care costs ($ millions) 132 1,553 4,360 Other direct costs ($ in millions) Indirect costs ($ in millions) 378 4,440 12,470 Total** ($ in millions) 517 6,057 16,996
4 Most Significant Issues Cessation services in currently reach less than 5% of the overall population of smokers. Low use of evidence-based smoking cessation interventions. Lack of knowledge among public of existing cessation services. Higher rates of smoking in specific sub-populations (Blue collar, mental health illness, outlying region). Lack of understanding of how to best reach high risk populations. Uncoordinated delivery of cessation services in region and communications. Difficulty assembling accurate data on reach and outcomes for existing regional cessation services.
5 Assets Ottawa Public Health Smoke Free Bylaw, Tobacco Strategy, Cessation Services Eastern Ontario Public Health New Cessation Program Ottawa Heart Quit Smoking Program Ottawa Model For Smoking Cessation In-patient t (22/22 hospitals) Out-patient (12 clinics) Family Health Teams (15/22) CAMH STOP Program (Cost free NRT) Smoker s Helpline
6 Key Opportunities Smoke Free Ontario & Tobacco Control identified as a priority in Ontario s Health Action Plan Interest t among large smoking cessation providers in region in coordinating expansion of cessation services Leadership from the Eastern Ontario Building and Trades Union to address cessation among union members
7 THE VISION More Champlain residents make an aided quit attempt t using evidence-based d cessation services. TARGETS To increase the number of Champlain residents who make an aided d quit attempt t using evidence-based d cessation interventions to 15,000 by Secondary targets t include reducing regional variation in tobacco use and success with quitting measured at 6-months.
8 STRATEGY COMPONENTS 1. Improvement Information Systems and Metrics 2. Cessation Service Delivery Network 3. Partner with Employers and Unions to deliver Innovative Worksite Smoking Cessation Program 4. Expand Reach of OMSC in Champlain Hospitals and Outpatients Clinic 5. Expand Reach of OMSC in Primary Care 6. Mental Health & Vulnerable Populations Strategy
9 Strategy Component #1: Improvement Information Systems and Metrics Goal: Support collection of high quality metrics among regional cessation service providers and support coordinated delivery of cessation services among gproviders.
10 Strategy Component #2: Cessation Service Delivery Network Goal: Create the capacity in the Champlain region to deliver high quality cessation services to more Champlain residents. Training Cessation Tools, Protocols Access to Cost- Communications Service Delivery & Policies Free Medications Plan Network
11 Strategy Component #2: Cessation Service Delivery Network 2A. Common Training (In Champlain & Consistent with required skills) 2B. Common tools and resources (medical directives, protocols, client materials) 2C. Regional communications plan (one website, one number, common communication tactics, possible media) 2D. Coordinate access to cost-free/low-cost quit smoking pharmacotherapy 2E. Expand Services through the creation of Regional Cessation Centres - Formats: Face to Face, Group, Telephone, Web-based - Resource Pooling: Delivered using in-kind and some new resources
12 THE VISION One number One website Innovation communications tactics Many service delivery providers Common training, protocols & Client tools Options for clients (group, one on one, telephone, web-based) based) Regional referrals from worksites, primary care, hospitals, direct to public
13 Strategy Component #3: Partner with Employers and Unions to deliver Innovative Worksite Smoking Cessation Program Pilot Program in partnership with Eastern Ontario Construction and Trade Unions Evaluate and expand to other worksites (blue collar, municipal staff, hospital staff) Funding Applied for: MOHLTC $100,000 + NRT In-kind $100,000
14 Strategy Component #4: Expand Reach of OMSC in Champlain a Hospitals s & Outpatients Clinic Sustain program in 22 hospitals Regular training and coaching support Expand to more units Expand to Out-patient Settings Pre-admission unit at TOH Regional Cancer Program Secured Funding: MOHLTC $500,000 TOH $ 50, RCP $ 35,000
15 Strategy Component #5: Expand Reach of OMSC in Primary Care Family Health Teams Support current teams (14) Expand to additional (6-8) Community Health Centres Support CHCs with adoption of CAMH STOP Program Adapt OMSC (10-12) Secured Funding: MOHLTC $100,
16 Strategy Component #6: Mental Health & Vulnerable Populations Strategy t Integrate strong mental health component to all smoking cessation training program in Champlain Ensure strong tobacco cessation component within existing and appropriate mental health training opportunities. Train 10 new organizational champions/year from the mental health service sector Advocate for greater access to NRT Adapt OMSC for use in mental health settings Prepare grant to test OMSC in mental health populations
17 Expected Impacts & ROI Return on Investment (ROI) Cost Year 1: $1,145,000 Year 2: $1,310,000 Year 3: $1,410, Total amount: $3,865,000 Impact of Intervention 4,550 expected quits Cost per quit $849.45
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