Plugging the Leaks: Leveraging Available Tobacco Cessation Resources

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Plugging the Leaks: Leveraging Available Tobacco Cessation Resources Welcome Please Stand By. We will begin Shortly Thursday, July 24 th, 2014 11:30am CST (1 hour)

Moderator, LTCC and LPHI Alex Hurst Cessation Manager, Louisiana Campaign for Tobacco Free-Living ahurst@lphi.org Louisiana Tobacco Cessation Consortium is a collaborative group of cessation professionals who use the principles of Partnerships, Programs and Policy to expand comprehensive tobacco cessation services and initiatives. Louisiana Public Health Institute Works to improve the health and quality of life of all people regardless of where they live, work, learn or play.

Welcome Alex Hurst Agenda Background, Website and Quitline Alex Hurst Fax-to-Quit, HEAL Manual and Well-Ahead Brandi Bourgeois Smoking Cessation Trust Mike Rogers

Webinar Objectives By the end of the presentation, attendees will: Have a general understanding of the available statewide cessation resources and toolkits that are available to them Be able to identify at least three resources that clinicians can utilize to aid patients/clients in quitting smoking Be able to implement/enhance existing tobacco cessation services by leveraging the available resources

Why is this so important? Clinical UDS Measures 2013 ATS Tobacco Use Screening 100.00% 94.20% 90.00% 83.40% 80.00% 70.00% 60.00% 57.30% 32.44% 67.56% 50.00% 43.50% 40.00% 30.00% 20.00% 10.00% 0.00% 2011 2012 Yes 2013 ATS Tobacco Cessation Counseling and Referrals No Tobacco Use Screening Tobacco Cessation Counseling for Tobacco Users 41.15% 58.85% Yes No

Louisiana Statewide Cessation Resources

Overview Quitwithusla.org Louisiana State Quitline Web Enroll Program

Quit with Us LA Website Quitwithusla.org

How to Quit: Getting Ready Access to Cessation links: Reasons to Quit How to Quit Links to Quitline and Web enroll page Benefits of Quitting Follow-up material: Support Lines How to Stay Quit Success Stories

Healthcare Providers

Louisiana State Quitline Quit Coaches available 24/7 English and Spanish speaking staff, Interpretive services available for other languages TTY for deaf and hard of hearing

Quitline Continued Quitline Participants will also receive: Quit Kits in the mail Information and access to local quit smoking Programs in their community Help in setting up a Quit date and plan.

Quitline Overview Multi-Call Program (5-Calls) Effective April 10, 2013 10-Call program available to pregnant women Nicotine Replacement Therapy Gum and Patches Available 2-week dose pack per 12 months

New Enroll Online Chat with Quit Coach 24/7 Set-up Quit plan Investigate benefits Find past testimonies Order NRT 2 Weeks of NRT available for ordering Take a survey to understand if you are ready to quit Quitnow.net/Louisiana

Web Program Web Only: This program provides exclusive access to Web Coach, the online learning and support community. No phone calls will be received from a Quit Coach. Web Enroll: This program provides phone-based support from a Quit Coach and access to Web Coach.

Have Additional Questions? Alex Hurst Cessation Manager, TFL ahurst@lphi.org 504-301-9838 Brendetta Age Cessation Program Monitor, LTCP Brendetta.Age@LA.GOV 225-342-2027

HEAL Manual Fax to Quit LA WELL AHEAD LA Creating a Healthier Campus & Workforce

Outline of Presentation HEAL Overview Fax 2 Quit Louisiana Well Ahead Initiative Thank You / Questions

Major Components of HEAL (Helping Empower All of LA) Tobacco Free Policy Writing Policy Communication Cessation Tools

Policy Key Points Assess your current policies and procedures Set Policy Parameters Employee policy Patient policy Visitor Policy Satellite/Leased properties Enforcement How to ready your campus for policy change Current Status of Policies Statewide 117 Tobacco Free 34 Smoke Free

Prior To Implementation Complete observational checklist for tobacco-use on-campus in outdoor area 6 Month Follow-up 12 Month Follow-up Annual Follow-up

Policy Communication Develop a communications plan for announcing policy initiative Hospital Staff Patients Visitors Community-At-Large Communicate the importance/purpose of the policy Educate on the dangers of tobacco use Graphic Courtesy of Leonard J. Chabert Medical Center

Policy Communication Develop talking points for staff. Use positive language. Media and Marketing Press Release Letter to the Editor (LTE) Promotional Items Celebratory Events Graphic Courtesy of Leonard J. Chabert Medical Center

Cessation Hospital Employee Tobacco-Use Survey Establish assistance for employees and patients NRT Education & Counseling Services Medical Insurance Cessation Benefits Resources available: Quitline Fax-To-Quit Medicare & Medicaid Standing Orders Education Campus cessation counseling

Tools HEAL Toolkit http://www.quitwithusla.org/pages/detail/88/heal-toolkit

What is Fax-To-Quit Louisiana? Links services of the Louisiana Tobacco QL directly to the potential quitter with the help of healthcare providers. The Louisiana Tobacco QL is for people ready to make a quit attempt within in the next 30 days. Only those who are ready to make a quit attempt, and agree to be contacted by the Quitline should be referred. The Louisiana Tobacco QL Fax Referral Program will provide the counseling component of the equation through the QL, while healthcare providers, provide the intervention and pharmacotherapy. http://www.quitwithusla.org/pages/detail/24/fax-to-quit- Louisiana#start-training

www.quitwithusla.org

Well Ahead www.wellaheadla.com Voluntary initiative of DHH encouraging healthy behavior changes Focus Entities Universities, Hospitals, Restaurants, Child Care Centers, Schools, & Worksites Level 1, 2, 3

Well Ahead Resources www.wellaheadla.com WellAhead@la.gov Application: http://www.dhh.louisiana.gov/index.cfm/form/127 Criteria: http://www.dhh.louisiana.gov/index.cfm/page/1840 Hospital Contact: Ashley McGowan: Ashley.mcgowan@la.gov

Brandi Bourgeois, MPH Program Manager, Louisiana Tobacco Control Program Department of Health and Hospitals- Office of Public Health 225-342-9307 Brandi.bourgeois@la.gov

Funded by a 2010 Court of Appeal decision, affirming the decision in the Scott v. American Tobacco Co., et al class action lawsuit, the Smoking Cessation Trust was created in 2011 to provide smoking cessation programs for Louisiana residents who began smoked cigarettes prior to September 1, 1988 (Scott Class).

To be covered by the Smoking Cessation Trust fund, members must: Complete an Application for participation in the Scott Class Have begun smoking cigarettes prior to September 1, 1988 Reside in Louisiana Be approved by the Judge Presiding over the Scott Class

Telephone quit-lines The smoking cessation program defined by the Court is comprised of four evidence-based components: Health systems interventions (covers costs associated with major modifications to systems of care related specifically to cessation) Intensive cessation programs (programs offering combination of treatment regimens) Reimbursement for smoking cessation Nicotine Replacement Therapy (NRT) and related Medications

SCT s Program : Based on U.S. Public Health Service s Treating Tobacco Use and Dependence: 2008 Update, a Public Health Servicesponsored Clinical Practice Guideline Product of the Tobacco Use and Dependence Guideline Panel Panel responsible for identifying effective, experimentally validated tobacco dependence treatments and practices Guideline update reflects the distillation of a literature base of more than 8,700 research articles Updated coding

Our services are provided by:

Baton Rouge General (2) Provider Programs Contracted with SCTMS for: Clinic-based programs Group counseling programs Health systems interventions Cardiovascular Institute of the South (14) Ochsner Health System (3) Mary Bird Perkins Cancer Center (5) Slidell Memorial Hospital (1) West Jefferson Medical Center (1) LSU Health Sciences Centers/Charity Hospitals (State-wide) (11) Louisiana Heart Hospital (Lacombe) Rapides Foundation (Alexandria)

Provider Programs in Discussions with SCTMS for: Clinic-based programs St. Francis Medical Center (Monroe) Our Lady of the Lake RMC (Baton Rouge) Group counseling programs Health systems interventions

The smoking cessation program defined by the Court is to provide payment for smoking cessation services for 10 years.

Hi-lights of Smoking Cessation Trust Development To-date Completed design & implemented program Nov. 2011 to Sept. 2012 First Member: April 2012 Open for business: Oct. 1, 2012 Serve + 17,109 Members in all Louisiana Parishes (as of 06/30/14) 2014 Average +1,397 new applicants/month

SCTMS Mission SCT Management Services, L3C (SCTMS) was created by the Smoking Cessation Trust to manage the daily activities necessary to execute the Trust s mission. In that regard, SCTMS has exclusive operational responsibility for the execution of all relationship and/or infrastructure needs required to meet the goals of the Trust. Arrange for the highest level of smoking cessation services possible to the greatest number of Scott Class Members. Increase the number of exsmokers (smokers who quit) in Louisiana. Make significant positive contributions to improving Louisiana s clinical smoking cessation services for smokers in Louisiana.

https://www.smokingcessationtrust.org/

Questions and Answers Feel Free to submit questions via the Chat Box