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Indiana Rural Health Tobacco Treatment

Collaboration w/Indiana Tobacco Prevention & Cessation

~Indiana Rural Health Association October 2010~

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Presentation Overview

1. Rural Population Tobacco Facts

2. Successful Tobacco Treatment Services for Rural Health

3. Preferred Provider Network

Indiana Tobacco FactsSmoking 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

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)

Rural Tobacco Facts cont’

Rural vs. Urban notable Differences-2006 ATS

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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.

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•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

Rural Tobacco Facts cont’

Rural vs. Urban notable Differences-2006 ATS

Successful Tobacco Treatment

Services for Rural Health

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Essential Fact•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!8

AskAdvise

Refer

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Brief Intervention (less than 3 minutes)

1-800-QUIT-NOWRecommend a medication, if appropriate

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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

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The Program

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• 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

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The Participant Experience

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Referral from tobacco cessation community or paid media

2. Intake Specialist

1. Fax Referral or Person Calls

3. Professional Coach

3. Professional Web Coach 4. Physician RX or OTC

18 yrs. or older

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Something For Everyonewww.indianatobaccoquitline.net

www.quitnowindiana.com www.itpc.in.gov

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The Program WorksPractices based on 25 yrs of research

helped hundreds of thousands of smokers quit & stay quit

1. Quit at personal pace

2. Conquer urges to smoke

3. Use Pharmaco so they really work

4. Don’t just Quit, become NON-SMOKER

1.Choose own Quit Date, personal Quit Coach help prepare & get ready

2.Learn when & where urges strike & how to cope & manage stress w/o smoking

3.Recommend meds right for each participant and teach how to use correctly

4.QUIT for good-support to make this the LAST Quit, help with weight issues

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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™

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Preferred Provider Network

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1. Tina Elliott & local experts2. Create platform to help patients quit smoking3. Access to professional evidence based resources4. Exclusive tobacco cessation services and materials5. Unlimited QUIT NOW fax referring privileges 6. Promotional and educational materials7. Data on participating fax referred patients8. Pharmacotherapy chart w/insurance reimbursement

codes9. Direct access to ITPC cessation specialists10. ITPC support every step of the way

Preferred Provider = Multiple Benefits

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Join Our Preferred Provider Network

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YOU ARE READY:

•Promote the Indiana Tobacco QuitLine to patients

•Begin referring patients who are ready to quit to

1-800-QUIT-NOW

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Fax Referral

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You fax it…We take it from there…

Employer Information

Clinic

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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

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Camille A. Kalil, Director of Tobacco Cessation Indiana Tobacco Prevention & Cessation Agency

PO Box 128, La Porte, IN 46352Telephone: (317) 519-9763E-mail: ckalil@itpc.in.gov

?QUESTIONS?