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Indiana Tobacco QuitLine & TPC Preferred Provider Network

Tobacco Prevention and Cessation (TPC)

Quit Now Indiana

October, 2011

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Presentation Overview

1. Indiana Tobacco QuitLine

2. Success w/Preferred Provider Network

Work To Be Done

• Indiana smoking rate = 21% down from 27%

• National smoking rate = 18%

• Over 1 million smokers in Indiana

• Continue working for a tobacco-free Indiana

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Adult Population

80% want to quit

60% of Hoosier adult tobacco user attempt quitting through a variety of methods each

yr

Multiple attempts

Health Care professionals need a place to refer their diverse populations for successful quit

We Can Help!2002 & 2008 Indiana Adult Tobacco Survey

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Quit-Now Indiana Program~Refer to Preferred Employer Toolkit~

A Solution…

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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

Overcome Barriers

•Access transportation especially rural / remote areas

•Appeal to those reluctant to take part in group (Zhu, Anderson, Johnson, Tedeschi, & Roeseler, 2000)

•Successfully extended the reach of more traditional programs (Zhu, Rosbrook, Anderson et al., 1995).

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Improves cessation rates by increasing the percentage of smokers making a quit attempt & reduce the probability of relapse

(Cummins, Bailey, Campbell, Koon-Kirby, & Zhu, 2007a; McAfee, 2007; Zhu, et al., 2002).

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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 to use • Initial call does not need to be made by tobacco

users, but by Quit Coach™

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QUIT RATES

24.7%22.5%

32.9%

27.9%

0%

5%

10%

15%

20%

25%

30%

35%

7-day 30-day

7- Month Evaluation

13-Month Evaluation

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• Four prearranged calls w/coach• Ten prearranged calls for pregnant woman (special program)

• Web coach • Unlimited call in privileges and access to coaches• Free 2 wk NRT starter kit (uninsured, Medicaid,

Medicare)• Support Materials

KEY PROGRAM COMPONENTS

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THE PARTICIPANT EXPERIENCE1. Fax Referral or Person Calls

2. Intake Specialist 3. Professional Coach

4. Professional Web Coach

Physician RX or OTC2 wk starter kit (patches or gum)

•Medicaid•Medicare•Uninsured

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Something For Everyonewww.in.gov/quitline

www.quitnowindiana.com

www.in.gov/isdh/tpc 

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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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Preferred Provider NetworkPreferred Provider PatientsPreferred Employer EmployeesPreferred Organization Clients/Participants/Other

~Refer to Preferred Provider Toolkit~

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1. Patients 2.5 x more likely to quit if you tell them to quit

2. A place to send patients to help them quit smoking

3. Access to professional evidence based resources

4. Exclusive tobacco cessation services and materials

5. Unlimited QUIT NOW fax referring privileges

6. Promotional and educational materials

7. Data on participating fax referred patients

8. Pharmacotherapy chart w/insurance reimbursement codes

9. Direct access to ITPC cessation specialists

10.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

AskAdvise

Refer

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Brief Intervention (less than 3 minutes)

1-800-QUIT-NOWRecommend a medication, if

appropriate

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Fax Referral

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You fax it…We take it from there…

Employer InformationClinic

Conclusions1. Treatment of tobacco use = at least same attention

that other chronic diseases demand

2. Providers need to:– Engage in effective behavioral interventions– Enroll PPN-enhance your services– Optimize medication use– Have knowledge of support and utilize

resources

3. Fax Referral is the cornerstone of diverse cessation success.

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?QUESTIONS?

Camille Kalil, Director of Tobacco TreatmentTobacco Prevention and Cessation

CommissionIndiana State Department of Health

ckalil@isdh.in.gov

Take Action NOW!