Approaches for Implementing Tobacco Cessation Services in Different Settings

Hosptial

Community

Ambulatory Care Clinic

Adherence Tools

• Adherence Toolkit and Supplemental Material
• Financial Barriers to Adherence

• Adherence Toolkit and Supplemental Material
• Financial Barriers to Adherence

• Adherence Toolkit and Supplemental Material
• Financial Barriers to Adherence

Clinical Tools

• Tobacco Cessation Clinical Pocket Toolkit
• Wisconsin Tobacco Quit Line 1-800-QUIT-NOW (1-800-784-8669)
• Med Counseling Sheets

• Tobacco Cessation Clinical Pocket Toolkit
• Wisconsin Tobacco Quit Line 1-800-QUIT-NOW (1-800-784-8669)
• Med Counseling Sheets

• Tobacco Cessation Clinical Pocket Toolkit
• Wisconsin Tobacco Quit Line 1-800-QUIT-NOW (1-800-784-8669)
• Med Counseling Sheets

Motivational Interviewing

• Integrate Motivational Interviewing through MA or Pharmacy Technician at admission – “On a scale of 1 to 10, how ready are you to quit tobacco?”
• MI Video 1
• MI Video 2

• Integrate Motivational Interviewing through Pharmacy Technician at admission – “On a scale of 1 to 10, how ready are you to quit tobacco?”
• MI Video 1
• MI Video 2

• Integrate Motivational Interviewing through MA or Pharmacy Technician at admission – “On a scale of 1 to 10, how ready are you to quit tobacco?”
• MI Video 1
• MI Video 2

Best Practices

• Integrate pharmacist into perioperative, discharge, and referral workflows
• Create tobacco cessation team including RTs and pharmacists
• Integrating 5As into roadmap of care

• Identify a tobacco cessation champion
• Use the Willingness to Quit validated questions from Pfizer
• Integrating 5As into roadmap of care

• Identify a tobacco cessation champion
• Encourage use of the 5A’s
• Use the Willingness to Quit validated questions from Pfizer
• Get referrals to provide service
• Integrating 5As into roadmap of care

Referral Process

• Use CPA template (Appendix A)
• Integrate pharmacist into perioperative, discharge, and referral workflows
• Use 5As during pathway of care
• Refer patient to clinic or Quit Line at discharge
• Use EHR

• Use CPA template (Appendix A)
• Receive referrals from employer programs
• Use 5As during counseling to identify patients
• Integrate tobacco cessation into CMR/A through WPQC
• If patient does not meet criteria for coverage, refer to clinic or Quit Line

• Use CPA template (Appendix A)
• Receive referrals from employer programs
• Use 5As during counseling to identify patients
• Integrate tobacco cessation into CMR/A through WPQC
• If patient does not meet criteria for coverage, refer to clinic or Quit Line

Financial Sustainability

• Health system metrics (readmissions, prevention)

• Facility Fee
• Incident to Fee
• WPQC CMR/A
• Employee Wellness Programs

• Facility Fee
• Incident to Fee
• WPQC CMR/A
• Employee Wellness Programs