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Overall Status of Products from Partner Scope of Work for Tobacco Cessation
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1.1 | Participate in Launch Call |
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1.2 | Partner with state health department for Million Hearts, TIPS, and other smoking cessation programs. |
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1.3 | Meet monthly with NACHC to review strategies | MONTHLY |
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1.4 | Engage 3 health centers to participate in QI tobacco cessation work.Identify a domain and population of focus with partner health centers. |
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DELIVERABLE 2 | ||||||||||||||||||||||||
2.1 |
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2.2 | Implement and test strategies |
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DELIVERABLE 3 | ||||||||||||||||||||||||
3.1 | Partner with state tobacco cessation programs and Million Hearts for alignment and strategy. |
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3.2 | Identify gaps in evidence-based care using quality measures and responding to them using a human-centered approach, and evaluate the impact of the QI intervention |
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3.3 | Submit report on lessons learned and promising practices on lessons learned, and experience as a result of tobacco cessation quality improvement efforts, reflecting the care team and patient experience, challenges and recommendations for sustainability and scale |
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Tasks / Action Items
FINAL STEPS/PRODUCTS
Resources:
NACHC Tobacco Cessation Change Package + Activities Questionnaire Results
Harvest Meeting Presentations:
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Proposed final steps 7updated 8-19-21
- Promising practices on what TCCP implementation strategies work for health centers and primary care and what needs to be added: networks and population health and EHRs
- Work flow examples from health centers : education/curriculum
- Transdisciplinary team member roles (graphic?): dentists/behavioral health
- Inventory of the top resources for tobacco cessation for health centers based on clinical evidence, implementation science, and system transformation.
- MI
- Integration of dental
Products:
- One pager networks
- Curriculum
- Dentists/behavioral health role and integration
- Motivational interviewing (from pediatric obesity)
Harvest Meeting Agenda and Logistics
Products for health centers
Products for Anna Final report23-21
"How to tap into CHC's Unique Model for Tobacco Cessation"
- Introduction/Background - How CHC’s are unique – with a comprehensive value-driven focus to care and co-located services. Because CHCs are unique - Ohio suggests the order of CDC’s change package can be adjusted slightly to help health centers who wish to engage their dental clinics in cessation efforts (for example):
- Part 1: Tap into CHC’s Unique Model. 1 page on how CHCs can maximize opportunities for screening, treatment, and integration -- because of the co-location of services such as dental, behavioral health and primary care -- and explain how the integrated team approach leads to individualized care plans and more patient engagement.
- As Ellen recommends, we can use an Infographic to illustrate how services can work together (using some of the health center’s graphics from their slides)
- And if you want more: we can build a case study here to illustrate how this “looks” at a health center or from the PCA's perspective...
- Part 2: CHC Workflow Examples for Cessation Work at Dental Clinics and Pharmacies. Offer a few examples to show how CHC's can boost cessation services through dental clinics, pharmacies, and behavioral health clinics (or whatever samples we can get)
- Part 3: Utilize PCA Support and Resources. Explain how PCAs can support cessation efforts by offering and sharing resources such as:
- Training programs:
- Dental training: Case Western’s program
- ….is there anything equivalent for pharmacists?
- Motivational Interviewing: (example? .. the dental training includes this)
- Referral resources:
- ?quit lines… ?
- Marketing materials:
- Samples from these health centers
- Part 4: Build Ticklers and Tracking within Electronic Medical Records. Offer examples (screen shots?) of how EHRs have been enhanced with population health models to identify high-risk patients, added “ticklers” to prompt clinical staff to ask about smoking habits, referrals, and tracking tools for follow-up/treatment. ** I asked Brandi to ask her centers about this earlier... I hope they'll share a bit about this on Wednesday.
- Part 5: CSC Coding and Billing Tips for Tobacco Cessation Efforts… (I realize it’s different for each state, so I want to ask Cheryl or someone how best to do this. But…) I found this: How to Bill for Smoking Cessation Counseling 99406 (capturebilling.com) - Brandi shared this: If we see Medicare Pts, We get paid $46.71 for them if we drop the : • G0375: Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. • G0376: Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes (Susan didn’t ask her centers yet) - Susan seemed to think her centers can't get much from extra billing so she didn't see value in this... but I wonder...