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Overall Status of Products from Partner Scope of Work for Tobacco Cessation 

FINAL STEPS/PRODUCTS

Resources:

NACHC Tobacco Cessation Change Package + Activities Questionnaire Results

Harvest Meeting Presentations:

 Proposed final steps updated 8-23-21

"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...