	Products	Due Date	LPCA	OACHC
DELIVERABLE 1
1.1	Participate in Launch Call	09 Dec 2020	COMPLETED	COMPLETED
1.2	Partner with state health department for Million Hearts, TIPS, and other smoking cessation programs.	31 Dec 2020	COMPLETED	COMPLETED
1.3	Meet monthly with NACHC to review strategies	MONTHLY	COMPLETED	COMPLETED
1.4	Engage 3 health centers to participate in QI tobacco cessation work. Identify a domain and population of focus with partner health centers.	31 Dec 2020	COMPLETED	COMPLETED
DELIVERABLE 2
2.1	Engage health centers in virtual meetings Capture lessons learned and share them with NACHC and other partners	31 Mar 2021	COMPLETED	COMPLETED
2.2	Implement and test strategies	31 Mar 2021	COMPLETED	COMPLETED
DELIVERABLE 3
3.1	Partner with state tobacco cessation programs and Million Hearts for alignment and strategy.	30 Jun 2021	COMPLETED	COMPLETED
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	30 Jun 2021	COMPLETED	COMPLETED
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	30 Jun 2021	COMPLETED	PENDING

FINAL STEPS/PRODUCTS

Resources:

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:

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...

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