Call it Quits Referral Program
The Call it Quits Referral Program is a project of the Call it Quits Collaborative, administered by the Minnesota Department of Health
Agenda
• Why should we do this?
• What is the Referral Program?
• Clinical Practice Guidelines:
The “5 A’s”
• How does it work?
• Patient experience
• Reporting
• The successful clinic
Why?
of smokers
see a physician each year
of smokers
report wanting to quit
AND
Smokers cite a physician’s advice to quit
as an important motivator for
attempting to stop smoking
Source: Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice
Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.
What is it?
The Call it Quits Referral Program:
• allows providers to easily refer patients to tobacco
cessation phone counseling services via a single fax
referral form
• launched statewide in October, 2007
• is supported by a collaboration of Minnesota’s major
health plans and ClearWay Minnesota
• has over 1100 clinics registered to date
(medical, dental, public & behavioral health)
• has a 27% overall enrollment rate
• is FREE to all Minnesotans!
Why Phone Counseling?
•
•
Statistics show that fewer than 1 in 20
smokers will be successful in quitting tobacco
and staying quit.1
With tailored phone-based coaching, greater
than 1 in 3 will be successful in quitting and
staying quit.2
1 According
to ACS, only about 4% to 7% of people are able top quit smoking on any given attempt
without medicines or other help. Studies in medical hournals have reported that between about 25%
and 33% of smokers who use medicines can stay smoke-free for over 6 months.
2 Alere Wellbeing performance metrics for Blue Cross and Blue Shield of Minnesota, 2013.
45% quit rate based on a 30 day quit rate at a 6 month follow-up.
Clinical practice guidelines
The 5 A’s
ASK
ADVISE
ASSESS
ASSIST
ARRANGE
#1- ASK about tobacco use
…and document
#2 - ADVISE to quit
“The most
important thing
you can do to
improve your
health is to quit
smoking, and I
can help you.”
#3 - ASSESS willingness to quit
“Are you willing to try to
quit at this time?
I can help you.”
#4 - ASSIST in quit attempt
“Interventions lasting just three minutes increase
overall tobacco abstinence rates.”
U.S. Department of Health and Human Services, “Treating Tobacco Use and Dependence, 2008 Update”
Quitline services:
- Free
- Confidential
- Effective
- Available
regardless of
insurance coverage
mk32
#5 - ARRANGE for follow-up
How the program works
1
Provider
assesses
tobacco status
& asks if patient
is interested in
quitting
2
Patient fills out referral form, or staff
create EMR order for smoking
cessation and obtain verbal consent
3
Designated staff fax
referral/EMR to
central triage
5
Result of patient outreach
faxed back to provider
4
Quitline contacts patient
Services for Minnesota
Provider
Fax
Referral faxed to single
triage number
Call it Quits Referral Triage
Health
Plan
1
Quitline
A
Health
Plan
2
Health
Plan
3
Quitline
B
Etc.
Quitline
C
No
Plan or
Program
QUITPLAN
Services
Call it Quits Referral
Triage sorts referral
based on health plan
check box
Referral faxed to
appropriate
quitline
Referral Form
Site Information
(pre-populated)
Patient Information
Quitline Outcome
Downloadable Materials
• Provider is sent
personalized
referral form and
patient
takeaways
• Provider
downloads
additional
materials as
desired
Patient experience: components
• A series of individually tailored calls from a
quitline coach
• Unlimited inbound calls to a quitline coach
• Program materials mailed to each participant
• Prescription consultation
• Over-the-counter (OTC) fulfillment available
via direct mail to enrolled participants*
*costs vary depending on the individual’s benefit coverage
Patient experience: first call
• The quitline will:
– confirm contact info
– determine the patient’s tobacco history and
readiness to quit
– describe the program and number of scheduled
phone calls the patient can expect
– explain how to access the support line
– answer quit medication questions
(quit coach cannot prescribe)
• The patient will accept or decline enrollment
More for Less
Clinic Intervention
• 5-10 Minutes
– Ask
– Advise
– Brief Counseling
Call it Quits Referral
• 3-6 Minutes
– Ask
– Advise
– Assess & Assist
(CiQ Referral)
• 4-5 calls
• Free counseling
• 7 - 10% Quit
• 15 - 40% Quit
Reporting
Online reporting is available through a third-party
vendor, Professional Data Analysts (PDA).
• https://www.pdastats.com/CallitQuitsReports/login.aspx
• User name and password required
Sample report
The successful clinic
• Champion
– Resource
– Promoter
– Training new staff
• Process
• Feedback
• Realistic expectations
We can do it!
How
it works…
Thank
you
Together we’ll make it easier for your
patients to take the next step toward
becoming tobacco free.
E-mail: [email protected]
More information: www.health.mn.gov/callitquits