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For Employers and Health Plans Other California Statewide Training and Technical Assistance Centers Statewide Helpline Provider Partnerships A list of presentations, articles, publications and newsletters focusing on tobacco dependence treatment for people with mental illnesses and substance use disorders. The BEA project has produced a Resource Guide and Resource Guide Summary developed to assist an array of health professionals to adapt tobacco cessation services to the unique needs of tobacco users with mental illness and substance use disorders. Clinical Effort Against Secondhand Smoke Exposure (CEASE) The CEASE Module was developed in 2005 after years of research to help child healthcare clinicians adjust their office setting to address family tobacco use in a routine and effective manner. Centers for Medicare and Medicaid Services (CMS) CMS is proposing important new measures to expand coverage for evidence-based tobacco cessation counseling for all Medicare recipients. Current Medicare language limits reimbursement for tobacco cessation counseling to patients who have a tobacco-related disease. The CMS has set a period of time for Public Comments on the proposed determination, after which they will issue a final decision. This period ends June 27, 2010. Preventive Care: A National Profile on Use, Disparities and Health Benefits A report from the Partnership for Prevention. The report demonstrates the underuse of effective preventive care in the United States and the importance of making these cost-effective services affordable and accessible for all Americans. Public Health Service Treating Tobacco Use and Dependence: 2008 Update - includes new, effective clinical treatments for tobacco dependence and the latest information to help people quit smoking. Smoking Cessation Leadership Center (SCLC) SCLC is a national program office of the Robert Wood Johnson Foundation. Significant support is also provided by the American Legacy Foundation. SCLC aims to increase smoking cessation rates and increase the number of health professionals who help smokers quit.
The Joint Commission - The U.S. Joint Commission has released new certification measures that will require participating hospitals to screen all inpatients for tobacco, provide counseling and cessation medications to tobacco users, and provide follow-up after discharge. Previously, the Joint Commission only required the cessation measures be applied to heart attack, heart failure or pneumonia patients. Broadening the measure to all patients is a tremendous victory! Please click the links below for details on the four tobacco measures, including a description and rationale: Partnership for Prevention - Partnership for Prevention ’s ActionToQuit initiative has released “Helping Patients Quit,” a guide for hospital leaders and care providers to use to implement a comprehensive tobacco cessation program. Hospitals have a critical role in decreasing the lives lost to tobacco in the United States. Screening all patients for tobacco use and offering treatment and follow-up to those who use tobacco is both good policy and practice. The Joint Commission Quality Check - Search for hospitals in your area Steps to Success - The purpose of the Tobacco-free Hospitals Kit is to assist hospital staff with promoting and developing tobacco-free policies. Smoke-Free Hospitals FAQs and Resources - Developed by the California Tobacco Control Alliance, provides links for information to make the case for a hospital becoming smoke free.
For Employers and Health Plans This report summarizes current employer coverage of smoking cessation benefits. To what degree do large California employers currently offer such benefits? Of those that offer them, what treatments do they cover? In addition, the report summarizes our knowledge about the use of such services among employees and the barriers which may prevent them from tapping this important resource. Finally, it highlights best practices for employer coverage of tobacco cessation support programs and services, including promising employer incentive programs to promote their use.
To demonstrate the economic value of smoking cessation for insurance plans, researchers at the Center for Health Research, Kaiser Permanente Northwest (CHR) teamed with America’s Health Insurance Plans (AHIP) to develop a simple tool that can help you quickly estimate the potential ROI of common smoking cessation interventions.
Coverage for Tobacco Use Cessation Treatments – Centers for Disease Control and Prevention Report: The Business Case for Coverage of Tobacco Cessation - University of Wisconsin Medical School – Center for Tobacco Research and Intervention
Key Elements of a Model Tobacco Use Treatment Benefit - Campaign for Tobacco Free Kids Champions for Change: Network for a Healthy California - a statewide effort focused on empowering low-income communities to practice better nutrition and lifestyle changes.
In the summer of 2002, Health and Human Services Secretary Tommy Thompson asked Dr. Michael Fiore to chair the Interagency Committee on Smoking and Health Subcommittee on Cessation and charged the 16-member subcommittee with the responsibility of developing a set of bold, science-based action steps that the federal government could undertake to dramatically reduce tobacco use rates in America. On February 11, 2003, Dr. Fiore presented A National Plan for Tobacco Cessation to the ICSH in Washington, D.C.-- a plan to promote smoking cessation, reduce smoking prevalence and prevent millions from starting to smoke. Other CTCP-Funded Training and Technical Assistance Centers California’s Clean Air Project CCAP, a project of ETR Associates, provides secondhand smoke specific technical assistance, training, and educational materials statewide. Capacity Building Network CBN provides training and technical assistance to build and enhance the capacity of projects to work with priority populations. For more information, please contact Elizabeth Winward at elizabeth.winward@cdph.ca.gov or (916) 449-5486. Center for Tobacco Policy & Organizing The Center, a project of the American Lung Association of California, assists local communities to meet their policy objectives by using community organizing strategies. The Center also provides policy information and analysis regarding significant tobacco control bills, tobacco industry campaign contributions, emerging issues like tobacco retailer licensing and smokefree multi-unit housing, and tobacco control policy breaking news stories.
Technical Assistance Legal Center TALC, a project of the Public Health Institute, is a "one-stop" source for tobacco law and policy issues in California. TALC attorneys provide high-quality legal technical assistance free of charge for advocates, health professionals, government attorneys, and elected officials in California. Tobacco Control Evaluation Center The mission of the TC Evaluation Center, a project of UC Davis, is to empower tobacco control projects to understand and solve challenges associated with evaluating their programs. Statewide Helpline Provider Partnerships American Academy of Pediatrics--California California Association of Physician Assistants California Dental Hygienists Association CTIS Pregnancy Risk Information Line
If you have a cessation objective in your workplan or are in need of cessation data for your county, we have compiled a few sources for information. If you have questions about any of these resources, please contact Kirsten Hansen
California Health Interview Survey (CHIS) Bookmark http://www.chis.ucla.edu/ - it is a fantastic, easy source of reliable data! AskCHIS is a tool that allows you to quickly search for health statistics on your county, region and state. You choose the geographic area and then up to two topics to compare by and then define your population. You will need to register but it is FREE! CHIS is an important source of information on health and access to health care services. It is a telephone survey of adults, adolescents, and children from all parts of the state. The survey is conducted every two years. CHIS is the largest state health survey and one of the largest health surveys in the United States. The survey provides statewide information on the overall population including many racial and ethnic groups. It also offers local-level information on most counties for health planning and important comparison purposes. The CHIS sample represents the geographic diversity of California, and the available multi-language interviews accommodate the state's rich ethnic diversity. The interview was conducted in English, Spanish, Korean, Vietnamese and Chinese (Mandarin & Cantonese).
California Tobacco Survey (CTS) These surveys provide the equivalent of a photographer's "snapshot" of what the population was like at a single point in time. The California Department of Public Health conducts surveys of attitudes, behaviors, and media exposure regarding smoking and tobacco use. Starting in 1990, these surveys have been conducted approximately every three years to measure changes in attitudes and behaviors in the California population. These surveys were undertaken and funded as part of the Tobacco Tax and Health Protection Act, Proposition 99, which was passed in 1988. Data is collected via random-digit dialed telephone interviews. The purpose of these surveys is to provide population estimates of smoking. Each survey undertaken draws a new sample from the population of interest and estimates are weighted to the population for the year that the survey was in the field. For those working with providers and health systems to implement Ask, Advise and Refer, CTS is a great source of information. CTS asks questions that CHIS does not, such as:
Click here for the report including the survey questions. CTS writes an analysis of each survey. Unfortunately they do not have a tool such as CHIS to run tailored reports. If you have a statistician you may download the public use tape of the data - click here. Click on “Documentation, Data and Analysis” and scroll down to “2a. Data files in original format”. The data set has four different formats: SAS, SPSS, STATA, and CSV. You can use any of the first three programs to analyze the data.
Behavioral Risk Factor Surveillance System (BRFSS) BRFSS is a great tool for when you want to compare California with other states or the U.S. as a whole. BRFSS is the world’s largest, on-going telephone health survey system, tracking health conditions and risk behaviors in the United States yearly since 1984. Currently, data are collected monthly in all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. BRFSS has an interactive database; it allows you to download their data files and has canned reports.
California Smokers’ Helpline (Helpline) If you are interested in data on people who seek help with quitting you may obtain data from the Helpline. The Helpline, 1-800-NO-BUTTS, is a statewide, telephone program to help smokers quit. Helpline services are free, funded by the California Department of Public Health and by First 5 California. The Helpline has been in operation since 1992. Every month, thousands of Californians call and receive help. The data may be broken down by the follow categories (intake questions change periodically):
If you are working to increase calls to the Helpline, receiving data on a regular basis can help you know how you are doing and where you may need to increase your efforts. For Helpline data, contact the Communications and Partner Relations Department at (858) 300-1010 or cshoutreach@ucsd.edu.
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