North American Quitline Consortium Drill Down Session

1. North American QuitlineConsortiumDrill Down Session Strategies for Improving Public Health/Health Care Partnerships in Quitline Operations May 2, 2005 2:00-4:00 p.m.

2. Objectives • Learn the range of practices to create partnerships • Identify barriers to successful partnerships • Describe the role of culture and motivation in partnership formation • Enumerate strategies and solutions • Create network to continue sharing

3. Session Format • Welcome & Introductions 15 min. • Panel Presentation with Q/A 45 min. • Select Table Topics and Transition 10 min • Facilitated Discussions 45 min • Introduce self and name challenge • Select a challenge • Brainstorm solutions • Report out

4. Challenges From Survey • Fax Referral Systems • Increasing the proportion of fax-referred patients who accept treatment services (or respond to calls!) to >40%. • Providing feedback reports to health plans or health care facilities vs. increased costs

5. Challenges From Survey • Fax-Referral Systems (Continued) • How to partner with health plans or other organizations to promote the fax-back program, especially with reduced funding for marketing. • Integrating a statewide quitline with other existing quitlines

6. Challenges (Continued) • Hospitals • Integrate fax-referral systems in hospitals • Getting access to decision makers in hospitals and other healthcare facilities • Provider Behavior Change • Changing provider behavior: establishing policies or standards? • Motivating providers to use fax-referral systems once they are in place • Addressing the time burden on clinicians--one more form to fill out

7. Challenges (Continued) • Motivating Other Systems to Work with Quitline • JCAHO core measures motivate hospitals to work with public health/quitlines. How do states leverage other market forces (HEDIS) to work in non-hospital settings? • Approaches to working with federally or state-funded community health centers serving low income, vulnerable populations

8. Challenges (Continued) • Health Plans (and Coverage) • Working with health plans to promote the quitline or fax-referral program • Motivating health plans to provide coverage (or improved coverage) for TT Rx. • Working with discrepancies in RX coverage across many health plans • What Rx coverage will Medicare provide and how will this affect quitlines that offer NRT?

9. Panel Presenters • Craig Ryder, Associate Director, Tobacco Control Program, New York State Department of Health • Rebecca “Bec” McGill,Cessation Unit Director, Arizona’s Smoker’s Helpline, Mel and Enid Zuckerman Arizona College of Public Health • Deb Voss, Account Executive, Leade Health Inc. Michigan • Allison Long, Associate Director, Tobacco Control Program, New York State Department of Health • Donna Warner, Tobacco Control ProgramDirector, Cessation Planning and Program Development, Mass. Tobacco Control Program

10. Table Topics • Fax Referral Programs-Start Up & CQI • Working with Health Plans • Working with Hospitals • Working with Community Health Centers and DOH-funded Programs • Increasing Provider Utilization of TTx and Fax Referral Programs