Integrating Tobacco Dependence Treatment with Inpatient Care

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Integrating Tobacco Dependence Treatment with
Inpatient Care
Introduction by Michael Fiore, MD,
MPHPresentation by Tyler Roberts
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Tobacco Use...

• Is the 1 preventable cause of illness and death
  in the U.S. and in Wisconsin.
• Treatment is clinically effective and cost
  effective.

Michael C. Fiore, MD, MPHDirector of the UW
Center for Tobacco Research and Intervention
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Overview of UW-CTRI
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What is UW-CTRI Outreach?
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UW-CTRI Outreach Programs

• Working with healthcare providers, insurers, and
  employers to ensure evidence-based treatment for
  tobacco dependence
• Providing expertise in how to provide the best
  and most cost-effective help for smokers
• Wisconsin Tobacco Quit Line and other cessation
  support, including linkages to local programs and
  self-help materials

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Why should we treat tobacco dependence?

• Tobacco causes the premature death of almost half
  a million Americans each year (1 preventable
  cause)
• 1/2 of all lifetime tobacco users in this country
  will die prematurely from tobacco dependence,
  losing an average of 14 years
• Tobacco use causes or worsens every ailment your
  patients face, and hinders their recovery
• 70 of smokers want to quit

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Why Dont They Just Quit?

• Most smokers (70) WANT to quit
• Nearly 50 of smokers make a serious quit attempt
  each year
• Most do not succeed because they try without
  assistance (only 2-5 succeed quitting cold
  turkey)
• Assisted quit attempts - medication and
  counseling - success rates leaps to 25- 30
• Quitting takes practice
• Quitting takes treatment

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What Can Hospitals Do?

• Ensure that every smoker is offered the very best
  possible chance to succeed with quitting
• Counseling
• Person-to-person counseling is most effective
  (over the phone, in groups or individual) and
  more sessions offer better chances of succeeding
• Smokers are much more likely to use telephone
  counseling than group or individual counseling
• Medications
• Zyban and/or Nicotine replacement (gum, patch,
  inhaler, lozenge, nasal spray)

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Wisconsin Tobacco Quit Line

• Cognitive-behavioral counseling combined with
  motivational interviewing (evidence-based)
• Tailored solutions
• Relapse prevention focus
• Comprehensive materials

• Link to local programs and resources
• Data collection/management

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Fax to Quit Where do I start?

• Pick a designated staff person to be the contact
  person at your site
• Staff discuss Quit Line and Fax to Quit program
  with patient. Patient will sign a consent
  form
• The contact person faxes the
  consent form to the Quit Line
• A Quit Line counselor contacts the
  patient to provide counseling

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Patient hospitalized, recouping from knee
replacement surgery.
EVS
EVS
X
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Fax to Quit Program

• Benefits to Hospitals
• Directly links your patients to effective
  cessation treatment
• Integrates individualized cessation services into
  employee benefits
• Free to all Wisconsin residents
• Easy to implement

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UW-CTRI Outreach Staff Will

• Link your hospital directly with the resources of
  the Wisconsin Tobacco Quit Line through the Fax
  to Quit Program
• Train your staff and providers to
  intervene briefly and
  effectively with
  smokers
• Supply posters, materials,
  strategies and others support
  and technical assistance
  on-site

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UW-CTRI Outreach Experience

• Trained 10,000 healthcare providers to intervene
  effectively with their patients
• Systems changes underway in hundreds of clinics
  and hospitals in Wisconsin
• Provided assistance to more than 30,000 tobacco
  users through the Wisconsin Tobacco Quit Line

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Next Steps

• UW-CTRI Regional Outreach Specialist will contact
  you to arrange a meeting
• UW-CTRI Regional Outreach Specialist
  will personally deliver the Hospital
  Binder Toolkit to your hospital
• UW-CTRI Regional Outreach Specialist will assist
  with training and technical assistance for your
  hospital
• UW-CTRI Regional Outreach Specialist will
  continue to be a resource for your hospital

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Laurie Groskopf 715-365-2706
Kristine Hayden 715-855-7312
Roger Dier 920-448-4800
Within Milwaukee Co. Mary Balistreri Cywinski
414-227-4507
Tricia Brein 608-243-2386
Surrounding Mil. Co. Tyler Roberts 414-227-4926
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www.ctri.wisc.edu
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• Not since the polio vaccine has this nation
  had a better opportunity to make a significant
  impact in public health.
• David Satcher, MD, PhD,
• Former U.S. Surgeon General

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• Answers