Healthcare provider cessation practices in Ontario. Alexey Babayan Knowledge Exchange Forum June 18, 2014

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Healthcare provider cessation practices in Ontario. Alexey Babayan Knowledge Exchange Forum June 18, 2014"

Transcription

1 Healthcare provider cessation practices in Ontario Alexey Babayan Knowledge Exchange Forum June 18, 2014

2 What we know Tobacco cessation interventions by healthcare providers (physicians, nurses, dental professionals, etc) are effective (Fiore et al., 2008; Gorin&Heck 2004) Many smokers visit a healthcare provider each year (e.g. physician:83%, dentist:70%; CTUMS ) 5A s is a recommended model for tobacco cessation treatment (Fiore et al., 2008)

3 What we learned The potential of health professionals engagement in cessation is far from being realized in Ontario The current incentive system appears to be inadequate for engagement Access to training and cessation resources is likely to improve engagement Practitioner- and organizational-level barriers are critical to engagement Ontario Tobacco Research Unit

4 Current cessation practice in Ontario: Physicians Source: Study of Physicians Uptake of OHIP Billing Codes, OTRU 2011 Method: analysis of administrative data (OHIP) analysis of survey data (CTUMS) interviews with physicians (n=21) Ontario Tobacco Research Unit

5 Uptake of billing codes On average, 5,157 physicians billed for initial discussion at least once per year, ( 50% of physicians in Ontario) The number of patients billed by a physician varies greatly (range: 1 to 1,278 patients per year) 50% of physicians billed for <18 patients Ontario Tobacco Research Unit

6 Billing data vs. population level survey estimates, Ages , 690 smokers received at least one initial cessation discussion (Q041 and E079), Source: Canadian Tobacco Use Monitoring Survey Ontario Health Insurance Plan

7 Patients Billed for Initial and Follow-up Cessation Counseling Source: Ontario Health Insurance Plan

8 Current cessation practice in Ontario: Dental professionals Source: Provision of Smoking Cessation by Ontario Dental Health Professionals, OTRU 2012 Method: Web-based survey of dentists, dental hygienists and dental assistants (n=1966, 9% response rate) Interviews with dental professionals (n=23)

9 Provision of 5 A s by dental professionals, n=1966 (to all or most patients who smoke) Ask Advise Assess Overall, (n=1966), % Dentist (n=217) % Dental Hygienist (n=432) % Dental Assistants (n=1317) % Ask patients about their smoking status b 55.6 c 33.3 Advise patients to stop smoking b 49.7 c 25.8 Assess patients readiness to quit a,b 49.5 c 17.4 Offer self-help resources a 17.9 c 10.2 Assist Recommend NRT a 16.0 c 8.8 Refer to external resources b 18.1 c 8.1 Arrange Arrange follow-up a 9.2 c 4.7 a Significant differences between dentists and dental hygienists, p < 0.05 b Significant differences between dentists and dental assistants, p < 0.05 c Significant differences between dental hygienists and dental assistants, p < 0.05

10 Dental professionals confidence to provide services

11 Current cessation practice in Ontario: Nurses Source: Evaluation of the RNAO Nursing Best Practice Cessation Initiative, OTRU 2013 Method: Baseline and follow-up surveys of nurses (n=400) Case-studies of practice settings (review of documents, interviews) Ontario Tobacco Research Unit

12 RNAO Nursing Best Practice Smoking Cessation Initiative

13 Provision of 5 A s by Nurses, n=400 (to all or most patients who smoke) Ask Advise Assess Ask patients about their smoking status Baseline, % 6-month follow-up, % P <0.001 Advise patients to stop smoking <0.001 Assess patients readiness to quit Offer self-help resources Assist Recommend NRT Refer to external resources Arrange Arrange follow-up

14 Nurses confidence to provide cessation services Baseline, % 6-month follow-up, % Confident <0.001 P Not confident Ontario Tobacco Research Unit

15 KEY FACTORS AFFECTING SERVICE PROVISION Ontario Tobacco Research Unit

16 Key Factors Patient interest in quitting Time Organizational policies/practices Buy-in/support from management Cessation service provision Confidence Training Billing rules Remuneration Awareness and access to cessation services and resources

17 Conclusion Smoking cessation practices (5As) are not performed routinely Fee codes do not appear to provide sufficient incentive to engage in smoking cessation Perceived patient interest in quitting (or lack of it) is a critical factor for providing cessation services Ontario Tobacco Research Unit

18 Conclusion Improving access to training opportunities is important More dissemination activities to increase awareness of evidence-based guidelines, cessation resources and referral services Implementing a team care approach and systemlevel policies/practices is important Ontario Tobacco Research Unit

19 Thank You! Ontario Tobacco Research Unit

Brief Tobacco Intervention Online Course

Brief Tobacco Intervention Online Course Brief Tobacco Intervention Online Course Provided by the Kansas Department of Health and Environment 2015 www.kstobaccointervention.org Background An interactive, online course for healthcare providers

More information

Who will the policy apply to? Which staff members will be excluded from participating, if any?

Who will the policy apply to? Which staff members will be excluded from participating, if any? Worksheet for Implementing an Office System: Tobacco Use Cessation This worksheet will assist you in implementing an office system that ensures that, for every patient at every visit, tobacco use status

More information

Provision of Smoking Cessation by Ontario Dental Health Professionals

Provision of Smoking Cessation by Ontario Dental Health Professionals Provision of Smoking Cessation by Ontario Dental Health Professionals Alexey Babayan Jolene Dubray Farzana Haji Robert Schwartz May 2012 Ontario Tobacco Research Unit i Suggested Citation: Babayan A, Dubray

More information

Guide to Health Promotion and Disease Prevention

Guide to Health Promotion and Disease Prevention Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion

More information

Ontario Smoking Cessation Program

Ontario Smoking Cessation Program Ontario Smoking Cessation Program Contents Eligibility... 1 Pharmacist Education... 1 Pharmacist Payment and Program Evaluation... 2 Readiness Assessment... 2 Primary Follow-Up Session... 3 Secondary Follow-Up...

More information

Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support

Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support Wendy Angelo, MD Capital Region Healthcare Learning Objectives

More information

1.1 WHAT IS A QUIT LINE?

1.1 WHAT IS A QUIT LINE? 1.Benefits and rationale for establishing quit-line services 1.1 WHAT IS A QUIT LINE? Quit lines provide a variety of tobacco cessation services predominately via telephones. These usually include: initial

More information

Grant ID 044360 Page 4 Medical University of South Carolina Implementation of TelASK Quit Connection IVR System in Charleston Area Hospitals

Grant ID 044360 Page 4 Medical University of South Carolina Implementation of TelASK Quit Connection IVR System in Charleston Area Hospitals 1. Overall Aim & Objectives: The goal of this project is to implement an evidence-based Tobacco Cessation Management System in all hospitals in the Charleston, South Carolina region. The system should

More information

Utilization of Services in a Randomized Trial Testing Phone- and Web-based Behavioral Interventions for Smoking Cessation

Utilization of Services in a Randomized Trial Testing Phone- and Web-based Behavioral Interventions for Smoking Cessation Utilization of Services in a Randomized Trial Testing Phone- and Web-based Behavioral Interventions for Smoking Cessation Susan M. Zbikowski, Ph.D. Society of Behavioral Medicine April 22-25, 2009 Introduction

More information

Brief Intervention for Smoking Cessation in Substance Use Treatment By Carol Daws

Brief Intervention for Smoking Cessation in Substance Use Treatment By Carol Daws Brief Intervention for Smoking Cessation in Substance Use Treatment By Carol Daws Tobacco Related Harm -Why Intervene Britton & Edwards (2008) - Tobacco responsible for the deaths of more than 100 million

More information

Training in Tobacco Cessation Counseling for Medical, Nursing, Dentistry and Pharmacy Students: Environmental Scan and Recommendations

Training in Tobacco Cessation Counseling for Medical, Nursing, Dentistry and Pharmacy Students: Environmental Scan and Recommendations Training in Tobacco Cessation Counseling for Medical, Nursing, Dentistry and Pharmacy Students: Environmental Scan and Recommendations Karine Boily, DC, MBA, 1 Chris Lovato, PhD, 1, 2 Caroline Murphy,

More information

Health coaching for patients with diabetes: Changing behavior and health

Health coaching for patients with diabetes: Changing behavior and health Fairview Health Services Fairview Medical Group Influencing patient behaviors and habits is difficult to accomplish in a short clinic visit. Since primary care providers struggle with insufficient time

More information

Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking

Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking Background on Harvard Vanguard Medical Associates and Atrius Health Harvard Vanguard Medical

More information

D. Main Section of the proposal

D. Main Section of the proposal D. Main Section of the proposal The purpose of this project is to improve health outcomes for treatment of tobacco dependence among the Arizona behavioral health population. This will be accomplished through

More information

RAND Data: An Example of Population Management. Trina Dutta, MPP, MPH

RAND Data: An Example of Population Management. Trina Dutta, MPP, MPH Strategic Use of Population-Based Information (groups of patients with similar chronic health problems) for Improving Health RAND Data: An Example of Population Management Trina Dutta, MPP, MPH Findings:

More information

Smoking Cessation Leadership Center at UCSF and Pfizer Medical Education Group. Request for Proposals (RFP) July 2, 2012

Smoking Cessation Leadership Center at UCSF and Pfizer Medical Education Group. Request for Proposals (RFP) July 2, 2012 Smoking Cessation Leadership Center at UCSF and Pfizer Medical Education Group Request for Proposals (RFP) July 2, 2012 I. Background The Smoking Cessation Leadership Center (SCLC) at the University of

More information

Module One: The Tobacco Problem and The Public Health Perspective Module Overview: Learning Objectives:... 7

Module One: The Tobacco Problem and The Public Health Perspective Module Overview: Learning Objectives:... 7 Table of Contents Module One: The Tobacco Problem and The Public Health Perspective... 2... 2... 2 Module Two: Exploring Barriers and Facilitators to Change... 2... 2... 2 Module Three: Understanding Tobacco

More information

New York State 2011-2013 ActionToQuit Strategic Plan DRAFT

New York State 2011-2013 ActionToQuit Strategic Plan DRAFT Tobacco use is the single most preventable cause of disease, disability, and death. Each year, tobacco use claims more than 25,000 New Yorkers' lives. Most smokers want to quit but need help. 16.8% of

More information

On-line training in support of smoking cessation

On-line training in support of smoking cessation On-line training in support of smoking cessation Jenny Bergin, Australia Slide 1 Online training for pharmacists and pharmacy assistants in support of smoking-cessation J. Bergin, S. Barnet, T. Shaw Pilot

More information

Stakeholder Engagement and Insight for Education, Employment and Practice. CASN Nursing Research Conference 2012

Stakeholder Engagement and Insight for Education, Employment and Practice. CASN Nursing Research Conference 2012 Stakeholder Engagement and Insight for Education, Employment and Practice CASN Nursing Research Conference 2012 Irene Koren, Oxana Mian, Ellen Rukholm Stakeholder Engagement Key points: A continuous process

More information

Open Cities Health Center Expands Tobacco Dependence Treatment

Open Cities Health Center Expands Tobacco Dependence Treatment Open Cities Health Center Expands Tobacco Dependence Treatment Between October 2010 and June 2012, ClearWay Minnesota SM provided Open Cities Health Center (OCHC) with funding and technical assistance

More information

Smoke-Free Ontario Strategy Monitoring Report: Smoking Cessation

Smoke-Free Ontario Strategy Monitoring Report: Smoking Cessation Smoke-Free Ontario Strategy Monitoring Report: Smoking Cessation Table of Contents List of Tables... 3 List of Figures... 3 Cessation: Smoke-Free Ontario Strategy Components... 4 Cessation Infrastructure...

More information

5 A s Behavior Change Model Adapted for Self-Management Support Improvement

5 A s Behavior Change Model Adapted for Self-Management Support Improvement 5 A s Behavior Change Model Adapted for Self-Management Support Improvement Self-Management Model with 5 A s (Glasgow, et al, 2002; Whitlock, et al, 2002) Assess: Beliefs, Behavior & Knowledge Arrange:

More information

The aim of the service will be to contribute to the three key public health tobacco outcomes:

The aim of the service will be to contribute to the three key public health tobacco outcomes: Stop Smoking service model questionnaire background Introduction The draft Tobacco Control Strategy, - drawing on findings from a tobacco control needs assessment and extensive local engagement work points

More information

RNAO Submission on Bill 178: An Act to amend the Smoke-Free Ontario Act. Speaking notes: Standing Committee on General Government.

RNAO Submission on Bill 178: An Act to amend the Smoke-Free Ontario Act. Speaking notes: Standing Committee on General Government. RNAO Submission on Bill 178: An Act to amend the Smoke-Free Ontario Act Speaking notes: Standing Committee on General Government May 16, 2016 1 R N A O S p e a k i n g N o t e s B i l l 1 7 8 - M a y 1

More information

Meaningful Use Qualification Plan

Meaningful Use Qualification Plan Meaningful Use Qualification Plan Overview Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure intended to reform the health care system

More information

Smoking Cessation Program

Smoking Cessation Program Guide to Pharmacist Health Coaching Smoking Cessation Program Smoking is the leading cause of preventable death in Canada and a significant risk factor for many chronic non-communicable diseases including

More information

Leveraging the Electronic Health Record (EHR) to Achieve Tobacco Systems Change

Leveraging the Electronic Health Record (EHR) to Achieve Tobacco Systems Change Leveraging the Electronic Health Record (EHR) to Achieve Tobacco Systems Change Case Study: Alaska Native Tribal Health Consortium (ANTHC) & Alaska Native Medical Center (ANMC) Tobacco Free Campus Policy

More information

PQRS Cheat Sheet. Occupational Therapy Reporting- Individual Measures

PQRS Cheat Sheet. Occupational Therapy Reporting- Individual Measures PQRS Cheat Sheet Occupational Therapy Reporting- Individual Measures Medicare requires that practitioners meet certain quality reporting thresholds and collect enough data to assess trends and performance.

More information

CORBM 1 Florida Keys AHEC Tobacco Training and Cessation Project Second Trimester Report (January 1 March 31, 2008) I. Tobacco Training Activities

CORBM 1 Florida Keys AHEC Tobacco Training and Cessation Project Second Trimester Report (January 1 March 31, 2008) I. Tobacco Training Activities CORBM 1 Florida Keys AHEC Tobacco Training and Cessation Project Second Trimester Report (January 1 March 31, 2008) I. Tobacco Training Activities Activity Discussion 1 CORBM 2 Description of Training

More information

Virginia Interprofessional Oral Health Alliance Implementation

Virginia Interprofessional Oral Health Alliance Implementation EDUCATION AND TRAINING: NEW PROVIDERS OBJECTIVE: Implement Smiles for Life (oral health curriculum) in at least one school of medicine, nursing, pharmacy and physician assistant training by June 30, 2014.

More information

Louisiana State University Health System s Tobacco Control Initiative

Louisiana State University Health System s Tobacco Control Initiative Louisiana State University Health System s Tobacco Control Initiative Background The Louisiana State University (LSU) Health System is one of the largest safety-net health care delivery systems in the

More information

CANADIAN TOBACCO USE MONITORING SURVEY (CTUMS) 2008 - ANNUAL DATA. Statistics Canada / Health Canada 2008

CANADIAN TOBACCO USE MONITORING SURVEY (CTUMS) 2008 - ANNUAL DATA. Statistics Canada / Health Canada 2008 CANADIAN TOBACCO USE MONITORING SURVEY (CTUMS) 2008 - ANNUAL DATA Statistics Canada / Health Canada 2008 Regarding little cigar / cigarillo consumption in Canada, CTUMS 2008 (annual) does not ask any additional

More information

Never Quit Quitting Training Healthcare Providers to Integrate Cessation Counseling and Referral into Office Practice Lisa Krugman, MPH, MSW Washtenaw County Public Health Washtenaw County Smokers (HIP

More information

Virginia Interprofessional Oral Health Alliance Oral Health 2014- Virginia Implementation Work Plan

Virginia Interprofessional Oral Health Alliance Oral Health 2014- Virginia Implementation Work Plan EDUCATION AND TRAINING: NEW PROVIDERS OBJECTIVE: Implement Smiles for Life (oral health curriculum) in at least one school of medicine, nursing, pharmacy and physician assistant training by June 30, 2014.

More information

Centers for Disease Control and Prevention Version 04/2014

Centers for Disease Control and Prevention Version 04/2014 Developing and Managing an Academic Detailing Program for Tobacco Cessation: Question and Answer with the Wisconsin Tobacco Prevention and Control Program (TPCP) and the University of Wisconsin Center

More information

SBIRT in Primary Care Settings. José Esquibel SBIRT Project Director

SBIRT in Primary Care Settings. José Esquibel SBIRT Project Director SBIRT in Primary Care Settings José Esquibel SBIRT Project Director SBIRT Screening Brief Intervention and Referral to Treatment (SBIRT) is a public health approach to preventing risky substance use behavior.

More information

Main Section of the Proposal

Main Section of the Proposal Main Section of the Proposal 1. Overall Aim and Objectives: The primary aim of this proposed project is to increase the number of tobacco- using patients admitted to two University of Washington (UW) hospitals

More information

CITY OF KAWARTHA LAKES FAMILY HEALTH TEAM

CITY OF KAWARTHA LAKES FAMILY HEALTH TEAM CITY OF KAWARTHA LAKES FAMILY HEALTH TEAM POSITION DESCRIPTION NURSE PRACTITIONER - REGISTERED NURSE (Extended Care) POSITION: NURSE PRACTITIONER STATUS: FULL TIME PART TIME DEPARTMENT: PRIMARY CARE REPORTING

More information

Clinic Name and Location: 4. Clinic has specific written protocols or guidelines for treatment of TB:

Clinic Name and Location: 4. Clinic has specific written protocols or guidelines for treatment of TB: TB Clinic Survey Form Clinic Name and Location: PATIENT POPULATION 1. Number of Patients eligible for initiation of TB Treatment: 2. Number of Patients Started on TB Treatment: 3. Number of these Patients

More information

Tobacco Cessation & Nicotine Addiction

Tobacco Cessation & Nicotine Addiction Tobacco Cessation & Nicotine Addiction Adam O. Goldstein, MD, MPH Professor & Director Nicotine Dependence Program Department of Family Medicine UNC-Chapel Hill 1 Mission UNC Nicotine Dependence Program

More information

Health risk assessment: a standardized framework

Health risk assessment: a standardized framework Health risk assessment: a standardized framework February 1, 2011 Thomas R. Frieden, MD, MPH Director, Centers for Disease Control and Prevention Leading causes of death in the U.S. The 5 leading causes

More information

RAPID ACCESS TO QUIT SMOKING: A PRIMARY CARE AND SMOKING CESSATION CLINIC COLLABORATION IN A VETERANS AFFAIRS HOSPITAL

RAPID ACCESS TO QUIT SMOKING: A PRIMARY CARE AND SMOKING CESSATION CLINIC COLLABORATION IN A VETERANS AFFAIRS HOSPITAL RAPID ACCESS TO QUIT SMOKING: A PRIMARY CARE AND SMOKING CESSATION CLINIC COLLABORATION IN A VETERANS AFFAIRS HOSPITAL Tessa Kramer, Psy.D. Judith Cooney, Ph.D. VA Connecticut Healthcare System University

More information

Georgia Tobacco Quit Line Sharing Best Practices Webinar Series: Accurate Coding for Maximum Reimbursement. February 20, 2014 ~ 12-12:30 p.m.

Georgia Tobacco Quit Line Sharing Best Practices Webinar Series: Accurate Coding for Maximum Reimbursement. February 20, 2014 ~ 12-12:30 p.m. Georgia Tobacco Quit Line Sharing Best Practices Webinar Series: Accurate Coding for Maximum Reimbursement February 20, 2014 ~ 12-12:30 p.m. 1 Tara T McAdoo, MSM Aim Lead, Physician Office Initiatives

More information

HEALTH INSURANCE COVERAGE FOR TOBACCO DEPENDENCE

HEALTH INSURANCE COVERAGE FOR TOBACCO DEPENDENCE HEALTH INSURANCE COVERAGE FOR TOBACCO DEPENDENCE Survey of Managed Care Organizations in Texas Phyllis Gingiss, Dr.P.H. Melynda Boerm, M.Ed. March 2005 Prepared by the University of Houston Health Network

More information

Main Section. Overall Aim & Objectives

Main Section. Overall Aim & Objectives Main Section Overall Aim & Objectives The goals for this initiative are as follows: 1) Develop a partnership between two existing successful initiatives: the Million Hearts Initiative at the MedStar Health

More information

Pregnets: A Tool on Quitting Smoking and Pregnancy. Thursday, February 19, 2015

Pregnets: A Tool on Quitting Smoking and Pregnancy. Thursday, February 19, 2015 Pregnets: A Tool on Quitting Smoking and Pregnancy Thursday, February 19, 2015 + Presenters Nadia Minian, PhD Dr. Minian is a Knowledge Translation and Evaluation Scientist at the Nicotine Dependence Services

More information

Meaningful Use Stage 1:

Meaningful Use Stage 1: Whitepaper Meaningful Use Stage 1: EHR Incentive Program Information -------------------------------------------------------------- Daw Systems, Inc. UPDATED: November 2012 This document is designed to

More information

MDHHS Winnable Battles

MDHHS Winnable Battles Michigan Department of Health & Human Services MDHHS Winnable Battles Social Determinants of Health Eden V. Wells, MD, MPH, FACPM Michigan Department of Health and Human Services Putting people first,

More information

Data Standards for Smoke-Free Ontario Smoking Cessation Service Providers

Data Standards for Smoke-Free Ontario Smoking Cessation Service Providers Data Standards for Smoke-Free Ontario Smoking Cessation Service Providers Core Indicators and Questions for Intake and of Adult Respondents Lori Diemert Sue Keller-Olaman Robert Schwartz Shawn O Connor

More information

Smoking Cessation Knowledge and Clinical Cessation Techniques Among Medicine Residents

Smoking Cessation Knowledge and Clinical Cessation Techniques Among Medicine Residents Smoking Cessation Knowledge and Clinical Cessation Techniques Among Medicine Residents Lisa Hope A. Purpose To study the knowledge and confidence level of smoking cessation techniques among medicine residents,

More information

WOMEN S INTERAGENCY HIV STUDY FOLLOW-UP VISIT HEALTH CARE UTILIZATION FORM 25

WOMEN S INTERAGENCY HIV STUDY FOLLOW-UP VISIT HEALTH CARE UTILIZATION FORM 25 WOMEN S INTERAGENCY HIV STUDY FOLLOW-UP VISIT HEALTH CARE UTILIZATION FORM 25 SECTION A: GENERAL INFORMATION A1. PARTICIPANT ID: ENTER NUMBER HERE ONLY IF ID LABEL IS NOT AVAILABLE - - - A2. WIHS STUDY

More information

MASBIRT TTA Training for Primary Care Providers The What, Why and How of SBIRT. Training Overview

MASBIRT TTA Training for Primary Care Providers The What, Why and How of SBIRT. Training Overview MASBIRT TTA Training for Primary Care Providers Training Overview The MASBIRT TTA training for Primary Care Providers consists of three 50 minute modules. Each module can be presented separately or combined

More information

Aligning Finance with Evidence

Aligning Finance with Evidence Aligning Finance with Evidence Mike Plunkett DDS, MPH Senior Director, Dental Care Delivery, Kaiser Permanente Assistant Professor of Community Dentistry, Oregon Health & Sciences University 1 KP DENTAL

More information

The Wyoming Pay for Participation Program for Medicaid Health Management

The Wyoming Pay for Participation Program for Medicaid Health Management The Wyoming Pay for Participation Program for Medicaid Health Management 2010 Medicaid Congress James Bush, M.D. State Medicaid Medical Officer Wyoming Department of Health Wyoming Medicaid- EqualityCare

More information

New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid

New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid Update December 2009 No. 2009-96 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare

More information

Centers for Disease Control and Prevention Supplemental Cooperative Agreement Patient Protection and Affordable Care Act Funding Opportunity Number:

Centers for Disease Control and Prevention Supplemental Cooperative Agreement Patient Protection and Affordable Care Act Funding Opportunity Number: Centers for Disease Control and Prevention Supplemental Cooperative Agreement Patient Protection and Affordable Care Act Funding Opportunity Number: CDC-RFA- DP09-9010201PPHF11 Project Narrative: I. Executive

More information

NUDGING WITHIN HEALTH CARE: THE OTTAWA MODEL FOR SMOKING CESSATION

NUDGING WITHIN HEALTH CARE: THE OTTAWA MODEL FOR SMOKING CESSATION NUDGING WITHIN HEALTH CARE: THE OTTAWA MODEL FOR SMOKING CESSATION Nudging Toward a Culture of Wellness Conference Board of Canada May 7 2014 Sophia Papadakis, Ph.D., MHA Program Director, Primary Care

More information

The National Survey of Children s Health

The National Survey of Children s Health with Current Health Insurance, by Location 91.1 89.4.2.9 Current Health Insurance The survey asked parents if their children currently had coverage through any kind of health insurance, including private

More information

Physician Behavior and Practice Patterns Related to Smoking Cessation

Physician Behavior and Practice Patterns Related to Smoking Cessation Physician Behavior and Practice Patterns Related to Smoking Cessation Summary Report A Report Prepared for the American Legacy Foundation By Association of American Medical Colleges 2450 N Street, N.W.

More information

A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers

A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers in Utah Claudia Bohner, MPH Tobacco Prevention and Control Program (TPCP) Utah Department of Health Background:

More information

Portugal Strategies Phepa project in Primary health care

Portugal Strategies Phepa project in Primary health care Portugal Strategies Phepa project in Primary health care Cristina Ribeiro,, M.D. General Directorate of Health and IDT- National Institute of Drug Addiction PHEPA National Project Phepa Istambul Meeting

More information

Nova Scotia Tobacco Control Strategy Evaluation: Preliminary Results

Nova Scotia Tobacco Control Strategy Evaluation: Preliminary Results Nova Scotia Tobacco Control Strategy Evaluation: Preliminary Results 1 Evaluation Objectives To describe the implementation to date of each component of the Strategy To assess the outcomes of the Strategy

More information

OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia

OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE Prepared by CASAColumbia February 2014 Outline Introduction Three Key Steps Engage Motivate Plan Sample Videos 2 INTRODUCTION 3 Addiction

More information

Health Human Resources Action Plan

Health Human Resources Action Plan December 2005 Message from the Minister and Deputy Minister of Health Angus MacIsaac, Minister Cheryl Doiron, Deputy Minister In Nova Scotia, we are fortunate to have more than 30,000 dedicated and talented

More information

Healthy Behaviors Rewards Program. An Overview for Our Provider Network

Healthy Behaviors Rewards Program. An Overview for Our Provider Network Healthy Behaviors Rewards Program An Overview for Our Provider Network ALCOHOL AND DRUG ABUSE Healthy Behaviors Rewards Program The Alcohol and Drug Abuse Healthy Behaviors Rewards Program (HBRP) is a

More information

Evaluating an Online Environmental Health Course for Healthcare Professionals: An Integrative Approach

Evaluating an Online Environmental Health Course for Healthcare Professionals: An Integrative Approach Evaluating an Online Environmental Health Course for Healthcare Professionals: An Integrative Approach Victoria Maizes MD Executive Director, Arizona Center for Integrative Medicine Professor of Medicine,

More information

VIII. Dentist Crosswalk

VIII. Dentist Crosswalk Page 27 VIII. Dentist Crosswalk Overview The final rule on meaningful use requires that an Eligible Professional (EP) report on both clinical quality measures and functional objectives and measures. While

More information

I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act.

I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act. University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) Summary of Selected Tobacco, Prevention, and Public Health Provisions from H.R. 3590, the Patient Protection and Affordable

More information

Smoking cessation guidelines for Scotland PREPARED BY ASH SCOTLAND AND HEBS

Smoking cessation guidelines for Scotland PREPARED BY ASH SCOTLAND AND HEBS Smoking cessation guidelines for Scotland PREPARED BY ASH SCOTLAND AND HEBS Smoking cessation guidelines for Scotland PREPARED BY ASH SCOTLAND AND HEBS Acknowledgements Smoking cessation guidelines for

More information

Exploring Meaningful Use: Results of an EHR Survey by AMGA and JHD Group

Exploring Meaningful Use: Results of an EHR Survey by AMGA and JHD Group Exploring Meaningful Use: Results of an EHR Survey by AMGA and JHD Group Expectations for EHR Value and Care Improvements Increase with Use as medical practices nationwide focus on meaningful use of electronic

More information

EMR in Support of Smoking Cessation Counseling March 3, 2016

EMR in Support of Smoking Cessation Counseling March 3, 2016 EMR in Support of Smoking Cessation Counseling March 3, 2016 Eric W. Ford, PhD (Johns Hopkins Bloomberg School of Public Health) Jaeyong Bae, PhD (Northern Illinois University) Conflict of Interest Eric

More information

How to use the Brief Tobacco Cessation Intervention Form

How to use the Brief Tobacco Cessation Intervention Form How to use the Brief Tobacco Cessation Intervention Form The following information is related to the use of an office brief tobacco use cessation intervention using a check off form to obtain a patients

More information

Disseminating Smoking Cessation Treatment in Community Substance Abuse Programs

Disseminating Smoking Cessation Treatment in Community Substance Abuse Programs Disseminating Smoking Cessation Treatment in Community Substance Abuse Programs Therese Killeen APRN PhD Department of Psychiatry and Behavioral Sciences, MUSC Substance Abuse and Tobacco Use Are Co-Occurring

More information

How to use an Extended Tobacco Cessation Intervention Form

How to use an Extended Tobacco Cessation Intervention Form How to use an Extended Tobacco Cessation Intervention Form In some cases a dental office may have a team member who is given the time to do a more intense intervention with tobacco users interested in

More information

VARNISH! MICHIGAN BABIES TOO!

VARNISH! MICHIGAN BABIES TOO! VARNISH! MICHIGAN BABIES TOO! 2012-2013 Annual Report The Varnish! Michigan Babies Too! Program was developed as an incentive for medical providers to have oral health training and begin an oral health

More information

What is the Cardiovascular Health Awareness Program?

What is the Cardiovascular Health Awareness Program? What is the Cardiovascular Health Awareness Program? 1 What is CHAP? CHAP is a community-based program that brings together local family physicians, pharmacists, volunteers, public health representatives

More information

INTRODUCTION. Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report - March 2011

INTRODUCTION. Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report - March 2011 TPCP Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report Report Prepared by Antionne Dewayne Alcorn, BS, CPC, CIT Contributors Miriam N Karanja, MBA Ma rc h 2 0 1 1 INTRODUCTION

More information

Ontario Health Insurance Plan (OHIP) Billing Codes Information and Procedures for Claiming the Cumulative Preventative Care Bonus

Ontario Health Insurance Plan (OHIP) Billing Codes Information and Procedures for Claiming the Cumulative Preventative Care Bonus Ontario Health Insurance Plan (OHIP) Billing Codes Information and Procedures for Claiming the Cumulative Preventative Care Bonus Eligible Patient Enrolment Model (PEM) physicians may receive Cumulative

More information

Smoking cessation in Leumit Health Fund

Smoking cessation in Leumit Health Fund Smoking cessation in Leumit Health Fund Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (13) 2009 Author(s): Kitai E., Vardy D., Margalit A., Brami J., Matz E.,

More information

TITLE: Dental Cleaning and Polishing for Oral Health: A Review of the Clinical Effectiveness, Cost-effectiveness and Guidelines

TITLE: Dental Cleaning and Polishing for Oral Health: A Review of the Clinical Effectiveness, Cost-effectiveness and Guidelines TITLE: Dental Cleaning and Polishing for Oral Health: A Review of the Clinical Effectiveness, Cost-effectiveness and Guidelines DATE: 24 September 2013 CONTEXT AND POLICY ISSUES Dental practitioners (dentist,

More information

The GRACE Model Geriatric Resources for Assessment and Care of Elders

The GRACE Model Geriatric Resources for Assessment and Care of Elders Evidence-Based Care Transition Programs AoA, CMS, VA Grantee Meeting The GRACE Model Geriatric Resources for Assessment and Care of Elders Steven R. Counsell, MD Mary Elizabeth Mitchell Professor and Director,

More information

Oral Health Care: Dental Insurance Program

Oral Health Care: Dental Insurance Program Oral Health Care: Dental Insurance Program Approved: November 2009 Oral Health Care includes diagnostic, preventive, and therapeutic services provided by general dental practitioners, dental specialists,

More information

Approaches to Asthma Management:

Approaches to Asthma Management: Approaches to Asthma Management: BY CAROL MCPHILLIPS-TANGUM AND CAROLINE M. ERCEG ASTHMA IS A CHRONIC DISEASE that affects millions of people in the United States and disproportionately impacts children,

More information

Smoking cessation programs in substance abuse treatment facilities: A closer look

Smoking cessation programs in substance abuse treatment facilities: A closer look Smoking cessation programs in substance abuse treatment facilities: A closer look Jessica Legge Muilenburg, PhD The University of Georgia College of Public Health This study was supported by Award Number

More information

British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Pharmacist-Led Smoking Cessation Services

British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Pharmacist-Led Smoking Cessation Services British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Pharmacist-Led Introduction Tobacco-related illnesses are the leading cause of preventable death in BC. Each year more than 6,000

More information

Which smokers develop COPD? A prediction rule. Geijer RMM Sachs APE Verheij TJM Zuithoff, NPA Lammers J-WJ Hoes AW

Which smokers develop COPD? A prediction rule. Geijer RMM Sachs APE Verheij TJM Zuithoff, NPA Lammers J-WJ Hoes AW 5 Which smokers develop COPD? A prediction rule Geijer RMM Sachs APE Verheij TJM Zuithoff, NPA Lammers J-WJ Hoes AW 54 Prediction of moderate COPD Introduction Tobacco smoking is the main risk factor for

More information

Meaningful Use - The Basics

Meaningful Use - The Basics Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use

More information

MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING

MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING University of Massachusetts Medical School MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING Course Description Goals and Learning Objectives 1 2012 55 Lake Avenue North, Worcester, MA 01655 www.umassmed.edu/tobacco

More information

ADVANCED PRACTICE NURSING IN PRIMARY HEALTH CARE IN CANADA

ADVANCED PRACTICE NURSING IN PRIMARY HEALTH CARE IN CANADA 1 ADVANCED PRACTICE NURSING IN PRIMARY HEALTH CARE IN CANADA PAHO ADVANCED PRACTICE NURSING SUMMIT FOR UNIVERSAL HEALTH COVERAGE April 16, 2015 Denise Bryant-Lukosius, RN PhD Associate Professor, School

More information

How Does Your Elder Abuse Prevention Program Measure Up?

How Does Your Elder Abuse Prevention Program Measure Up? AN ORGANIZATIONAL SELF-ASSESSMENT TOOL How Does Your Elder Abuse Prevention Program Measure Up? While great efforts have been made to prevent and address the abuse and neglect of older adults by organizations

More information

Barriers to Care Coordination. Pitfalls. Ineffective Transitions Lead to Poor Outcomes

Barriers to Care Coordination. Pitfalls. Ineffective Transitions Lead to Poor Outcomes Eliminating the Pitfalls and Barriers to Reducing Rehospitalizations Evelyn Thompson RN,CMC Director of Care Transitions Genesis Healthcare October 2013 Barriers to Care Coordination System level barriers

More information

FLSA Compliance: Exempt vs. Non-Exempt Classification Audit **FEDERAL**

FLSA Compliance: Exempt vs. Non-Exempt Classification Audit **FEDERAL** FLSA Compliance: Exempt vs. Non-Exempt Classification Audit **FEDERAL** State exemption tests may vary. When state laws differ, employers must follow the rules that most favor the employee. Please call

More information

Tobacco Cessation Update. Teleconference September 29, 2015

Tobacco Cessation Update. Teleconference September 29, 2015 Tobacco Cessation Update Teleconference September 29, 2015 Agenda Tobacco Timeout Challenge QuitNow Plan Update Training of HCP Tobacco Time Out Short Term Quit Contest Rebecca Sovdi Senior Policy Analyst,

More information

What Health Professionals Know and Do About Alcohol and Other Drug Use During Pregnancy

What Health Professionals Know and Do About Alcohol and Other Drug Use During Pregnancy What Health Professionals Know and Do About Alcohol and Other Drug Use During Pregnancy Trecia Wouldes, PhD Department of Psychological Medicine A Research Report in Collaboration with Executive Summary

More information

Appendix II - Outpatient settings worksheets

Appendix II - Outpatient settings worksheets Key Policy Elements for Best Appendix II - Outpatient settings worksheets The following worksheets are intended to increase awareness within public health agencies of the authorities currently in place

More information

Smoking Cessation: Treatment Options for Nicotine Addiction

Smoking Cessation: Treatment Options for Nicotine Addiction Smoking Cessation: Treatment Options for Nicotine Addiction Hilary Nierenberg, NP, MPH Center for Interventional Vascular Therapy Columbia University Medical Center Disclosure Statement of Financial Interest

More information

The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Public Health Clients

The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Public Health Clients The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Public Health Clients Updated November 2011 Netsmart Note: The Health Information Technology for Economic

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Motivational Interviewing: Facilitating Behavior Change Sponsored by: Mayo Clinic Nicotine Education Program Are you frustrated at your attempts to motivate people to change harmful

More information

Numerator Details. - An acute or nonacute inpatient admission with a diagnosis of AOD (AOD Dependence

Numerator Details. - An acute or nonacute inpatient admission with a diagnosis of AOD (AOD Dependence Description Measure 0004: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) (National Committee for Quality Assurance) The percentage of adolescent and adult patients with

More information