Tobacco Free Campuses: Conveying the Message

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1 Tobacco Free Campuses: Conveying the Message Health Policy Institute of Ohio Wellness & Prevention Collaborative September 24, 2012 Mari-jean Siehl, MA Chief, Tobacco Use Prevention & Cessation Ohio Department of Health

2 Who s using tobacco among students? In Ohio, 26.1% of high school students reported being current tobacco users (Ohio YTS, 2010) In the U.S., 30.5% of young adults (18-24) are current smokers (BRFSS, 2011) Almost 40% of college-aged smokers either began smoking (11%) or become a regular smoker after starting college (28%) (Wechsler, et. al., 1998)

3 Cost of Tobacco in Ohio A per pack a day smoker will spend: $6.25 per day $ per month $2,325 per year Smoking-caused costs $9.19 per pack $4.37 billion in annual healthcare expenditures

4 Critical Messages Tobacco is leading cause of preventable and premature death In US, 3,800 youth under age 18 smoke 1 st cigarette each day 1 in 4 high school seniors, 1 in 3 young adults under age 26 smoke 100% of adults who smoke started before age 26

5 Critical Messages Tobacco use among youth = critical issue Institutions of learning must lead environmental change

6 The Importance of Passing 100% TF Policies Changes the social norm of the college/ university campus Reduces health care costs Reduces campus clean up costs Eliminates risk of exposure

7 What s the trend? 281 colleges/universities in US are Tobacco Free 711 colleges/universities are 100% Smoke free with NO EXEMPTIONS 3 states and 1 territory require all colleges/universities to be 100% SF

8 What about Ohio? TF: Hocking College; Mount Vernon Nazarene University; Notre Dame College of Ohio; Schar College of Nursing; University of Toledo Health Science Campus SF: Miami University; Malone College; Ohio Christian University

9 And the policy window opens Ohio State Board of Education passed 100% TF district resolution 7/12/11 Ohio Board of Regents passed 100% TF campus resolution 7/23/12

10 Most Common Concerns Compliance issues Impact on enrollment

11 What Can ODH offer? Ohio Tobacco Quit Line Ohio Tobacco Collaborative Quarterly Stakeholder calls College/University TF Policy toolkit & resources

12 Ohio Tobacco Quit Line Free services for: Medicaid clients (fee for service) uninsured pregnant women

13 Ohio Tobacco Collaborative An evidence-based, cost effective telephonic cessation counseling service

14 Patient Protection and Affordable Care Act (PPACA) Effective 9/23/2010, non-grandfathered plans must include ALL United States Preventive Services Task Force (USPSTF) A and B recommendations No member cost sharing permitted

15 Return on Investment to 2.88 The best data on the state s ROI comes from the American Lung Association, which shows that for every dollar spent on smoking cessation treatment, $1.26 will be saved. America s Health Insurance Plans (AHIP) illustrates the employer s perspective in their ROI calculator, and shows a positive result due to productivity gains in year one of a cessation program. AHIP s ROI calculator estimates the ROI of evidencebased cessation interventions over one to five years, with a positive result within three years.

16 Current OTC Health Plan Members Centene/Buckeye Kaiser Permanente (warm transfer) Medical Mutual Paramount/ProMedica SummaCare United Healthcare Community Plan (Medicaid) CareSource (warm transfers)

17 Current OTC Employer Members Cleveland Clinic (job applicants) Columbus Hospitality Columbus Zoological Park Association Denison University ECP Corp/Polycase General Mills Ohio Guernsey County Employees Mentor Public Schools

18 Employer Members Mount Carmel/Diley Ridge Medical OhioHealth OSU (research study) Ohio Wellness Council Perry County Employees Health Plan Robinson Memorial Rudolph Libbe SummaHealth (for employees) Swagelok Wellness Council

19 Print Resources OH CBT has developed a series of brief documents to assist health plans, employers, providers, and consumers to understand: Tobacco cessation coverage options Federal and state reform requirements around tobacco cessation

20 Quarterly Stakeholder Calls Next call: Oct. 22 Share new resources Networking

21 College/University Tool Kit Fact sheet Policy development tip sheet Policy development action steps Survey instrument Model TF policy Miami U. report

22 Contact Mari-jean Siehl, MA Chief, Tobacco Use Prevention & Cessation Ohio Department of Health 246 N. High Street 8 th Floor Columbus, Ohio

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