Screen, Counsel, Refer and Follow-up Integrating the

Tobacco:

Screen, Counsel,
Refer and Follow-up

Integrating the
Call it Quits Fax Referral Program

June 4, 2014

Kim Winter, Program Operations, Call it Quits

Presentation overview

•  What is a quitline?
•  MN & WI quitlines
•  Why refer patients?
•  Fax Referral Programs
•  How does it work?
•  Reporting
•  The successful clinic

What is a quitline?

•  Telephone-based tobacco cessation services
that help tobacco users quit.

•  Services offered by quitlines include:

–  Coaching and counseling
–  Mailed materials
–  In some instances:

•  Free medications such as nicotine replacement therapy
(NRT)

•  Referrals to other services
•  Training to healthcare providers
•  Web-based services

naquitline.org

3

Minnesota’s tobacco quitlines

Wisconsin Quitline

•  Coaches available
24/7

•  Translators in
virtually every
language

•  Dedicated line for
Spanish-speaking
877-266-3863

•  TTY phone line
877-777-6534

Why refer patients to quitlines?

70% of smokers
see a physician each year

of smokers
report wanting to quit

AND
Smokers cite a physician’s advice to quit
as an important motivator for
attempting to stop smoking

Source: Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice
Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.

MN CiQ Referral Program

The Call it Quits Referral Program:
•  allows providers to easily refer patients to tobacco

quitline services via a single fax referral form
•  is supported by a collaboration of Minnesota’s major

health plans and ClearWay MN
•  launched statewide in October, 2007
•  has 1100 clinics registered to date

(medical, dental, public & behavioral health)

•  has a 25% overall enrollment rate
•  provides proactive outreach to your
patients and is FREE to all Minnesotans!

Wisconsin Fax to Quit

Framework

1 1.  Screen 2

2.  Counsel

3.  Refer

4.  Follow-up

3

4

How does it work?

1 Provider 2 Patient fills out referral form, or staff
assesses creates EMR order for smoking
cessation and obtains verbal consent
tobacco status
& asks if patient 3
Designated staff fax
is interested in the referral/EMR to
quitting
referral triage

5 Outcome of patient contact 4 Quitline contacts patient
faxed back to provider within three days

How does it work?
(CiQ: behind the scenes)

Provider Referral faxed to single
Fax triage number

Call it Quits Referral Triage

Health Health Health Etc. No Call it Quits Referral
Plan Plan Plan Plan or
1 2 3 Program Triage sorts referral
based on health plan

check box

Quitline Quitline Quitline QUITPLAN Referral faxed to
A B C Services
appropriate
quitline

CiQ Registration / Information

•  Provider registers their site online

registration type: New/Updates
site id: Assigned at registration. Used if clinic has updates.
site name: ABC Clinic
contact name: Kim Winter
address: 123 Green St
city: St Paul
county: Ramsey
zip code: 123456
state: MN
phone number: 651-123-4567
fax number: 651-987-6543
email: [email protected]
site type: Other
site type other: Behavioral Health

CiQ Referral Form

Site Information
(pre-populated)

Patient Information

Quitline Outcome

CiQ Resources

•  Provider
downloads
materials

•  Provider is sent
personalized
referral form and
patient
takeaways

Patient takeaway

Register as a WI Fax to Quit site

  Review the clinic workflow

  Designate a primary contact person
(Fax to Quit Coordinator)

  Contact Regional Outreach Specialist -
Kristine Hayden [email protected]
715-830-5582

  Fax to Quit training is provided for staff

  Individualized Fax to Quit forms will be

e-mailed to you
  Make copies or print as needed

WI Quitline Resources

www.WIQuitLine.org
Videos
Handouts

Testimonials
Order QL materials at:

[email protected]

Kristine Hayden
Senior Outreach Specialist
UW-CTRI
615 W. Clairemont Avenue
Eau Claire, WI 54701
[email protected]
715-830-5582

HEowffeict twivoernkess…s

•  Over 1100 Clinics Registered

–  Medical
–  Dental
–  Public Health
–  Behavioral Health

•  25% Overall Enrollment Rate

1 out of 4 referrals resulting in
enrollment which is comparable to other
recruitment methods

Reporting

Online reporting is available through a third-party
vendor, Professional Data Analysts (PDA).

•  https://www.pdastats.com/CallitQuitsReports/login.aspx
•  User name and password required

Reporting - Clinic



The successful clinic

•  Champion

–  Resource
–  Promoter
–  Training new staff

•  Process
•  Feedback
•  Realistic expectations

You can do it!

Thank you

Together we’ll make it easier for all to take
the next step toward becoming
tobacco free.

More information:
www.centerforpreventionmn.com/what-we-do/call-it-quits

Contact:
Kim Winter 651-662-6879
[email protected]