AAFP Office Champions Leading Tobacco Cessation in FQHCs - PowerPoint Presentation

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AAFP Office Champions Leading Tobacco Cessation in FQHCs

Family

Health Centers of Georgia, Inc.

Theresa Jacobs, M.D. , FAAFP

Niambi Lavender, Medical Assistant

5/19/14

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Disclosure

The American Academy of Family Physicians (AAFP) Office Champions Tobacco Cessation Federally Qualified Health Center (FQHC) Project was funded by Pfizer Inc, in collaboration with the Smoking Cessation Leadership Center (SCLC)

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AAFP Office Champions Tobacco Cessation Project

AAFP recruited FQHCs to participate in the Office Champions Tobacco Cessation Project. An

FQHC is a

non-profit private or public entity that serves medically underserved populations and/or

areas

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What

is Office Champions?

A team-focused quality improvement model that

incorporates practical

, proven

strategies:

Develop an implementation plan

Provide training and improve

staff

collaboration

Initiate systems changes

Increase

patient engagement

Evaluate results (chart reviews and surveys)

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AAFP Tobacco Cessation Resources

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http

://

www.aafp.org/patient-care/public-health/tobacco-cessation/ask-act.html

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Burden of Tobacco Use

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The annual burden of smoking-attributable mortality in the

U.S. is currently estimated to be

480,000. Millions

more

are living

with smoking-related

diseases

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National Uniform Data System & Office Champions Outcomes

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Who We Are

Family

Health

Centers of Georgia, Inc. (FHCGA) began providing comprehensive preventive healthcare

in 1976.There are eight locations in Fulton and Cobb counties. Healthcare

services

include medical, behavioral health, and dental care

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Behavioral Health Services

FHCGA has a

licensed clinical social worker on

staff that counsels patients,

as needed. All patients

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and older are screened for depression and referred to behavioral health for in-house

counseling

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Behavioral Health & Tobacco Cessation

More that 1 in 3 adults (36%) with a mental illness smoke cigarettes, compared with about 1 in 5 adults (21%) with no mental illness

The

most common behavioral health issues linked to

nicotine dependence at

FHCGA is stress, depression, and

anxiety

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Clinical Environment

More than 40% of FQHC patients use tobacco, double the national prevalence rate

Health

disparities

that impact the FHCGA community are: race, low socioeconomic

status, lack of insurance,

low education levels, and unemployment

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Office Champion & Physician Champion Role

Office Champion

Provide health education to patients

Help develop cessation plans based on health risks

Monitored patient progress

Physician Champion

Identify cessation modality

Refer patient to behavioral health counseling

Provide patients with treatment options

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Team Approach

In order for Office Champions to be successful, the practice team must collaborate to meet the common goal of achieving a tobacco-free culture

Effective communication

Staff buy-in

Office & Physician Champions

sharing a leadership role

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Systems Changes

The AAFP Office Champions FQHC project was instrumental in improving clinical practice

patterns at FHCGA.

The goal was to incorporate cessation into routine workflow and reduce smoking prevalence by 10-20%

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1) Implementation Plan: Referrals

Patients were referred to behavioral health counselors, case managers, social workers, health educators, and quitlines as needed. In addition, the head pharmacist is a tobacco cessation treatment specialist

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2) Implementation Plan: Staff Communication/Education

Several health education classes were made available to patients.

Workshops

offered included the Office Champion as a speaker and offered a table to display

with AAFP’s Ask and Act patient education materials and resources to promote tobacco cessation

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3) Implementation Plan: Marketing

AAFP’s Ask

and Act

resources including patient education materials, flyers, posters, lapel pins, newsletters

,

etc. helped to encourage a culture of tobacco cessation

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Tobacco Cessation 2013 rates at FHCGA

1,133

patients were enrolled in the tobacco cessation program

, 30% of the patients enrolled have reduced cigarettes intake to less than 5 per day, 20% of patients no longer

smoke

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Challenges

The

barriers that were identified while implementing the changes:

Finding affordable medication for the patients on an individual basisWorking on

prior authorization

from the insurance companies to

use approved medications

Patients that have relapse due to life

changes

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Successes!

FHCGA

has initiated a comprehensive tobacco cessation program because tobacco use screening and intervention is

extremely effective in both

cost

and

health outcomes

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Patient Centered Medical Home

FHCGA,

whose framework is based on the Patient

Centered Medical Home (PCMH), has incorporated tobacco cessation into the workflowThe changes made are sustainable, and now are part of the system to support a tobacco-free culture

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Achieving Goals

By participating in AAFP’s Office Champions project, FHCGA achieved its goal to incorporate cessation into routine workflow and reduced smokers by 10-20%.

For more information on Ask and Act and final report results visit:

www.aafp.org/askandact/officechampions

http

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www.aafp.org/dam/AAFP/documents/patient_care/tobacco/office-champions-final-report-2013.pdf

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Thank You! Questions ?

Theresa Jacobs, M.D

., FAAFP

trjacobs1@yahoo.com

Niambi

Lavender, Medical Assistant

nlavender@att.net

Christy Alexander, MPH

American Academy of Family Physicians

Project Specialist

TempPR@aafp.org

913-906-6000 x 3140

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