Family Health Centers of Georgia Inc Theresa Jacobs MD FAAFP Niambi Lavender Medical Assistant 51914 Disclosure The American Academy of Family Physicians AAFP Office Champions Tobacco Cessation Federally Qualified Health Center FQHC Project was funded by Pfizer Inc in collabora ID: 907801
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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
Slide2Disclosure
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)
Slide5AAFP Tobacco Cessation Resources
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http
://
www.aafp.org/patient-care/public-health/tobacco-cessation/ask-act.html
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
Slide7National Uniform Data System & Office Champions Outcomes
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Slide8Who 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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Slide9Behavioral Health Services
FHCGA has a
licensed clinical social worker on
staff that counsels patients,
as needed. All patients
13
and older are screened for depression and referred to behavioral health for in-house
counseling
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Slide10Behavioral 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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Slide11Clinical 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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Slide12Office 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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Slide13Team 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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Slide14Systems 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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Slide151) 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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Slide162) 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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Slide173) 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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Slide18Tobacco 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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Slide19Challenges
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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Slide20Successes!
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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Slide21Patient 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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Slide22Achieving 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
://
www.aafp.org/dam/AAFP/documents/patient_care/tobacco/office-champions-final-report-2013.pdf
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Slide24Thank 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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