Anna Notier MSW Grayce Galiyas RN BA ND Jane Severson RN MSN MHSA Joan Schmidt RN MSN Karen Brown MPA Mara Minasian BA Background There are many risks associated with continuing to smoke after a cancer diagnosis ID: 236353
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Slide1Slide2
MCC/ MOQC Lead Team
Anna Notier, MSW
Grayce Galiyas, RN, BA, ND
Jane Severson, RN, MSN, MHSA
Joan Schmidt, RN, MSN
Karen Brown, MPA
Mara Minasian, BASlide3
Background
There are many risks associated with continuing to smoke after a cancer diagnosis:
Treatments less likely to be successful
More side effects from
surgery, chemotherapy, and radiation therapy
Increased chance of the cancer returning
Increased
risk of other serious
illnesses
, such as heart and lung diseases or getting a second
cancerSlide4
Background
Oncologists
play a vital role in tobacco cessation by providing the recommendation and education to patients to help them
quit
Many offices do not have the resources available to assist patients with quitting nor are they aware of the free tobacco cessation
counseling
services available to all cancer patients in
MichiganSlide5
QOPI® Tobacco Cessation Measures
MOQC Current SituationSlide6
QOPI DataSlide7
Quality Gap
QOPI Data
QOPI DataSlide8
QOPI Data
Gap Widens
QOPI Data
MOQC Data
Quality GapSlide9
Root Cause Analysis
Low referral rate to tobacco cessation counseling services for cancer patients who use
tobacco:
Staff
and providers not educated on effects of tobacco use in cancer patients and implications for
treatment
No
standard workflow or resources in clinic to ensure patients are asked if they use tobacco, advised to quit, and referred to
tobacco
cessation
counselingStaff and providers not aware of MCC Michigan Tobacco Quitline and free services for cancer patientsSlide10
Overview
MOQC/MCC Tobacco Cessation Demonstration
Project Slide11
Project Goals
To change clinical culture and practice patterns to ensure that every patient being treated for cancer who uses tobacco is identified, advised to quit, and offered scientifically sound treatments
To build practice leadership capacity in quality improvement and change managementSlide12
19 Participating Sites
1
Bronson
Medical Group Oncology
2
Center for Cancer Care & Blood Disorders - Lansing
3
Center for Cancer Care & Blood Disorders - Owosso
4
IHA Hematology Oncology
5
Karmanos Cancer Center
6
Lacks Cancer Center Surgical Oncology Practices
7
Oaklawn Oncology
8
Oakwood
Hem/
Onc
- Dearborn
9
Oakwood
Hem/
Onc
- Downriver
10
Singh &
Arora
Hem/
Onc
11
Southwest Oncology Associates
12
Sparrow Cancer Center
13
St. John Health
Partners
- Grosse Pointe
14
St. John Health
Partners
- Macomb
15
St. John Health
Partners
- Warren
16
Toledo Clinic Cancer Center - Adrian
17
Toledo Clinic Cancer Center - Monroe
18
University of Michigan Cancer Center
19
West Michigan Cancer CenterSlide13
Changing the Culture About Tobacco Cessation for Cancer PatientsSlide14
Tobacco Cessation Demonstration Project Organizational Structure
Participating
Sites
MOQC
Project Team
Advisory Team
Includes Quality & Content Subject Matter Experts
MCC
National Jewish Health (
QuitLine
)Slide15Slide16
Measures of Success
Percent
of target population with tobacco use
STATUS DOCUMENTED
in the medical
record;
TARGET
: 100
%
Percent
of tobacco users with REFERRALS to Michigan Tobacco Quitline (or other program) DOCUMENTED in the medical record; TARGET: 90%Slide17
Measures of Success
Improvement in QOPI performance > 90 % for Demonstration Project participating practices:
Smoking / tobacco use cessation counseling recommended to smokers/ tobacco users in the past year Slide18
Future State: Change PacketSlide19
Pre-Printed Fax Referral Forms for Data TrackingSlide20
MOQC Tobacco Cessation ToolkitSlide21Slide22
Performance Tracking ToolSlide23
Preliminary Results
Number of Sites Participating:
19
Number of Referrals Faxed
(May 1 – June 13, 2013):
91
%
of Referred Patients Engaged in Quitline Program:
43
%Slide24
Next Steps
Collaborative Meeting #2 and #3
Site visits at the end of June
Spread to other populations and practices (2 hour new practice enrollment)Slide25
ASK ADVISE REFER