Tobacco use cessation
An electronic system allows physicians at two health clinics to easily refer patients who use tobacco to a quitline and subsequently monitor their progress, leading to more clinician referrals to the quitline and enhanced access to cessation services for patients.
The Quality Health Network used an inclusive design process and invested significant time and resources in promoting and supporting use of its health information exchange, which serves patients and providers in seven counties in rural western Colorado.
With support from State funding, a community mental health center provides integrated mental health, primary care, care coordination, and wellness services to Medicaid beneficiaries with severe and persistent mental illness, leading to better chronic disease outcomes.
With support from a statewide collaborative, primary care practices in Wisconsin proactively identify and address behavioral health issues in patients, leading to declines in binge drinking, marijuana use, and symptoms of depression, and to high levels of patient satisfaction.
Regulations from the New York State Office of Alcoholism and Substance Abuse Services mandated that all substance abuse treatment facilities in the state become tobacco free and integrate smoking cessation education and therapy into the treatment of other addictions. The regulation resulted in increased access to cessation services and reduced smoking rates among patients and staff as well as some cost savings.
A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.
Trained health care providers educate patients who use tobacco about the state's free tobacco cessation phone counseling service (called a “quitline”) and then fax a referral form to quitline staff who proactively follow up with the patient; the program led to higher quit rates than among those simply informed about the quitline by their providers.
A culturally appropriate, interactive decision aid placed at health fairs and in safety net clinics generates high levels of engagement among underserved Hispanic and Latino smokers, leading to well above-average quit rates.
Using electronic templates, nurses and physicians provide a personalized report to patients at virtually every visit, with the goal of improving health-related behaviors; the program has contributed to a leveling off in the prevalence of overweight/obesity, above-average quit rates among smokers, better blood glucose control, and fewer racial disparities in chronic care.
Mental health practitioners provide smoking cessation counseling and treatment to patients with posttraumatic stress disorder as part of their regular mental health care, leading to higher quit rates and fewer relapses.