The Community Heath Center (CHC) Tobacco Cessation Program was initially piloted in Colorado at five Community Health Center (CHC) clinic sites. The program was developed by an Advisory Group of representatives from Colorado's CHCs and a core workgroup from the Colorado Community Managed Care Network (CCMCN) with funding and support from the Colorado Clinical Guidelines Collaborative (CCGC) and the State Tobacco Education and Prevention Program (STEPP). The CHC TCP program implements evidence-based guidelines in the health care setting to ensure all nicotine-dependent patients are identified and treated. This program was designed as a system-wide, comprehensive, evidence-based Tobacco Cessation Program specifically designed for CHCs to address their populations' needs and unique attributes.
NOVEMBER 2008 PROGRAM UPDATES
Great American Smokeout is November 20, 2008.
On November 20th join health care and community partners across the country to celebrate the Great American Smokeout (GASO). Community Health Centers play key roles in supporting patients and coworkers to quit nicotine on this national holiday. Here are 5-minute ideas of ways you can support your patients and employees quit their nicotine addiction on the Great American Smokeout:
- Log on to http://www.cancer.org/docroot/subsite/greatamericans/Smokeout.asp or http://acsf2f.com/gaso/ to learn about the Great American Smokeout, order GASO materials, and download fact sheets.
- Display materials in the lobby of your community health center with information on GASO, QuitLine promotional items, self-help quitting information, and information on how to obtain free nicotine replacement therapy through the Colorado QuitLine. Go to http://www.steppitems.com/ for more materials and information on tobacco cessation resources.
- Feature an employee who has successfully quit smoking in an employee newsletter. Include quit smoking facts and the www.coquitline.org link to your employees.
- Email your colleagues a description of your efforts to integrate smoking cessation into your workflows; celebrate your progress to date and thank your colleagues for their support on the project.
- Contact your local health agency and/or tobacco coalition. Include their local GASO programming in your activities.
- Write a letter to the editor to your local newspaper about the importance of quitting nicotine on the Great American Smokeout; describe how you treat and screen community health patients for nicotine addiction. State that helping your patients quit smoking is key to their health.
Together we can make Great American Smokeout 2008 a real success! For more information, contact Molly Hanson, CHC Tobacco Cessation Program Manager, at mhanson@cchn.org or (303) 861-5165, ext 255. |
CCMCN TCP Increases CHC Electronic Infrastructure to Support the Tobacco Guidelines
CCMCN is beginning work this fall with HD Consult in creating an enhanced electronic infrastructure to further promote successful implementation of the Guidelines for Tobacco Cessation and Secondhand Smoke. Tobacco template development and refinement is underway. If you have any questions, comments or suggestions about this process please contact Heather Stocker, Director of Clinical Programming & Development, at heather@cchn.org or (303) 861-5165, ext. 229.
CHC Tobacco Cessation Program Background
Program Timeline:
May 2006--Oct 2006: Planning Phase
Jan 2007--June2007: Implementation in 5 Pilot Sites
July 2007--June 2008: Implementation in 8 additional Expansion Sites
July 2008--June 2009: Implementation in approximately 20 Additional Sites (this number is in the process of being confirmed)
Please click or scroll down for:
CHC Tobacco Cessation Program Goals
Where We Are Now
Calendar of Events
Interesting Tobacco & Secondhand Smoke Facts
CHC Tobacco Cessation Program Contacts
Resources and Tools
Information and Links
Information About Colorado Community Managed Care Network
Note:
Many of these documents are in PDF format, requiring Adobe Acrobat for viewing. If necessary, click HERE to visit the Adobe web site and download a free copy of Acrobat.
A planning process was completed in 2006 with the help of a CHC Tobacco Cessation Program Advisory Group consisting of both clinical and non-clinical CHC staff and representatives from STEPP, CCGC, Latino State Tobacco Prevention Education Network (LSTPEN), and Community Health Association of Mountain/Plains States (CHAMPS). Major achievements during the planning process included the development and completion of a needs assessment for each CHC in Colorado, a survey of all staff regarding successful program aspects and program goals, and a comprehensive work plan for the first six months of the implementation phase of the program.
The Initial CHC Tobacco Cessation Program Goals:
- Develop and implement a comprehensive, system-based Tobacco Cessation Program in Community Health Centers (CHCs) statewide.
- Work collaboratively with existing Tobacco Cessation initiatives such as the State’s Tobacco Evaluation and Prevention Program (STEPP) and other organizations.
- Cultivate and promote approaches to Tobacco Cessation which are effective in Community Health Centers.
The Expanded CHC Tobacco Cessation Program Goals:
- To engage every CCMCN CHC organization in the guideline for Tobacco Cessation and Secondhand Smoke Exposure.
- To spread and sustain methodologies at all CHCs sites.
- To build CCMCN CHC network organization infrastructure to implement the Guidelines for Tobacco Cessation and Secondhand Smoke.
- To increase the CHC electronic infrastructure to implement the Guidelines for Tobacco Cessation and Secondhand Smoke.
- To implement Guidelines for Tobacco Cessation and Secondhand Smoke Exposure in additional provider groups.
A Summary of Findings from the planning phase of this program can be read HERE.
A detailed Scope of Work for the CHC Tobacco Cessation Program is available HERE.
Health Systems and Clinic Sites Currently Participating in the CHC Tobacco Cessation Program
CO Coalition for the Homeless, Health Care Services: Stout Street Clinic
Clinica Family Health Services: Lafayette
Clinica Family Health Services: Pecos
Clinica Family Health Services: People's Clinic
Clinica Family Health Services: Thornton
High Plains Community Health Center: Lamar
Pueblo Community Health Center: Prenatal Program
Salud Family Health Centers: Fort Collins
Salud Family Health Centers: Commerce City
Salud Family Health Centers: Estes Park
Sunrise Community Health, Inc.: Monfort Family Clinic
Valley-Wide Health Systems, Inc.: Mobile Unit
Valley-Wide Health Systems, Inc.: La Junta
Valley-Wide Health Systems, Inc.: Las Animas
Valley-Wide Health Systems, Inc.: Guadalupe
Valley-Wide Health Systems, Inc.: Moffat
Valley-Wide Health Systems, Inc.: Rio Grande
Valley-Wide Health Systems, Inc.: San Luis
Valley-Wide Health Systems, Inc.: Sierra Blanca
Valley-Wide Health Systems, Inc.: Mancos
Valley-Wide Health Systems, Inc.: Canon City
Valley-Wide Health Systems, Inc.: Convenient Care
Valley-Wide Health Systems, Inc.: Cesar Chavez Family Medical Center (Medical and Dental)
Valley-Wide Health Systems, Inc.: Rocky Ford (Medical and Dental)
Valley-Wide Health Systems, Inc.: Alamosa (Medical and Dental)
Valley-Wide Health Systems, Inc.: Durango (Dental)
Valley-Wide Health Systems, Inc.: La Jara (Dental)
Valley-Wide Health Systems, Inc.: Ernesto Pacheco (Dental)
Tobacco Cessation Program Site Training
Type of Training |
Location |
Date |
All Staff-
Tobacco Cessation Guideline Implementation |
Dove Creek Community Health Clinic
|
10/1/2008 |
All Staff-
Tobacco Cessation Guideline Implementation |
Valley-Wide Health Systems, Inc.: Mancos |
10/1/2008 |
All Staff-
Tobacco Cessation Guideline Implementation |
Salud Family Health Centers: Estes Park |
10/21/2008 |
All Staff-
Tobacco Cessation Guideline Implementation |
Salud Family Health Centers: Mobile Unit |
10/28/2008 |
All Staff-
Tobacco Cessation Guideline Implementation |
Clinica Family Health Services: People’s Clinic |
11/25/2008 |
TAG (Tobacco Advisory Group) holds teleconference calls every other month that are hosted by the CHC Tobacco Cessation Program staff. It is an opportunity for community health center clinical and non clinical staff, local health agency tobacco staff, and state tobacco control partners to share tobacco program updates, resources, and lessons-learned. To join the call, please contact Molly Hanson, Program Manager, at (303) 861-5165, ext 255 for more information.
Advisory Group Teleconference Calls
| DATE: |
TIME: |
| December 8, 2008 |
12:30 p.m.-1:30 p.m. |
| February 2, 2009 |
12:30 p.m.-1:30 p.m. |
| April 6, 2009 |
12:30 p.m.-1:30 p.m. |
Click HERE for a printable PDF version of the Advisory Group teleconference calls schedule list.
Click HERE for a printable PDF version of the CHC Tobacco Cessation Program calendar.
Interesting Tobacco & Secondhand Smoke Facts
■Smokers have a blood pressure about 10 points higher than normal and their heartbeat is about 20 beats faster than in a non smoker.
■Some 2 to 5 million US children suffer from asthma; of these, about 20 percent experience more asthma attacks and more severe attacks than their fellow young asthmatics, due to secondhand smoke.
■Secondhand smoke contains more than 4,000 chemical compounds, including carbon monoxide (which poisons the human body), ammonia, formaldehyde, and other poisons. 4 of the chemicals – benzene, 2-naphthylamine, 4-aminobiphenyl, and polonium-210 are classified by the EPA as known carcinogens—cancer causing agents.
■Deaths from all types of cancer among men who smoke cigars are 34 percent higher than among nonsmokers. |
CCMCN CHC Tobacco Cessation Program Staff:
CCMCN
600 Grant Street, Suite 800
Denver, CO 80203
Ph: 303-861-5165
Fx: 303-861-5315
Heather Stocker
Director of Clinical Programming & Development
Ext: 229, heather@cchn.org Molly Hanson
Tobacco Cessation Program Manager
Ext: 255, mhanson@cchn.org Naomi Lopez
CCMCN Program Assistant
Ext: 250, naomi@cchn.org
CHAMPS/CCMCN Archived Webcast
Promoting Successful Tobacco Cessation: Treatment Recommendations and Systems Changes for CHCs
www.champsonline.org/Events/Distance_Learning.asp
CHAMPS Tobacco Cessation Resource Page
www.champsonline.org/tools/ClinicalResources/TobaccoCessation/
Colorado Clinical Guidelines Collaborative (CCGC)
Tobacco Cessation and Secondhand Smoke Exposure Page
www.coloradoguidelines.org/tobacco/index.htm
CCGC Tobacco Cessation Guidelines - Long Version
www.coloradoguidelines.org/guidelines/tobacco/quickrefforclinicians.pdf
CCGC Tobacco Cessation Guidelines - Short Version
www.coloradoguidelines.org/guidelines/tobacco/tobaccoguideline2007.pdf
Colorado CHC Tobacco Cessation Program
Suggestions for Staff Role and Utilization of the 5As.
5As_Staff_Role.pdf
Colorado QuitLine - 1-800-QUIT-NOW, 1-800-784-8669
www.cdphe.state.co.us/pp/tobacco/quitline.html
QuitLine Fax Referral Form available in English and Spanish
Colorado QuitNet
http://co.quitnet.com
FREE Tobacco Education Materials from STEPP
To order online go to www.steppitems.com, or a fax order form is available HERE.
STEPP is currently not taking orders for QuitLine Rx Pads.
Heather Stocker has some available. Contact Heather to get QuitLine Rx Pads for your clinic.
Colorado Clinical Guidelines Collaboratives
www.coloradoguidelines.org
STEPP (State Tobacco Education & Prevention Partnership)
www.cdphe.state.co.us/pp/tobacco/index.html
The Colorado Tobacco Education and Prevention Alliance
Website: www.ctepa.org/index.html
Resource Page: www.ctepa.org/jtf_resources.htm
Tar Wars
www.tarwars.org
American Academy of Family Physicians
www.aafp.org
MedlinePlus
www.nlm.nih.gov/medlineplus/smokingcessation.html
U.S. Department of Health and Human Services -
Clinical Practice Guideline
www.surgeongeneral.gov/tobacco/treating_tobacco_use.pdf
American College of Chest Physicians - Tool Kit
www.stopsmokingdoctors.com/ACCP_toolkit.htm
Mayo Clinic Tobacco Quitline
www.mmsiservices.com/quitline.html
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