A solution for providers to
                        help patients quit smoking.

QuitWorks links your patients who want to quit smoking to the full range of the state's tobacco treatment services.

In 2004, the Massachusetts Department of Public Health launched a new version of QuitWorks especially for hospitals and health centers. A QuitWorks Guide for Hospitals and Health Centers shows the five easy steps to implement QuitWorks in outpatient and inpatient settings. QuitWorks can help facilities to meet performance standards for smoking cessation, such as JCAHO core measures.

To get you started, a QuitWorks team from the Massachusetts Department of Public Health, the University of Massachusetts Medical School, and the Try-To-STOP TOBACCO Resource Center is ready to help. Our QuitWorks team can work with you to customize the QuitWorks enrollment form for your health center.

What You Do	QuitWorks Takes It From There
1. Set up a system to identify tobacco use by patients during outpatient visits.	QW: Calls your patient - Upon receipt of an enrollment form, QuitWorks: Conducts a 10-minute telephone interview to assess readiness to quit Mails a customized Quit Kit Offers multiple counseling options Advises your patient on course of action
2. Talk with patients about tobacco use during outpatient visit and give the patient a "Think About It" pamphlet.	QW: Provides intensive counseling services, on the phone or through referral to in-person services Five proactive telephone counseling sessions Referral to more than 30 community tobacco treatment centers with trained counselors
3. Complete enrollment form, give patient QuitWorks Welcome Guide, and fax enrollment form to QuitWorks toll-free line.	QW: Provides on-line help at http://www.trytostop.org The QuitWizard, a self-directed counseling tool Interactive bulletin board and user community Expert advice and success stories Access to a warehouse of materials to download to help the patient
4. Prescribe pharmacotherapy, if appropriate, for relief of withdrawal symptoms and to aid with stopping smoking.	QW: Faxes report to referring provider several days after patient contact and indicates services selected.
5. Receive status reports, review, and file in patient medical record.	QW: Sends a six-month patient quit status report to the provider identified on the enrollment form; aggregate reports may be customized for your health center, if desired.

Integrating QuitWorks in Your Health Center

Use the Guide below to answer key questions, such as:

• How will smokers be identified and smoking status documented?
• Who will provide advice to quit and recommend pharmacotherapy?
• Who will complete the QuitWorks enrollment form and obtain patient consent?
• Who will fax the enrollment form?

Consider how QuitWorks will fit into patient forms, medical records, pharmacy, or standing orders.

Think about key players.
Bring together a core group of staff, including natural "champions" from among executive and medical staff, quality assurance specialists, nurse administrators, specialists, and unit directors.

Think about how and when to introduce QuitWorks.
Will you launch QuitWorks in pilot units, and, if so, which units? Which units see the most smokers? Will QuitWorks be rolled out institution-wide?

QuitWorks Implementation Guide for Health Centers

WHAT	WHEN (Suggested Opportunities)	HOW (Suggested Methods)	WHO (Person or Position)
1. Identify Smoker and Document Smoking Status	Typically at admission or soon after and at every outpatient visit	Nursing or other assessment form Questionnaire/Survey Vital signs stamp or sticker Document in medical record for quality improvement purposes	Typically, nurse at admission or administrative personnel
2. Talk with Patient about Tobacco Use Advise patient to quit Assess patient's readiness to quit Ask if patients would like to be enrolled in a free program to help them quit Discuss/Offer pharmacotherapy	At admission, or outpatient visit: Use multiple interventions, if possible	Give patient QuitWorks "Think About It" brochure	Nurse, physician, or other clinician
3. Complete Enrollment Form Include provider information Obtain patient signatures Fax enrollment form to 1-866-560-9113 with "call-after date" noted Document that form was faxed and file in patient's medical record	During outpatient visit	Give patient QuitWorks "Welcome" brochure	Nurse, physician, or other clinician
4. Prescribe Pharmacotherapy (IF APPROPRIATE) For relief of withdrawal symptoms For stopping smoking	During outpatient visit	See back of enrollment form for dosing guide; form may be customized to indicate medications in health center formulary	Physician
5. Receive Status Reports and Review Fax back patient status report to provider indicated on enrollment form Send optional aggregate reports to health center	Upon successful completion of contact with patient and at seven months	File any status reports sent to the health center in patient medical record Compile data for JCAHO and quality improvement reports	PCP, referring provider, or other designated personnel Quality assurance manager

How to Get Started

Call Us!

For more information or to schedule a meeting, email us at quitworksinfo@jsi.com or call us at 1-800-TRY-TO-STOP (1-800-879-8678). You may also visit www.trytostop.org to preview our smoking cessation resources.

Schedule the QuitWorks Team to give a presentation at your facility.

The QuitWorks Team will come to you and lead a one-hour presentation and discussion with your staff on the QuitWorks program and how to customize it for your facility. There is no cost for this session, and it may qualify for continuing education units.

Think about customized QuitWorks features.

For all participating hospitals and health centers, we design a customized enrollment form, free of charge, to help us track enrollment from your institution and prepare reports for you. We will put your health center name and logo on the form and highlight the smoking cessation medications available in your formulary. Some institutions also need additional patient consent language. We can help you with this too, and we can provide examples from other health centers.

Other customized features are available at a small charge to cover costs:

• Aggregate data reporting on smokers you enroll in QuitWorks, services they receive, and quit status at six-months post-treatment.
• Training offered by the University of Massachusetts Medical School for your staff on QuitWorks, on how to talk with smokers, and on smoking cessation medications.