2. Objectives This presentation has three objectives:
To explain why we’re going tobacco-free
To let you know what to expect
To answer some questions you may have
This presentation has three objectives:
To explain why we’re going tobacco-free
To let you know what to expect
To answer some questions you may have

3. But first … a warning. This presentation will not answer all -- and may not even answer most -- of your questions.
That’s because we don’t have all the answers. Becoming tobacco-free is a work in progress … and we ask for your cooperation and your help.
But first. . . a warning. This presentation will not answer all and maybe not even most of your questions.
That’s because we don’t have all the answers. Becoming tobacco-free is a work in progress and we ask for your cooperation and your help.

4. Our Mission
Eliminating the use of tobacco to create a healthy environment is a way of reinforcing our mission.
Our mission is to …
You may want to insert the mission or discuss your hospital mission here.
Eliminating the use of tobacco to create a healthy environment is a way of reinforcing our mission.

5. We have joined hospitals across the state of Kansas in an effort to become
tobacco-free by Jan. 1, 2007.
Insert your specific hospital date here.
On (date), tobacco use will be prohibited at all (Hospital) facilities – both inside and out.
This means that as of that date, no tobacco use of any kind will be permitted – inside or outside – on our property. This initiative also will include the elimination of designated areas outside (Hospital Name) where employees, patients and visitors currently use tobacco products.

6. Why Go Tobacco-Free?
As health professionals, we need to treat the whole person.
We want to provide a healthy environment that fosters healing.
Tobacco use on our premises undermines these efforts.
It’s the right thing to do!
So why did we make the decision?
As health professionals, we need to treat the whole person
We must provide a healthy environment that fosters healing
Tobacco use on our premises undermines these efforts
It’s the right thing to do.

7. Why Go Tobacco-Free?
Tobacco is the number one source of preventable deaths in the U.S.
One-in-five deaths is tobacco related
Tobacco use kills 440,000 Americans yearly
American Lung Association Statistics
Here are some facts about tobacco use from the American Lung Association:
Tobacco is the number one source of preventable deaths in the United States
One-in-five deaths is tobacco related
Tobacco use kills 440,000 Americans yearly

8. Why Go Tobacco-Free?
Tobacco is the cause of death for 3,800 Kansans every year and is the root cause of many illnesses and lost productivity.
Tobacco use in and around hospitals poses health and safety risks for patients, employees and visitors.
Tobacco is the cause of death for 3,800 Kansans every year and is the root cause of many illnesses and lost productivity.
Tobacco use in and around hospitals poses health and safety risks for patients, employees and visitors.

9. Why Go Tobacco-Free?
While Kansas currently has a statute banning smoking in medical care facilities, as health care advocates, we would like to expand that ban to all hospital property.
Legislative and regulatory initiatives are underway to require that our property, in addition to our buildings, become tobacco-free.
While Kansas currently has a statute banning smoking in medical care facilities, as health care advocates, we would like to expand that ban to all hospital property.

10. Why Go Tobacco-Free? We have the support of:
Kansas Hospital Association
Kansas Medical Society
Kansas Academy of Family Physicians
Kansas State Nurses Association
As partners, the Kansas Hospital Association, Kansas Medical Society and Kansas Academy of Family Physicians have joined together to help Kansas health care providers implement tobacco-free policies. Kansas State Nurses Association continues to strive for tobacco-free policies statewide.
Physicians and nurses will be a key part in this initiative, and their support is vital.

11. The Facts High school students who smoke 21.1% (34,500)
Male high school students who use smokeless or spit tobacco
14.5% (females use much lower)
Kids (under 18) who become new daily smokers each year
6,800
Kids exposed to secondhand smoke at home
161,000
Packs of cigarettes bought or smoked by kids each year
8.7 million
Adults in Kansas who smoke
20.4% (413,700)
The statistics say it all …

12. The Facts
Adults who die each year from their own smoking
3,800
Kids now under 18 and alive in Kansas who will ultimately die prematurely from smoking
60,100
Adults, children and babies who die each year from others' smoking (secondhand smoke and pregnancy smoking)
320 to 580
Kansas statistics on deaths …
Smoking kills more people than alcohol, AIDS, car crashes, illegal drugs, murders and suicides combined -- and thousands more die from other tobacco-related causes -- such as fires caused by smoking (more than 1,000 deaths/year nationwide) and smokeless tobacco use.

13. The Facts
Annual health care costs in Kansas directly caused by smoking
$854 million
- Portion covered by the state Medicaid program
$180 million
Residents' state and federal tax burden from smoking-caused government expenditures
$547 per household
Smoking-caused productivity losses in Kansas
$799 million
Kansas statistics on Health care costs …
Amounts do not include health costs caused by exposure to secondhand smoke, smoking-caused fires, spit tobacco use or cigar and pipe smoking. Other non-health costs from tobacco use include residential and commercial property losses from smoking-caused fires (more than $500 million per year nationwide); extra cleaning and maintenance costs made necessary by tobacco smoke and litter (about $4+ billion nationwide for commercial establishments alone); and additional productivity losses from smoking-caused work absences, smoking breaks, and on-the-job performance declines and early termination of employment caused by smoking-caused disability or illness (dollar amount listed above is just from productive work lives shortened by smoking-caused death).

14. The Facts Health Effects of Secondhand Smoke
Asthma: Induction and Exacerbation
Eye and Nasal Irritation
Cancer: Lung and Nasal Sinus
Heart Disease and Stroke
Low Birth Weight
SIDS
Respiratory Infections
Health Effects of Secondhand Smoke

15. ABSENTEEISM AND LOST PRODUCTIVITY
• Smokers, on average, miss 6.16 days of work per year due to sickness (including smoking-related acute and chronic conditions), compared to nonsmokers, who miss 3.86 days of work per year.1
• In a study of health care utilization in 20,831 employees of a single, large employer, employees who smoked had more hospital admissions per 1,000 (124 vs. 76), had a longer average length of stay (6.47 vs days) and made six more visits to health care facilities per year than nonsmoking employees.2
• Employees that smoke had about two times more lost production time (LPT) per week than workers who never smoked, a cost of $27 billion to employers.3
ABSENTEEISM AND LOST PRODUCTIVITY – also increases in health insurance costs (when you employee tobacco users) make health insurance costs higher for all employees.
1 Halpern, M.T.; Shikiar, R.; Rentz, A.M.; Khan, Z.M., “Impact of smoking status on workplace absenteeism and productivity,” Tobacco Control 10(3): , September 2001.
2 [n.a.].“The Cost of Smoking to Business” American Cancer Society. [n.d.] Accessed on May 18, Download at
3 Stewart, WF et al. “Lost productivity work time costs from health conditions in the United States: Results from the American Productivity Audits,” Journal of Occupational and Environmental Medicine 45(12): , December 2003.

16. ABSENTEEISM AND LOST PRODUCTIVITY cont.
• Businesses pay an average of $2,189 in workers’ compensation costs for smokers compared with $176 for nonsmokers.4
• The U.S. Centers for Disease Control and Prevention (CDC) puts a $3,391 price tag on each employee who smokes: $1,760 in lost productivity and $1,623 in excess medical expenditures.5
• In addition, estimated costs associated with secondhand smoke’s effects on nonsmokers can add up to $490 per smoker per year. 6,7
ABSENTEEISM AND LOST PRODUCTIVITY cont.
4 Musich, S.; Napier, D.; Edington, D.W.; “The Association of Health Risks With Workers’ Compensation Costs.” JOEM. 43(6): , June 2001.
5 Fellows, J.L.; Trosclair, A.; Rivera C.C.; National Center for Chronic Disease and Prevention and Health Promotion, “Annual Smoking Attributable Mortality, Years of Potential Life Lost, and Economic Costs—United States, ” Morbidity and Mortality Weekly Report. JAMA, (287)18: , 8 May 2002.
6 Kristein, “How Much Can Business Expect to Profit From Smoking Cessation?” Preventive Medicine, 1983; 12:
7 Jackson & Holle, “Smoking: Perspectives 1985,” Primary Care, 1985; 12:

17. What to Expect
No tobacco use – inside or outside – including smoking, chewing tobacco, etc.
Signs to inform public
No more designated smoking areas
Work area will be a healthier environment
You may wonder how going tobacco-free will affect you?
Beginning (date), there will be no tobacco use – inside or outside on our property – including chewing tobacco.
We’ll put up signs to inform the public at entrances to the campus, at various sites around our campus and in parking areas.
There will be no more designated smoking areas.
Our work area will be healthier.

18. What to Expect If you use tobacco, do you have to quit?
Tobacco use is your choice
Support is available if you choose to quit
Your physician can offer other resources
If you use tobacco, do you have to quit?
Tobacco use is your choice
Support is available if you choose to quit
Smoking cessation classes
Learn tips to help you quit
Find out about educational resources
Your physician can offer other resources

19. What to Expect
How will you determine who uses tobacco products and who doesn’t?
It’s the honor system. We trust you
to tell the truth.
How will you determine who uses tobacco and who doesn’t?
It’s the honor system. We trust you to tell the truth.

20. What to Expect
The use of tobacco products is prohibited in all buildings and grounds. Violation of this policy may result in disciplinary action.
Employees should avoid all products that will result in an unpleasant or strong odor.
Use of tobacco products is not allowed in hospital-owned vehicles.
Here are some of the policies that have been developed for this initiative. First, the use of tobacco products is prohibited in all buildings and grounds owned by (Hospital Name). Violation of this policy may result in disciplinary action. Leased properties may also prohibit use of tobacco products.
Non-exempt employees who leave the premises for any non-work-related reason should badge out/clock out/etc.
Some additional policies are: Employees should notify their supervisor when leaving the campus.
Employees should avoid all products that will result in an unpleasant or strong odor.
Use of tobacco products is not allowed in hospital-owned vehicles.

21. What to Expect
Who will enforce the tobacco-free policy for patients and visitors?
We are all responsible for maintaining a healthy environment. Please help our campus remain tobacco-free by reminding visitors about our policy.
Who will enforce tobacco-free policy for patients and visitors?
We are all responsible for maintaining a healthy environment
We encourage you to help keep our campus tobacco-free by reminding visitors about our policy.

22. Reminder card for visitors
What to Expect
Reminder card for visitors
KANSAS HOSPITALS ARE TOBACCO FREE
Our Tobacco-Free Policy
is intended to create a healthier environment for everyone who comes here
to receive care, visit a patient or work.
Thank you for your cooperation.
Naturally, we want to avoid confrontations with visitors at our facility. At the same time, we want to remind patients and visitors of our tobacco-free policy. Therefore, we will be providing you with cards that can be handed to people who are using tobacco products. These cards will be available (date).
The cards say: “Our Tobacco-Free Policy is intended to create a healthier environment for everyone who comes here to receive care, visit a patient or work.
Thank you for your cooperation.”
The majority of people will stop using tobacco products after they get this polite reminder.

23. What to Expect
What if someone refuses to stop using a tobacco product, even after being given a card?
Politely remind them that this policy is to help us create a healthy environment for our patients, and we appreciate their cooperation. If they continue to use a tobacco product, don’t press it. We do not want a confrontation with our visitors or patients.
What if someone refuses to stop using a tobacco product, even after being given a card?
Politely remind them that this policy is to help us create a healthy environment for our patients, and we appreciate their cooperation. If they continue to use a tobacco product, don’t press it. We do not want a confrontation with our visitors or patients.

24. What to Expect
As responsible members of this community, it’s important that we be considerate of our neighbors. So we ask that employees and visitors refrain from littering or using tobacco products on adjacent property.
As responsible members of this community, it’s important that we be considerate of our neighbors. So we ask that employees and visitors refrain from littering or using tobacco products on adjacent property.

25. Questions Can employees be fired for tobacco use?
After repeated violations, warnings and counseling sessions, tobacco use violations will be treated like other infractions currently listed in the employee handbook or the HR policy manual. See HR if you have questions about how violations are handled.
Can employees be fired for tobacco use?
Add information about your own hospital policy here.
After repeated violations, warnings and counseling sessions, tobacco use violations will be treated like other infractions currently listed in the employee handbook or the HR policy manual.
See Human Resources if you have questions about how violations are handled.

26. Questions
Will the police be called if a person refuses to stop using tobacco products?
No. The police will not be called on anyone who is not in compliance with our policy. Cultural change like this takes time. We will continue to politely communicate our policy.
Will the police be called if a person refuses to stop using tobacco products?
No. The police will not be called on anyone who is not in compliance with our policy. Cultural change like this takes time. We will continue to politely communicate our policy.

27. Thank you again for helping us be a leader in providing
exceptional health care.
We understand that this type of change is difficult.
We have proven in the past that (Hospital Name) provides exceptional health care, and that will continue.
The tobacco-free initiative is an extension of our mission to provide a healthier environment to our patients, their families, our employees and our community.
Thank you for your help.

28. Tobacco-Free Initiative
Questions?
That covers the basics.
Do you have any specific questions regarding the tobacco-free initiative?