1. North American Quitline Consortium Drill Down Session Strategies for Improving Public Health/Health Care Partnerships in Quitline Operations May 2, 2005 2:00-4:00 p.m.

2. Objectives Learn the range of practices to create partnerships Identify barriers to successful partnerships Describe the role of culture and motivation in partnership formation Enumerate strategies and solutions Create network to continue sharing

3. Session Format Welcome & Introductions15 min. Panel Presentation with Q/A45 min. Select Table Topics and Transition10 min Facilitated Discussions45 min –Introduce self and name challenge –Select a challenge –Brainstorm solutions Report out

4. Challenges From Survey Fax Referral Systems ­ Increasing the proportion of fax-referred patients who accept treatment services (or respond to calls!) to >40%. - Providing feedback reports to health plans or health care facilities vs. increased costs

5. Fax-Referral Systems (Continued) -How to partner with health plans or other organizations to promote the fax-back program, especially with reduced funding for marketing. -Integrating a statewide quitline with other existing quitlines Challenges From Survey

6. Challenges (Continued) Hospitals -Integrate fax-referral systems in hospitals -Getting access to decision makers in hospitals and other healthcare facilities Provider Behavior Change -Changing provider behavior: establishing policies or standards? -Motivating providers to use fax-referral systems once they are in place -Addressing the time burden on clinicians--one more form to fill out

7. Motivating Other Systems to Work with Quitline –JCAHO core measures motivate hospitals to work with public health/quitlines. How do states leverage other market forces (HEDIS) to work in non-hospital settings? -Approaches to working with federally or state- funded community health centers serving low income, vulnerable populations Challenges (Continued)

8. Health Plans (and Coverage) -Working with health plans to promote the quitline or fax-referral program -Motivating health plans to provide coverage (or improved coverage) for TT Rx. -Working with discrepancies in RX coverage across many health plans -What Rx coverage will Medicare provide and how will this affect quitlines that offer NRT?

9. Panel Presenters Craig Ryder, Associate Director, Tobacco Control Program, New York State Department of Health Rebecca “Bec” McGill, Cessation Unit Director, Arizona’s Smoker’s Helpline, Mel and Enid Zuckerman Arizona College of Public Health Deb Voss, Account Executive, Leade Health Inc. Michigan Allison Long, Associate Director, Tobacco Control Program, New York State Department of Health Donna Warner, Tobacco Control Program Director, Cessation Planning and Program Development, Mass. Tobacco Control Program

10. Table Topics Fax Referral Programs-Start Up & CQI Working with Health Plans Working with Hospitals Working with Community Health Centers and DOH-funded Programs Increasing Provider Utilization of TTx and Fax Referral Programs