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Steps Tools Quality Resources Cont Ed
  Quality Improvement
Doctor & Patient

Continuous Quality Improvement helps you and your practice build an effective system to address tobacco use by the adolescents in your practice. The goal is to intervene with all smokers and recent quitters based on their stage of readiness to quit. To achieve this goal, the program must become integrated into the routine care or practice may consider:

Steps to assure success: (click here to download complete 6 step description WORD document)
1. Develop administrative commitment to implementation.
2. Involve front-line staff early in implementation planning process.
3. Assign a staff member to coordinate and monitor implementation.
4. Provide training for professional and support staff.
5. Adapt procedures to specific setting.
6. Have the staff member who is monitoring the implementation of the program ask for feedback.

 

 
Practice Improvement
PRACTICE TOOLS & MATERIALS
The following are questionnaires and databases that can be incorporated into a patient's chart or used to monitor quality. For more information and additional tools regarding quality improvement, please click here. The questionnaires here are tailored to assessing the teenager's willingness to change and the perceived risks and benefits of their tobacco use.
 

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Chart Sticker
This link shows the chart sticker options created by Clean Air for Healthy Children and Families. Three different stickers are available if your practice chooses to use them: non-smoker, smoker, and smoking in house. All are formatted to be printed on Avery Labels 5732.
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Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update (U.S. Department of Health and Human Services)
This clinical practice guideline update includes new information on effective clinical treatments that has become available since the 2000 guideline from the U.S. government. It should be an integral part of any clinical cessation program and offers specific information about teens and teen-related issues.
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Healthcare Provider Reminder Systems, Provider Education, and Patient Education: Working with Healthcare Delivery Systems of Tobacco-Use Treatment to Patients—An Action Guide (CDC)
This comprehensive guide to tobacco cessation program integration can be used directly in a large healthcare delivery system or adapted to individual practices. The appendices provide need and activity evaluations, as well as an extensive list of references and online resources.
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PA Department of Health: Pre-Approved Tobacco Cessation Registry
This webpage provides complete information for Pre-Approved Tobacco Cessation programs across the state by county. Program lists can be printed out for easy office reference if desired.
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Treating Tobacco Use and Dependence—A Systems Approach (Surgeon General)
This internet link directs you to a summarized version of the extensive guidelines provided for health care administrators, insurers, managed care organizations, and purchasers by the U.S. Public Health Service. This document can also be helpful for smaller organizations or individual practices in providing ideas for systems integration.
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Vital Signs Chart Stamp
This chart stamp can be used for each patient visit to consolidate vital signs information (height, weight, blood pressure, etc.) with the tracking and assessment of smoking status. This can be used in conjunction with other HelpTeensQuit.com questionnaires or independently by medical staff.
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Youth Tobacco Cessation: A Guide for Making Informed Decisions (CDC)
This link will take you to the CDC’s guide for educating medical and office staff, selecting a cessation intervention, understanding how to best serve your youth population, and monitoring program progress.
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  WEBSITES
The following are direct links to tools and solutions from websites other than HelpTeensQuit. By clicking on the link, you will be taken directly to the clinical resource that may be helpful for a teen who is not ready to quit. For a listing of homepage addresses for all of the websites referenced by HelpTeensQuit, please click here.
 
 

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AAFP: Ask and Act Tobacco Cessation Program
This website by the American Academy of Family Physicians provides excellent information about physician advocacy, systems integration, and educational opportunities regardless of medical specialty.
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BUTT OUT!: State of Health Products
This website features very clever and teen-appropriate anti-tobacco posters that can be purchased and hung in waiting rooms, exam rooms, or hallways. Other products include bookmarks, keychains, lanyards, folders, magnets, and stickers.
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CEASE Program Website
This program was designed to prevent secondhand smoke exposure in the pediatric population and has an excellent example of tobacco intervention systems integration in a basic practice setting. Please use this website as a guide for implementing your tobacco intervention program in the office setting.
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PA AHEC Tobacco Cessation and Intervention Project
This webpage has resources for providers related to smoking facts, behavior counseling, and pharmacology. The website in general is an excellent resource tobacco-related training sessions, educational material, and therapy information that your practice can use to stay updated on tobacco treatment.
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PA Department of Health: Tobacco Prevention & Control Program
This website gives complete and comprehensive information about all tobacco-related state initiatives and resources. Here you can find the latest regulations, tobacco legislation, health reports, and public health information. Training opportunities and policy changes can be found as well.
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Smoking Cessation Leadership Center (UCSF) Resources Page
This web page contains an extensive list of links to resources including patient handouts, provider clinical tools, medication information, pharmacy partnership information, mental health partnership information, and a list of cessation training opportunities.
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U.S. Department of Health and Human Services: Tobacco Cessation
This website offers the latest information on clinical practice guideline updates, patient and provider materials, and Surgeon General news.
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Reimbursement
PRACTICE TOOLS & MATERIALS
The following are questionnaires and databases that can be incorporated into a patient's chart or used to monitor quality. For more information and additional tools regarding quality improvement, please click here. The questionnaires here are tailored to assessing the teenager's willingness to change and the perceived risks and benefits of their tobacco use.
 

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CPT and ICD-9 Codes Related to Tobacco Cessation
This document highlights treatment and diagnosis codes that are related to tobacco use and treatment. The listed codes can vary according to insurance plans and should be used as an initial guide for medical and office staff.
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General information on reimbursement issues:
This link provides general information on medicaid and medicare reimbursement nationally. There is also a link within to the PACT guide (Professional Assisted Cessation Therapy), that gives more specific and helpful reimbursement information.
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PA Department of Public Welfare: Medical Assistance Provider Assistance Center Telephone Number
For provider electronic solutions software and electronic technical submission questions ONLY, please call 1-800-248-2152.
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PA Department of Public Welfare: Medical Assistance Provider Inquiry Unit Telephone Number
For questions concerning completion of a claim ONLY, please call 1-800-537-8862.
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PA Department of Public Welfare: Tobacco Cessation Counseling Medical Assistance Bulletin (99-07-02)
This MAB gives a detailed description and procedure for making sure your practice is recognized by the DPW as a Tobacco Cessation Counseling provider through correct Provider Type and Specialty codes. Exact billing entry is also outlined.
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Reimbursement for Smoking Cessation Therapy
A comprehensive primer on reimbursement for providing smoking cessation therapies.
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  WEBSITES
The following are direct links to tools and solutions from websites other than HelpTeensQuit. By clicking on the link, you will be taken directly to the clinical resource that may be helpful for a teen who is not ready to quit. For a listing of homepage addresses for all of the websites referenced by HelpTeensQuit, please click here.
 
 

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PA Department of Public Welfare: Medical Assistance Information for Providers
This website gives comprehensive information about Medical Assistance billing, system requirements, and any policy changes regarding filings and claims. This website can be used as a general Medical Assistance resource and also for specific tobacco cessation reimbursement information.
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PROMISE Information Website
This website link directs you to the PROMISe main website portal, which is the new claims processing and information management system for PA Medical Assistance. Online training is available for first-time users and providers interested in integrating the system into their practices.
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