Cessation Materials for State Tobacco Control Programs

• Best Practices for Comprehensive Tobacco Control Programs—2014: Cessation Interventions [PDF–496 KB]
  A document that focuses on cessation interventions as a core component of state tobacco control programs.
• Clinical Practice Guideline: Treating Tobacco Use and Dependence: 2008 Update
  Effective clinical treatments for tobacco dependence that have become available since the 2000 Guideline was published.
  • Treating Tobacco Use and Dependence: 2008 Update—Overview
    Evidence tables and recommendations contained in the clinical practice guideline.
• Consortium for Tobacco Use Cessation Technical Assistance
  Summary of a consortium developed through a CDC-funded cooperative agreement. The purpose of the cooperative agreement is to provide technical assistance to state tobacco control programs and national and state tobacco control organizations in order to translate the science of tobacco control cessation into public health action. Specifically, the consortium is intended to provide technical assistance to support efforts to (1) enhance state quitline capacity and sustainability and (2) promote comprehensive private and public insurance coverage of cessation treatments as well as promote health systems change to integrate tobacco dependence treatment into the clinical workflow.

• Coverage For Tobacco Use Cessation Treatments (updated May 2014)
  This updated 2014 document provides an overview of the evidence base for tobacco cessation insurance coverage, best practices for designing cessation coverage, and the current status of cessation coverage.
• May 2014 FAQ Guidance on Cessation Coverage
  This subregulatory guidance, issued by the Departments of Health and Human Services, Labor, and Treasury in May 2014 as an FAQ, clarifies what the Affordable Care Act provision requiring that nongrandfathered private plans cover evidence-based preventive services means for tobacco cessation coverage (see Question 5).
• You Can Afford to Quit Smoking [PDF–1.02 MB]
  A case study by the U.S. Office of Personnel Management (OPM) and the Partnership for Prevention on the implementation of OPM’s comprehensive cessation benefit for federal employees, retirees, and their families.
• Medicaid.gov Policies in Practice Feature on Tobacco Cessation
  A Medicaid.gov “Policies in Practice” feature on Medicaid support for tobacco cessation activities by state Medicaid programs.
• Case Study:The Effect of Expanding Cessation Coverage—The Massachusetts Medicaid Cessation Benefit [PDF–286 KB]
  A case study of the implementation and outcomes of the 2006 Massachusetts Medicaid cessation coverage benefit.
• Medicaid Tobacco Cessation Coverage in Oklahoma: A Case Study in Leveraging Systems and Partnerships [PDF–1.99 MB]
  Summary of a consortium developed through a CDC-funded cooperative agreement to provide technical assistance to state tobacco control programs and national and state tobacco control organizations on tobacco cessation approaches.
  

General Health Systems Change for Tobacco Cessation

• Using Health Systems Change to Increase Tobacco Cessation: What Can State Tobacco Control Programs Do? Frequently Asked Questions (FAQ) [PDF– 159 KB]
  This Frequently Asked Questions sheet is intended to provide state tobacco prevention and control managers with an overview about the basics of health systems change. This resource is meant to supplement information provided on this topic in the recent Best Practices Document.
• Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking [PDF–484 KB]
  Harvard Vanguard Medical Associates and Atrius Health respond to questions about an extensive health systems change effort they undertook in 2007 to improve tobacco dependence treatment in their health care system.
• Louisiana State University Health System’s Tobacco Control Initiative [PDF–1.84 MB]
  This question and answer style case study provides an overview of Louisiana State University's Health System's Tobacco Control Initiative, focused on developing and implementing a systematic approach to treating tobacco use in one of the largest safety-net health delivery systems in the country.
• Help Your Patients Quit Tobacco Use: An Implementation Guide for Community Health Centers [PDF–2.51 MB]
  A guide intended to help health centers integrate tobacco cessation into their clinical services.

Academic Detailing

• Academic Detailing in Tobacco Cessation: Frequently Asked Questions [PDF–142 KB]
  Frequently asked questions related to the use of academic detailing as a training and education approach in tobacco control to reach health care providers and health systems.
• Developing and Managing an Academic Detailing Program for Tobacco Cessation: Question and Answer with the Wisconsin Tobacco Prevention and Control Program (TPCP) and the University of Wisconsin Center for Tobacco Research and Intervention (UW CTRI) [PDF–236 KB]
  A question and answer with the Wisconsin Tobacco Prevention and Control Program and the University of Wisconsin about their more than ten years of experience running an on-the-ground academic detailing outreach program. Questions cover program development, implementation, management, and outcomes.

• Arkansas's Systems Training Outreach Program: Using Academic Detailing to Reach Health Care Providers [PDF–164 KB]
  A case study about how the Arkansas STOP program aligns with the Component Model of Infrastructure framework for evaluating tobacco control.

Meaningful Use

• Meaningful Use, Tobacco Cessation, and State Tobacco Control Programs: Frequently Asked Questions[PDF–477 KB]
  Frequently asked questions on the Meaningful Use incentive program.
• CDC Public Health Surveillance and Informatics Program Office Link on Meaningful Use
  Resources, including fact sheets and recommendations related to the Meaningful Use program.

Quality Measures in Tobacco Cessation

• Million Hearts® Clinical Quality Measures Dashboard
  This link includes information about the quality measure for tobacco assessment and treatment and a Clinical Measures Dashboard which displays data from select quality reporting initiatives at the state, HHS region, and national level.

Tools for Health Systems and Clinicians from Million Hearts®

• The customizable Million Hearts® Tobacco Cessation Protocol template is accompanied by implementation guidance on how to adopt and use a treatment protocol as well as examples for use in practices and health care systems. Additionally, the Million Hearts® Action Guide, Identifying and Treating Patients Who Use Tobacco: Action Steps for Clinicians, provides evidence-based, tested tobacco use identification and intervention strategies for busy clinicians. These strategies consist of actions clinicians can take to improve care delivery and to increase the use of evidence-based brief interventions for patients who use tobacco. The guide includes links to resources and supporting references.
  • Tobacco Cessation Protocol and Implementation Guidance
  • Identifying and Treating Patients Who Use Tobacco: Action Steps for Clinicians [PDF–318 KB]

• Frequently Asked Questions (FAQ) about 1-800-QUIT-NOW and the National Network of Tobacco Cessation Quitlines [PDF–61 KB]
  This document provides information about tobacco quitlines and the CDC and NCI National Network of Tobacco Cessation Quitlines.
• Quitline FOA
  This web-link describes the CDC FY2014 funding announcement entitled Public Health Approaches for Ensuring Quitline Capacity. Approximately $17 million was dispersed to states, the District of Columbia, Guam, and Puerto Rico through a non-competitive FOA to expand state quitline capacity with the purpose of responding to anticipated increases in calls to state quitlines resulting from ongoing and upcoming federal initiatives such as the CDC’s national tobacco education campaign and other upcoming CDC/HHS and Food and Drug Administration (FDA) education media campaigns. The anticipated four-year project began in August 2014.
• National Quitline Data Warehouse (NQDW)
  The NQDW collects data on callers to state quitlines including both 1-800-QUIT NOW and the state quitline numbers.
• Telephone Quitlines: A Resource for Development, Implementation, and Evaluation
  A guide to resources and information related to telephone quitlines.

• USPSTF Recommendation: Primary Care Interventions to Prevent Tobacco Use in Children and Adolescents
  Recommendations that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.
• PHS Guideline Recommendations: How to Help Adolescents Quit Smoking [PDF–609 KB]
  Recommendations that adolescent smokers be provided with counseling interventions to aid them in quitting smoking.
• A National Evaluation of Community-Based Youth Cessation Programs article
  A report on the outcomes of a national evaluation of community-based youth cessation programs