Connecting Patients to Smoking Cessation Support.

Connecting Patients to Smoking Cessation

Support

2006/2013 Census Smoker Prevalence

2006/2013 Census Prevalence by ethnicity

Māori drop 10%

Smoking Prevalence by DHB Region

20.7%

Now15.1%

Less than 5%• In 2012 Government established the goal of

a Smokefree Aotearoa by 2025• There is a long-standing policy framework

to address smoking, including:

- Advertising restrictions

- Smokefree environments

- Point of sale restrictions

- Cessation support

- Health targets • We need more quitting and health

practioners have a key role to play

Getting outcomes fromABC

1. Meaningful conversations2. Patient willingness3. Systematic Referrals4. On-going support5. Repeated enquiry

“Where suitable services exist, we recommend that

referral become the normative strategy for

management of smoking cessation in general practice to complement any practice-based help

provided”

Why ReferResearch shows that GPs referring smokers to an evidence-based Quitline service results in increased cessation (Borland, 2008)

Borland R, Balmford J, Bishop N, Segan C, Piterman L, McKay-Brown L, Kirby C, Tasker C. In-practice management versus quitline referral for enhancing smoking cessation in general practice: A cluster randomised trial. Family Practice 2008; 25(5): 382-389.

Systematic Referrals

800,000 ABC Conversationsby PHOs in 2012

2,767 PHO referrals to Quitline

3,386 PHO referrals to Quitline800,000

ABC Conversationsby PHOs in 2013

800,000 ABC Conversationsby PHOs in 2014

7,366 PHO referrals to Quitline from

January 2014 to now

May-13

Jun Jul Aug Sep Oct Nov Dec Jan-14

Feb Mar Apr May0%

5%

10%

15%

20%

25%

30%

35%

Health Professional or GP Cigarette box or Tobacco Packet

Television Advertising Online Advertising

Word of Mouth None of the Above

What lead you to call?

GP referrals grow by 8.3% from May 2013 to

May 2014

What happens once a Referral is submitted to

Quitline?• An acknowledgement of receipt of

referral will be submitted• All patients are contacted within 3

working days• Register patient on our 3-month

programme• Support from a local face-to-face

provider is offered in addition to our services

What are the benefits for Medtech users?

• Referrals to Quitline directly from patient management system

• Easy and efficient • Free for all Medtech users (80% of

PHOs) • Read codes automatically updated• Feedback loop provides information on

patient quit date and smokefree status

Medtech Referrals

Referral Form

• Referral form available on our website www.quit.org.nz/healthprofessionals

• E-mail to: [email protected]• Fax to: 04 460 9879• Referral Enquiries Hotline: 0508 555 010• Plans to support other patient

management systems in the future

Text Referrals

• Currently used by Plunket and New Zealand College of Midwives

3-month Quit Programme

• Quit Plan• 4 follow up support contacts • Nicotine patches, gum and lozenges • Steps to change

Quitline services

40,000 smokers

supported per year

Phone

Onlinewww.quit.org.nz

Txt2Quit

Cessation WorksQuitline outcomes

Phone

onl

y

Phone

& o

nlin

e

Phone

, onl

ine

& tex

t

20.90%

33.40% 37.00%

Average success rate at 6 months

The more Quitline services used, the better the quit success rates:

15,000 quit per

year

Referrals Outcomes

1,050 quit because

of an ABC referral

Any Questions?