Our Work With Health Systems
When you go to the doctor, your vital signs – height, weight, blood pressure– are routinely checked. ClearWay MinnesotaSM worked with health care systems to make sure checking about tobacco use becomes as routine as checking for high blood pressure. Identifying tobacco users and offering treatment has the potential to reach and help large numbers of people. This work reflects ClearWay Minnesota’s focus on sustainable strategies to address tobacco use across the state.
Health care providers and health systems play an important role in addressing tobacco use with each patient. Data from the Minnesota Adult Tobacco Survey (MATS) shows there is room for improvement in assisting tobacco users with quitting. More information and calls to action for health care providers can be found here.
Our health systems change approaches are highlighted in a brief report, available here. This report, titled “Assessing and Addressing Tobacco Use Through Health Systems Change: Insights from ClearWay MinnesotaSM” summarizes the two approaches we took to our health systems change work and lessons learned.
In addition, the process evaluation from the Health Systems Change grants was published in the June issue of the American Journal of Accountable Care. The article, titled “The Role of Health Systems in Reducing Tobacco Dependence,” highlights facilitators and barriers to implementing systems changes to improve tobacco treatment delivery. This article can be found here.
University of Wisconsin Center for Tobacco Research and Intervention: Information for providers.
TRAINING AND RESOURCE TOOLS
“HOW TO” TOOLS AND RESOURCES
Tobacco Health Systems Change Starter Toolkit for Clinics: This toolkit provides key resources and practical tools to help clinics and health systems improve how they address tobacco use. Many of these resources have been used by our network of champions advancing tobacco as a priority across their health system.
OTHER PROVIDER TOOLS
Million Hearts Tobacco Cessation Action Guide: Identifying and treating patients who use tobacco: An action guide for clinicians. This is a short and simple action guide that includes three tables; 1) Actions to improve tobacco cessation delivery systems design; 2) The 5 A’s Tobacco Cessation Brief Intervention Model; and 3) FDA-Approved Tobacco Cessation Medications
Million Hearts Tobacco Cessation Change Package (TCCP): The TCCP is the third Million Hearts change package, each of which offers a suite of quality improvement resources designed to help health systems and clinical teams systematically address cardiovascular disease risk factors. The TCCP was developed for use in outpatient, inpatient and behavioral health care settings to increase the reach and effectiveness of tobacco cessation interventions, and incorporate these interventions into the clinical workflow.
VIDEOS & WEBINARS
How Can the EHR Help You Identify and Intervene with Patients Who Use Tobacco?: Electronic health records (EHRs) contain tools that can improve how you identify, document, track, and treat patients who use tobacco. One challenge is knowing what tools are available and how to get started making system changes. This presentation explores ways that you can leverage the EHR to deliver efficient evidence-based tobacco dependence treatment interventions and where to start within your organization.
Presenters will include Amy Skora, Regional Outreach Specialist, from the Center for Tobacco Research and Intervention (CTRI) at the University of Wisconsin. Jill Doberstein from Essentia Health will also be sharing their work on how they have been able to utilize their EHR to advance systems change efforts.
Tackling Tobacco Through Re-engineered Primary Care recorded webinar and PowerPoint copy: Hailing from a New York state federally-qualified healthcare clinic (FQHC), Daren Wu, M.D., Chief Medical Officer of Open Door Family Medical Clinics will discuss how team-based care and other innovative systemic changes have successfully translated into improving Tobacco Screening and Cessation strategies. The same concepts can apply to a host of other healthcare topics and disease conditions.
Since 2014, ClearWay Minnesota has funded five systems change grants. The purpose of these two-year grants are to advance health systems change to ensure that addressing tobacco use is fully integrated into the health care experience for patients. Three grants were awarded in Fiscal Year 2014 to Hennepin Health Foundation, CentraCare Health Foundation and Mille Lacs Band of Ojibwe. Two grants were awarded in Fiscal Year 2015 to Essentia Health and Apple Tree Dental.
These case studies show how health systems funded by ClearWay Minnesota have integrated tobacco dependence treatment into their routine care systems.
2015 Health Systems Change Grantee Case Studies
2014 Health Systems Change Grantee Case Studies
2010 Health Systems Change Grantee Case Studies