Wednesday, 20 November 2002 - 3:30 PM
Hilton San Francisco Continental 1 - 3 (300)

CESS-220. Critical Directions for Addressing Tobacco in Managed Care

Michael Fiore, MD MPH, Center for Tobacco Research and Intervention, mcf@medicine.wisc.edu, Charles Bentz, MD, Providence Health System: Oregon, cbentzmd@providence.org, Raymond Boyle, PhD, HealthPartners Research Foundation, raymond.boyle@healthpartners.com, Nancy A. Rigotti, MD, Massachusetts General Hospital, Tobacco Research and Treatment Center, nrigotti@partners.org, Bob Rehm, MBA, American Association of Health Plans, Medical Affairs Department, brehm@aahp.org.

Learning Objectives: Describe strategies to foster the delivery of tobacco dependence treatments in the health care delivery system. Describe key elements of a business case for tobacco cessation.

Abstract: Health care delivery systems are integral players in the delivery of effective tobacco dependence treatment. The 2000 U.S. Public Health Service guideline, "Treating Tobacco Use and Dependence," outlines six system-level strategies to foster the delivery of these treatments to tobacco users utilizing the health care delivery system. Unfortunately, uptake of these strategies is not yet optimal, though improvements have been made in the last few years.

Through The Robert Wood Johnson Foundation's Addressing Tobacco in Managed Care initiative, several guideline-based strategies that may foster the delivery of tobacco dependence treatments in the health care delivery system have emerged. The presenters will describe: the design and evaluation of provider incentives and provider feedback; technological innovations such as the electronic medical record that foster systems change; the evidence to date of the impact of tobacco dependence treatment coverage on benefit utilization and cessation; and strategies for building the business case for tobacco cessation to encourage health plans and employers to offer tobacco dependence treatment benefits. The discussion will offer an opportunity for the audience to ask questions about these strategies and to further discuss methodological issues pertaining to the implementation of such strategies.

The audience for this presentation includes health care and public health professionals, persons in leadership roles in health care delivery systems, employers, and health services researchers. The information presented will provide the audience with a perspective on the challenges and opportunities for increasing the delivery of effective tobacco dependence treatment in the health care delivery system.


Building the Business Case for Tobacco Cessation Final.ppt (111.0 kb)
NatTobTalkSlides-Boyle-final.ppt (75.0 kb)
2002 NCTOH Bentz.ppt (361.0 kb)

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