Learning Objectives: Describe the developmental history of an inpatient tobacco cessation consult service. Identify and address some of the challenges that occur when organizing inpatient services, such as: billing, hospital/ staff education, and personnel.
Abstract: Audience: Clinicians, tobacco cessation providers, hospital administrators, insurance providers, and managed care administrators will benefit from this workshop.
Key Points:1) Clinical practice guidelines recommend that tobacco cessation treatment be available and provided to hospitalized patients and those services be reimbursed, but payment for these services has not been well established. 2) Data will be presented on payor mix for patients receiving inpatient tobacco cessation consultations. 3) The consultation consists of six components: a) History of Tobacco Usage, b) Fagerstrom Predictor, c) The Four C’s Test of Addiction, d) Other (Psychiatric/Health) History, e) Stage of Change, and f) Behavioral and Pharmacologic Recommendations. 4) Although well accepted, program durability will be determined by reimbursement success.
Educational Experience: During our interactive session, participants will be able to identify barriers and promoters for this type of inpatient service. Group discussion will identify what types of supports are available to promote such a service, and problem solve the barriers for service delivery, particularly financial and personnel obstacles. Participants will be able to formulate a plan for implementation of this service.
Benefits: Treatment of tobacco dependency is imperative for chronic disease management and is highly cost effective. Utilization of this program suggests that it is a valuable service to physicians and patient feedback has been positive. Direct and indirect medical costs of tobacco-related diseases are reduced if patients quit. Economic benefits for third party payors should result in economic support and the development and promotion of inpatient tobacco cessation programs.
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Back to The 2003 National Conference on Tobacco or Health (December 10-12, 2003)