Materials from Provider Tobacco Cessation Toolkit

• Tobacco Core Recommendations Description Sheet (pdf) - Developed by the Taking on Tobacco in Michigan Steering Committee and approved by the Michigan Association of Health Plans' Medical Directors, these core recommendations (measures) are based on the 2000 Preventive Health Service Clinical Practice Guideline. Core measures are basic aspects of care that all patients should expect to receive from their health care provider.

• Guide Your Patients to a Smoke-Free Future (pdf) - Based on Prochaska's Stages of Change theory, this table will help physicians to ask the right questions when talking to patients about smoking.

• "You Can Quit Smoking" Reference Sheet (pdf) - A personalized quit plan for clinicians to distribute to patients who are ready to make a quit attempt. The document is from the US Department of Health and Human Services/ Public Health Service.

• MDCH Tobacco Resource Directory on the Web - Use the internet to locate Michigan tobacco cessation programs/classes in your area and order free Quit Kits. Here is a flyer to order free Quit Kits (pdf).

• Vital Signs Chart Stickers (pdf) - Labels to help remind physicians to include tobacco status as a vital sign and document the results in patients' charts. Print them in your office using an Avery 5163 label sheet.

• Tobacco Cessation Benefits Grid (pdf), in HTML format - This document is intended to be a quick reference tool for physicians and their staff in assisting patients who are motivated to quit using tobacco. It provides information about 23 Michigan health plan's benefits regarding tobacco cessation, including programs and pharmacological aids. This grid is updated quarterly.

• MQIC Guideline (pdf) - The Michigan Quality Improvement Consortium's Guideline for Tobacco Control. This guideline, adopted by most Michigan health plans, recommends specific interventions for cessation services for current smokers and tobacco users.

• Pharmacotherapies List (pdf) - A table of first line pharmacotherapies approved by the FDA for tobacco cessation and suggestions for clinical use.

• Getting Started (pdf) - How to implement a tobacco user identification system in your office using the vital sign chart stickers. Both this form and the Evaluation form below are in the same file.

• Evaluation Form (pdf) - Your comments and suggestions are important to us. Both this form and the Getting Started form above are in the same file.

• Taking On Chronic Disease in Michigan Materials Order Form (pdf) - This is a simple one page order form for free Asthasma, Cancer, Diabetes, Stroke, Tobacco and Weight materials.