Health Centers

QuitWorks-NH links your patients who want to quit smoking to the full range of the state's tobacco treatment services.

QW for Health Centers

Implementation Guide

How to Get Started

Related Tools

Enrollment Forms

Guides for Providers

Tools for Providers

QuitWorks can help facilities to meet performance standards for smoking cessation, such as JCAHO core measures.

If you have questions or need assistance to use QuitWorks-NH, please email us at quitworksnhinfo@jsi.com or call the QuitWorks-NH counselors at 1-800-QUIT-NOW (1-800-784-8669).




QuitWorks-NH Implementation Guide for Health Centers

WHAT WHEN
(Suggested Opportunities)		 HOW
(Suggested Methods)		 WHO
(Person or Position)
1. Identify Smoker and Document Smoking Status Typically at admission or soon after and at every outpatient visit
  • Nursing or other assessment form
  • Questionnaire/Survey
  • Vital signs stamp or sticker
  • Document in medical record for quality improvement purposes
 Typically, nurse at admission or administrative personnel
2. Talk with Patient about Tobacco Use
  • ASK about tobacco use at each visit
  • ASSIST patients in quitting by offering pharmaceutical support
  • REFER patients to QuitWorks-NH for proactive telephone counseling
At admission, or outpatient visit:
  • Use multiple interventions, if possible
 Give patient QuitWorks-NH "Think About It" brochure Nurse, physician, or other clinician
3. Complete Enrollment Form
  • Include provider information
  • Obtain patient signatures
  • Fax enrollment form to 1-866-560-9113 with "call-after date" noted
  • Document that form was faxed and file in patient's medical record
 During outpatient visit Give patient QuitWorks-NH "Welcome" brochure Nurse, physician, or other clinician
4. Prescribe Pharmacotherapy
(IF APPROPRIATE)
  • For relief of withdrawal symptoms
  • For stopping smoking
 During outpatient visit See back of enrollment form for dosing guide; form may be customized to indicate medications in health center formulary Physician
5. Receive Status Reports and Review
  • Fax back patient status report to provider indicated on enrollment form
  • Send optional aggregate reports to health center
 Upon successful completion of contact with patient and at seven months
  • File any status reports sent to the health center in patient medical record
  • Compile data for JCAHO and quality improvement reports
  • PCP, referring provider, or other designated personnel
  • Quality assurance manager


How to Get Started

Call Us!

For more information or to schedule a meeting, email us at quitworksnhinfo@jsi.com or call the QuitWorks-NH counselors atat 1-800-QUIT-NOW (1-800-784-8669).

You may also visit www.trytostopnh.org to preview our smoking cessation resources.

Schedule the QuitWorks-NH Team to give a presentation at your facility.

The QuitWorks-NH Team will come to you and lead a one-hour presentation and discussion with your staff on the QuitWorks-NH program and how to customize it for your facility. There is no cost for this session, and it may qualify for continuing education units. Please contact Teresa Brown at: tmbrown@dhhs.state.nh.us.

Think about customized QuitWorks-NH features.

For all participating hospitals and health centers, we design a customized enrollment form, free of charge, to help us track enrollment from your institution and prepare reports for you. We will put your health center name and logo on the form and highlight the smoking cessation medications available in your formulary. Some institutions also need additional patient consent language. We can help you with this too, and we can provide examples from other health centers.

COMING SOON: Other customized features are available at a small charge to cover costs:
  • Aggregate data reporting on smokers you enroll in QuitWorks-NH, services they receive, and quit status at six-months post-treatment.
  • Training offered for your staff on QuitWorks-NH, on how to talk with smokers, and on smoking cessation medications.