Issue papers aim to provide critical knowledge on important quitline topics and guidance for decision-making.
A Framework for Improving Tobacco Quitline Quality in North America (2009)
The purpose of this paper is to propose a framework for improving the quality of quitlines and to describe the major elements of the framework. The framework highlights the shared responsibilities of funders and service providers alike and makes recommendations that encourage collaborative efforts to move quality improvement forward.
Integration of Tobacco Cessation Medications in State and Provincial Quitlines:A Review of the Evidence and the Practice with Recommendations (2009)
This paper provides a comprehensive review of the current literature and practice related to the integration of tobacco cessation medications and quitline services. The authors discuss the major factors that must be considered in deciding if medications should be offered as part of quitline services including such topics as cost-effectiveness analysis, choice of medication, determination of quantity of medication to provide and the method of distribution of medications that will be used. Recommendations on key issues related to integration of medications into quitline services are also highlighted.
This paper provides a comprehensive review of the current literature on a wide variety of strategies to increase reach of tobacco cessation quitlines. Additionally, several examples from practice are included. The paper also highlights recommendations for quitline reach and funding levels from key government and health agencies, highlighting the need to increase reach to more tobacco users to save lives and direct medical costs.
Measuring Reach of Quitline Programs (2009)
This paper recommends a standard definition of "reach” and provides recommendations for standard measuring and reporting of the reach of quitline programs. Recommendations that are necessary in order to implement the standard are found in bold-print and recommendations that are viewed as important but not critical to implementation are italicized.
Measuring Quit Rates (2009)
This paper provides a standard formula for measuring quit rates for quitline programs and recommends standard reporting methods as well. Recommendations that are necessary in order to implement the standard are found in bold-print and recommendations that are viewed as important but not critical to implementation are italicized.
Tobacco Cessation Quitlines - A Good Investment to Save Lives, Decrease Direct Medical Costs and Increase Productivity (2009)
Tobacco use is the single most preventable cause of death and disease in the U. S., causing approximately 438,000 deaths each year. Quitlines are telephone-based tobacco cessation services that help tobacco users quit through a variety of services, including counseling, medications, information and self-help materials. Quitline effectiveness is documented by numerous research studies. Through the leadership of state and federal governments, quitlines have become increasingly popular in the U.S. due to their centralization, cost-effectiveness and ability to reach tobacco users in rural and urban areas. With state budget cuts on the rise, the ability of quitlines to provide evidence-based tobacco cessation services is under threat. Yet, without adequate, sustained funding for quitlines, tobacco use prevalence is unlikely to decline. This NAQC Issue Paper makes the case for quitline investment and sustainability.
The Role of Reimbursement and Third Party Financial Support in Sustaining Quitlines (2008)
An emerging issue related to quitline sustainability is third-party reimbursement for quitline services. As part of a grant from the Robert Wood Johnson Foundation (RWJF), NAQC developed an issue paper on third-party reimbursement of quitlines to serve as a resource to NAQC members and tobacco control partners. Due to differences in healthcare financing in the U.S. and Canada, this project focuses solely on U.S. quitlines. This paper assesses the current practices of quitlines with regard to third-party reimbursement and other forms of financial support, provides an overview of the opportunities for obtaining third party support and sets next steps for garnering third-party financial support for quitlines.
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