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Quality Improvement Initiative Issue Papers
NAQC 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.

Increasing Reach of Tobacco Cessation Quitlines (2009)
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 Issue Paper
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 Issue Paper
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.

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