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Promising Practices for Pharmacist Engagement in Tobacco Cessation Interventions

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Promising Practices for Pharmacist Engagement in Tobacco Cessation Interventions was developed to identify and highlight promising ways in which pharmacists are engaged in cessation interventions for individuals who use tobacco products. It is composed of case studies on seven promising practices in which pharmacists have attained some level of authority, access, and sustainability to deliver tobacco cessation services. Using these promising pharmacy practices as examples, you can learn effective strategies that have been used to expand pharmacist-provided tobacco cessation services.

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How To Use This Resource

The resource has been configured in a flexible format to facilitate learning for many different audiences. It can be utilized in its entirety to understand a broad landscape of pharmacist-provided tobacco cessation services or each promising practice can stand alone, enabling the reader to focus on the aspects of a single promising practice that mirrors their own practice setting or community.
 

 

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Access the Description and Orientation to Promising Practice Profile Components Section

For individuals who would like more background on the topics covered within this resource, this section may be especially helpful. It defines key terms and provides details on extra training that pharmacists could receive to provide tobacco cessation services. Additionally, this section gives an overview of the delivery of pharmacist-provided tobacco cessation services and how patients access them.

  View the Section

Access the Facilitating and Limiting Factors Summary

The facilitating and limiting factors for each promising practice are summarized to highlight the biggest takeaways related to system changes needed to enable expanding pharmacist-provided tobacco cessation services.
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Access the Promising Practices Profiles

Seven promising practices were included in this resource to showcase the diversity of service components, geographic locations, patient populations, practice settings, and payment models across pharmacist-provided tobacco cessation services. The individual promising practice profiles are linked below for easy access.

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Red Lake Indian Health Service (IHS)

This federal health care system provides health care to a rural and underserved population of American Indians in northern Minnesota. Patients can access tobacco cessation counseling services on a walk-in basis or by appointment. A strong credentialing and privileging process supports pharmacist provision of prescription medication therapy and over-the-counter (OTC) nicotine replacement therapy. Tobacco cessation services are billed to Minnesota Medicaid using the referring provider’s National Provider Identifier (NPI) number or through the pharmacist’s NPI number for medication therapy management services.

 

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Veteran Health Indiana (VHI)

Pharmacists deliver tobacco cessation services to veterans through the U.S. Veterans Health Administration (VHA) medical centers in Indiana. Pharmacists practicing within VHI operate under the authority and scope of practice provided by the VHA, offering face-to-face or telephone consultations.

 

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Lac Courte Oreilles Community Health Center (LCOCHC)

This tribal-run primary care clinic on the Lac Courte Oreilles Ojibwe reservation in northwest Wisconsin serves an almost exclusively Native American population. Pharmacists deliver tobacco cessation counseling through an appointment-based model and have prescriptive authority through a collaborative practice agreement for all tobacco cessation medications approved by the U.S. Food and Drug Administration (FDA). The site bills private insurers, Medicare, and Medicaid for the pharmacist’s services under the referring provider’s NPI number as “incident to” physician service.

 

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Medication Management Center (MMC)

This site offers telehealth pharmacy services to State of Arizona employee members and their enrolled spouses and dependents. MMC provides tobacco cessation counseling focused on helping the patient choose an appropriate smoking cessation medication. MMC coordinates securing a prescription for the medication from the patient’s physician and having the prescription dispensed at the patient’s local pharmacy. The State of Arizona’s pharmacy benefits management company pays the practice for the number of completed patient tobacco cessation calls made by the pharmacists.

 

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PrimaryOne Health

This federally qualified health center in central Ohio provides tobacco cessation services to a culturally and socioeconomically diverse patient population. Pharmacists are part of a strong team-based care model, in which patients are provided tobacco cessation counseling through scheduled appointments. Pharmacists operate under a collaborative practice agreement with physicians for the management of tobacco use and dependence, which includes the provision of FDA-approved medications. PrimaryOne Health bills for services under the referring provider’s NPI number as “incident to” physician service.

 

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Family HealthCare

The tobacco cessation clinic is offered within a Federally Qualified Health Center in Fargo, North Dakota, which services a patient population that is culturally diverse and low income. Patients are provided with tobacco cessation counseling and medication therapy through an appointment-based model. Pharmacists have a collaborative practice agreement in place with the primary care providers that enable the pharmacists to prescribe any tobacco cessation medications. The clinic is billing for services using the pharmacist’s NPI number with the clinic’s main campus as the location of service.

 

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Medical Arts Pharmacy

Tobacco cessation services are offered to the community through this independent community-based pharmacy in northwest Arkansas. Pharmacist-delivered services include extensive assessments, tobacco cessation counseling, and coordination of medication therapy with local physicians. Services were initially established through grant funding, and the pharmacy receives product reimbursement for prescription medications and some OTC nicotine replacement therapy. Pharmacists currently receive no payment for their counseling or assessment services.