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Advancing the public health workforce to achieve organizational excellence
Whidbey General Hospital: 3rd Place Winner, “I’m Your Community Guide!” Contest

Overview

Community Guide Use
Whidbey General Hospital used tobacco interventions from The Guide to Community Preventive Services (The Community Guide) to achieve a tobacco quit rate of 35-40% in one year.  Click the PDF icon to download the full text of this Community Guide success story.

 

Implementation
  1. Increasing Tobacco Use Cessation: Reducing Client Out-of-Pocket Costs for Cessation Therapies: In 2004, the hospital began offering free tobacco cessation classes and provided vouchers at the end of the classes for two weeks of free Nicotine Replacement Therapy (NRT) patches. In 2010, the vouchers were expanded to include NRT gum as an alternative for those who cannot use NRT patches.
  2. Increasing Tobacco Use Cessation: Multi-component Interventions that Include Telephone Support: In February 2006, Whidbey General Hospital developed an in-patient system to identify those who have used tobacco in the last year, and provided short interventions and made follow-up phone calls to those who expressed interest in resources for quitting. The hospital developed a similar system for Emergency Department patients in 2008.
  3. Decreasing Tobacco Use Among Workers: Smoke-Free Policies to Reduce Tobacco Use: In October 2010, the hospital, including its outlying clinics and offices, became tobacco-free. The same resources offered to the community were available to employees, patients, and visitors to create a single, consistent message: the importance of tobacco cessation on overall community health.  The resources offered were tobacco cessation groups, client educational materials and activities, telephone-based cessation support, counseling and assistance from healthcare providers, and access to effective pharmacologic therapies. Becoming a tobacco-free campus was preceded by one year of planning, which entailed a multidisciplinary committee developing policy, training, publicity, and implementation processes.
  4. In 2006, Whidbey General Hospital began community outreach efforts, presenting tobacco prevention and cessation messages to school groups, nursing students, return to work classes, health fairs, juvenile detention groups, jail inmates, and drug rehabilitation groups.  Information and support sessions are offered to the community seven months a year.  The free resources offered are the Washington State Quitline, National Quitline, American Lung Association, American Cancer Society, American Heart Association, and local tobacco cessation classes and information/support sessions.
Outcomes
The programs reduced out-of-pocket costs to participants and ensured that appropriate psychosocial tools were offered, both of which improve therapy outcomes. This was reflected in follow-up phone calls, which show a 35-40% quit rate at one year.
 
Model Capacity
The programs used a collaborative approach in which the local hospital was the hub - this made it possible to reach a larger group.  Those who want to widen outreach to include hospital patient populations, workplace populations, community outreach, or attain improved success with tobacco cessation outcomes can implement similar processes specific to their population needs.
 
Resulting Changes in Practice
Whidbey General Hospital developed in-patient identification/intervention/follow-up systems and incorporated them into their computer system.
 
Partnerships and Collaborations
The hospital partnered with Island County Health Department to offer free tobacco cessation classes. Free vouchers were offered in partnership with the Whidbey General Hospital Cancer Care Committee and the Whidbey General Hospital Foundation. The Emergency Department identification/intervention/follow-up system was developed with the help of the Tobacco Cessation Resource Center (TCRC) Tobacco Cessation Systems Change Project in partnership with the Washington State Department of Health.
 
Challenges
The major challenge was reaching as many people as possible because the local population is rural with varied needs.
 
View all of The Community Guide success stories and contest entry database.                                                 
 

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