The Partnership for Smoke-Free Families (PSF) was established as an initiative of three large integrated healthcare systems in San Diego, California in September, 1998. The leadership partnered with the belief that they can make a greater impact on the health of the community through collaboration on prevention programs.
The PSF program aims to benefit mothers and families by reducing tobacco smoke exposure on the mother and unborn baby, and reducing environmental tobacco smoke exposure among children. Fifty percent of births in the county (20,000) occur within these health systems.
Since March, 1999 PSF has trained 152 affiliated obstetricians (80% of total) and 287 office staff to implement the Agency on Health Care Policy and Research (AHCPR) Smoking Cessation Guideline to: a) assess the smoking status of all pregnant patients using a standard survey, b) advise patients to quit smoking, c) refer smokers for telephone cessation counseling, and d) follow-up with patients at each prenatal visit. PSF has contracted with the California Smokers' Helpline, a statewide telephone cessation service, to develop a protocol for pregnant women where smokers are proactively contacted. PSF has also developed a mailed intervention for spontaneous quitters and is expanding countywide to pediatricians to address postpartum relapse.
This poster presentation will outline the PSF model for its current tobacco control program as well as share challenges and lessons learned from the collaboration of three large managed care delivery centers. In addition, preliminary outcome data from the PSF interventions will be displayed.
Learning Objectives: After viewing this poster session, the participant will be able to: 1. Describe a model for implementing the AHCPR guideline for tobacco prevention during the prenatal and early postpartum periods within a managed care setting. 2. List specific strategies used for recruiting, training and motivating obstetricians, pediatricians, and office staff to implement the AHCPR guideline for tobacco prevention within a managed care setting. 3. Articulate the organizational structure of the PSF collaboration as well as some of the challenges, benefits, and lessons learned
Keywords: Managed Care, Pregnancy
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.