257647 Working to create comprehensive tobacco-related policies at hospitals in New York City and Boston

Tuesday, October 30, 2012

Marie Bresnahan, MPH , Bureau of Tobacco Control, NYC Department of Health and Mental Hygiene, Queens, NY
Margaret Reid, RN BA , Division of Healthy Homes and Community Support, Boston Public Health Commission, Boston, MA
The Health Departments in Boston and New York City (NYC) have created programs to support the development of comprehensive tobacco-free policies and to support employee and patient cessation efforts. Hospitals are a major employer in both cities and have millions of patients and visitors pass through their doors each year. Federal health care reform is pushing for an increase in preventive health care services, and tobacco is a leading cause of preventable morbidity and mortality. Hospitals are well positioned to create healthier environments for their employees and patients. In order to support efforts to upgrade their tobacco-related policies, services are being provided by the NYC and Boston Health Departments to hospitals in their respective jurisdictions. Both health departments are providing assessment tools for hospitals to gather baseline information related to their environmental and campus policies and their smoking cessation services for employees and patients. After an initial assessment has been completed, tools and resources are being provided to facilitate improvements related to hospital employment policies, employee wellness offerings and patient care systems. The health departments are supporting efforts to share best practices and success stories among hospitals. Participating hospitals are finding ways to decrease health care costs and improve employee health and productivity. They are also succeeding in aligning their patient care with the Centers for Medicare and Medicaid Services Meaningful Use and The Joint Commission tobacco standards to gain incentive payments and provide high quality care.

Learning Areas:
Administration, management, leadership
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
•Describe the strategies that two health departments, in Boston and New York City, are using to promote comprehensive tobacco use and cessation support policies at hospitals •Compare and contrast Boston and NYC’s approach to supporting hospitals make change •Identify best practices and lessons learned from hospitals seeking to improve tobacco-related policies •Discuss challenges and obstacles to creating comprehensive tobacco cessation services •Understand the leverage a local public health department has in promoting systems and environmental change and convening public and private institutions

Keywords: Tobacco Control, Environmental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have more than 20 years of experience in public health program planning and implementation. I am currently the Director of Hospital Outreach at the NYC Department of Health and I have been managing the Tobacco-Free Hospitals Campaign since its inception.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.