Online Program

Healthy Lungs Initative (HLI): A program for tobacco cessation and asthma/COPD education in a safety net hospital system

Monday, November 4, 2013

Sarah Rittner, MA, Respiratory Health Association, Chicago, IL
Sara Semal, MA, LCPC, Respiratory Health Association, Chicago, IL
David Goldberg, MD, Division of General Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL
Anne Krantz, MD, MPH, Division of Pulmonary and Critical Care Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL
William Trick, MD, Collaborative Research Unit (CRU), John H. Stroger, Jr. Cook County Hospital, Chicago, IL
Healthcare systems oftentimes miss opportunities to integrate health education and promotion into routine patient care. Healthy Lungs Initiative (HLI) is an evidenced-based, multi-year program developed at the Cook County Health and Hospitals System (CCHHS) to provide smoking cessation counseling and asthma/COPD education in the large Cook County health system, where the impact of tobacco-related disease and asthma severity are high. A 2006 Cook County tobacco tax surplus provided funding for HLI, a collaboration with Respiratory Health Association. Since 2008, trained Lung Health Educators have provided multi-lingual smoking cessation counseling (quit plans and telephone follow-up support) and asthma/COPD self-management instruction (medication use and action plans, inhaler device training, and trigger reduction) to adult and pediatric patients in two CCHHS hospitals, associated primary care and subspecialty clinics, and in several Federally Qualified Health Centers and substance abuse facilities contributing to the safety net. Key elements of the program include: standardized educator training; defined educator areas of expertise; integration of services throughout the health system; and the use of a unique, web-based database integrated with the CCHHS electronic medical record system that supports the management and improvement of the program. To date, HLI has had over 67,000 one-on-one or group tobacco contacts with smokers and 13,000 asthma/COPD patient contacts. Staff and educator narratives provide insight into the challenges of establishing a new education-based service in a complex health system, while data show high patient-educator satisfaction and a beneficial impact on tobacco use in using this health system as a locus for health promotion.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Discuss system-based health education program providing tobacco cessation counseling and asthma/COPD education to at-risk populations. Describe the training curriculum and competencies of a Lung Health Educator. Identify best practices and lessons learned in the integration of a lung health education program into a large public health and hospital system.

Keyword(s): Health Education, Safety Net

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This needs to be updated.
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.