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Recent News:

Policy Brief Released
"Addressing Tobacco Use Through Healthcare Systems: A Real-World Example of How to Reduce Smoking Rates, Improve Patient Health and Lower Costs" is now available. This brief, a joint effort of MSC and Partnership for Prevention, describes the real-world impact of systems interventions on increasing rates of smoker identification and intervention, reducations in smoking prevalence, and improved health outcomes. It ends with a call to action that encourages adoption of systems interventions, particularly those that integrate state quitlines into electronic health records.

Stage 3 Meaningful Use Comment
The Collaborative has posted our comment regarding Stage 3 Meaningful Use measures.  Please click here to view our comment.  Please This e-mail address is being protected from spambots. You need JavaScript enabled to view it. with any questions or comments.

Stage 3 Meaningful Use: Request for Comments
The Office of the National Coordinator for Health Information Technology, Department of Health and Human Services (HHS), has posted a request for comments regarding the Stage 3 Definition of Meaningful Use of Electronic Health Records. Comments need to be submitted by 11:59 pm, January 14, 2013. Please click here for more information about the proposed rules and instructions for submitting comments.  MSC will be posting our comments on our website by January 6, 2013.

Stage 2 Meaningful Use Rules Released 8/24/2012
The Office of the National Coordinator for Health IT (ONC) and The Centers for Medicare & Medicaid Services (CMS) today released final requirements for Stage 2 Electronic Health Records Incentive programs.  For more information, click here.

Recent Publications on Health Systems Interventions
We are pleased to report the publication of two papers describing important advances in health systems work. The first,The Effect of Systematic Clinical Interventions with Cigarette Smokers on Quit Status and the Rates of Smoking-Related Primary Care Office Visits, is an analysis of the impact of a systems intervention at a health care delivery system. The article demonstrates a significant decrease in smoking-related office visits for patients at sites implementing the intervention. The article is available by clicking here.
The second, Integrating Tobacco Cessation Quitlines Into Health Care: Massachusetts, 2002-2011, describes the successful integration of the MA quitline into health care systems, including the use of electronic referral and lessons learned that may impact quitline sustainability. The article is available by clicking here.

4/24/2012: Stage 2 EHR Incentive Program.
The Centers for Medicare and Medicaid Services recently published a proposed rule for Stage 2 Meaningful Use:  "Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2."   The proposed rule can be viewed by clicking here.   The Collaborative will submit a public comment on this rule.  Among our recommendations, we will urge CMS to maintain tobacco screening and cessation interventions as a required preventive care priority for providers and to adopt the Joint Commission tobacco measure set for hospitals.  To view our public comment, click here. We encourage you or your organization to consider commenting on the proposed rule.  CMS is accepting comments on the proposed rule until May 7th at 5 pm Eastern.  To submit a comment, click here. 

New England Journal of Medicine perspective paper: "The Joint Commission’s New Tobacco-Cessation Measures — Will Hospitals Do the Right Thing?" This paper summarizes the tobacco cessation performance measures and challenges hospitals to "do the right thing" and adopt this optional measure set. 

New Study Finds Massachusetts Saves $3 for Every $1 Spent Helping MassHealth Members Quit Smoking

American Lung Association: The Year in Tobacco Control

Collaborative Newsletters:

July 2012

December 2011

October 2011

website entitled Addressing Tobacco Use Through Healthcare Systems and sub-titled, “A Real-World Case Example of How to Reduce Smoking Rates, Improve Patient Health and Lower Costs”. The brief is a joint effort of Partnership for Prevention and the Multi-State Collaborative for Health System Change. Note the brief HERE as the Spotlight Resource.

This paper makes the case that:

·        Healthcare provider rates of smoking cessation intervention are unacceptably low, though these interventions are effective and cost-effective.

·        When healthcare sites implement a simple systems change -- identifying patients who smoke and recording this in an electronic medical record -- the percentage of clinical interventions with smokers increases dramatically.

·        Significant increases can be seen in the probability of quitting smoking per each occurrence of brief intervention, thus lowering prevalence.   

·        The likelihood of office visits for smoking-related diagnoses decreases after systems change occurs.

·        Healthcare sites can realize significant cost savings as a result.


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