Evaluation Both process and outcome evaluation methods will be used to measure the efficacy and impact of this smoking cessation program in Logan County. A formative evaluation will target health care providers involved in the rollout of the program to gather quantitative data on the number of patients with whom they have initiated smoking cessation conversations as well as qualitative data on the clinical care plan and ease of understanding care processes. Participants in the program including the smokers who are identified for treatment will be surveyed to gather information about whether they found the program accessible and helpful. Finally, the program will gather data about smokers in the county who have not been referred for treatment or have not accessed the primary care providers in the county to learn about the program. By using the clinics’ electronic medical record we will be able to collect information about the number of patients who smoke, who had a conversation with the primary care physician about smoking, whether they were referred to the smoking cessation navigator and which of the other treatment modalities they took advantage of. Finally, the program will offer statistics on the number of quit attempts and the number of successful quit attempts among patients. From the Colorado QuitLine program, the program can access statistics that will reveal the number of people who participate from our targeted geographical area, when they accessed the QuitLine, how often they call and whether they found success. Based on the outcomes of the initial rollout of the program, we can decide whether to begin marketing smoking cessation as call to action to increase patient visits to primary care providers. If this direction is chosen, we will use focus groups to test marketing messages and material and do a further marketing analysis for that type of a program.
Inputs Outputs Outcomes -- Impact Activities Participation Short Medium Long Physicians Advance practice providers Colorado QuitLine Public Health program specialists Grant funding Local health clinic funding Clinic electronic medical records Fagerström Test for Nicotine Dependence Recruit professional Develop clinical care model Train physicians/providers on evidence-based practices Provide information on Colorado QuitLine Develop support groups Develop criteria for electronically generated reminders for physicians/patients Physicians Advance practice providers Smokers Colorado QuitLine Clinic administration IT professionals Hiring of advance practice providers Establishment of clinical care guidelines Number of physicians using guidelines Creation of support Number of patients screened and referred for smoking cessation Number of appointments with smoking cessation navigator for behavior counseling Number of new participants in Colorado QuitLine from Logan County Number of attendees at smoking cessation support group Number of quit attempts Number of successful quit attempts Decreased number of people in the county who are current smokers. Assumptions External Factors Clinics in county have electronic medical record system Funding is available to hire and house advance practice provider Insurance coverage for primary care smoking counseling and smoking cessation navigator