Welcome to the FY 2015 NAQC Annual Survey

Welcome to the FY 2015 NAQC Annual Survey of Quitlines Training Webinar! • • • We’ll get started at 3: 00 p. m. Eastern Time To mute your line: *6 To unmute your line: *6 For Operator Assistance: 00 To ask a question, click on the “Q&A” menu We will be recording the webinar and posting it to the “ 2015 Survey” web page

The FY 2015 NAQC Annual Survey of Quitlines Training Webinar Maria Rudie, MPH Research Manager North American Quitline Consortium August 2015

Training Objectives By the end of the training, participants will: • • • Understand FY 2015 NAQC annual survey major topics Understand major changes from the FY 2013 survey Access and use Survey. Monkey Know how to indicate “unable to report” Know where to get help Understand how survey data will be used

FY 15 Annual Survey Overview • Annual Survey Background & Timeline • Changes from FY 13 • How to submit survey response • FY 15 Survey Section Details

Annual Survey Background Conducted Annually 2004 2006, 2008 2013 • Previous Research Partners: – 2013 PDA – 2010 Westat – 2008 and 2009 Evaluation, Research and Development Unit, University of Arizona – 2006 Center for Tobacco Research and Intervention, University of Wisconsin – 2005 University of California, San Diego – 2004 Tobacco Technical Assistance Consortium

Annual Survey Background • Designed to collect information about: • • • Quitline service offerings Budgets Utilization Evaluation data The data will be used by NAQC to: • Report on the state of quitlines and trends over time • • • Compile quitline benchmarks Help make the case for funding quitlines Help forecast technical and other needs

FY 15 Annual Survey Timeline • • • Survey opens September 2, 2015 Survey closes October 6, 2015 Data cleaning: October/November 2015 Data analysis: November/December 2015 Benchmarking and Presentation of data to NAQC members: January 2016

Key Changes From FY 13 • Annual Survey Questions Reduced • • • 71 Questions in FY 13 56 Questions in FY 15 Covers Key areas with tweaks in questions for each area • • • Quitline Services Quitline Referrals Budget & Funding Sources Utilization MDS Evaluation

FY 15 Annual Survey Sections Survey Section Number of Items Survey Question Numbers 1. Contact Information 1 Q 1 2. Quitline Services & Referrals 13 Q 2 – Q 14 3. Budget & Funding Sources 7 Q 15 – Q 21 4. Utilization 10 Q 22 – Q 31 5. Minimal Data Set 10 Q 32 – Q 41 6. Evaluation 14 Q 42 – Q 55 7. Comments 1 Q 56 Total 56

Steps for Submitting Data 1. Survey Launch Email – September 2, 2015 2. Download the WORD or PDF version of the FY 15 Annual Survey 3. Designate one staff member to gather all responses 4. Access Survey Monkey 5. Complete survey in Survey Monkey during ONE Uninterrupted Session.

Survey Monkey Tips • • Best viewing Internet Explorer (also works with Mozilla/Firefox) Do not use browser “back” or “forward” arrows! – Use “PREV” and “NEXT” Required questions marked with * Enter “ 9” if you are unable to report Enter “ 0” only no funds received/budgeted or no people to report. Directions for responding are listed immediately after each question For help, email annualsurvey@naquitline. org

Reasons for Error Messages • Left a required field blank • Enter a response. Use “ 9” for “unable to report. ” • Entered a response in the wrong format • Delete commas, decimals, or other symbols for whole number responses • Delete commas or other symbols for decimal responses • Enter response within the acceptable range

2015 ANNUAL SURVEY SECTION DETAILS

Section 1: Contact Information *Required, 1 item, Q#1 • Section 1 exactly the same as FY 13

Section 2: Quitline Services & Referrals • Questions 2 – 14 • This section is different from FY 13 • The questions designed to verify Quitline Profile information • Removed questions on language • Question 11 focused on OUTREACH to specific populations rather than specialized materials

Section 3: Budget & Funding Sources • • • Questions 15 – 21 This section has dramatically changed from FY 13. Questions only ask about FY 15 Question 15 – TOTAL State Tobacco Control Budget Question 16 – TOTAL Quitline Budget and Quitline Budget Categories • Questions 17 & 18 – indicate Funding Sources • Question 19 – report amount received from 3 key funding sources • Questions 20 & 21 – ask about restriction of quitline services

Section 4: Utilization This section asks about use of services • • • Q 22: Total of DIRECT CALLS Q 23: Total number of UNIQUE TOBACCO USERS who made DIRECT CALLS Q 24: What referral modes the quitline accepts Q 25: Allows reporting of referral modes not mentioned in Q 24 Q 26: Number of REFERRALS received by mode Q 27: Total number of UNIQUE TOBACCO USERS that were REFERRED Q 28: Total number of UNIQUE TOBACCO USERS who were REFERRED that received EVIDENCE BASED SERVICEs Q 29: Among UNIQUE TOBACCO USERS (DIRECT CALL or REFERRAL) how many received services by type of service Q 30: Average number of minutes per counseling call Q 31: Average number of counseling calls

Section 4: Utilization Key Definitions Definition of DIRECT CALLS: The total number of inbound calls to the quitline telephone systems, regardless of whether or not the calls were answered. This includes proxy calls and wrong numbers/prank calls. Definition of UNIQUE TOBACCO USER: A unique tobacco user is a single unique unduplicated tobacco user who called the quitline for any reason in FY 15. A unique tobacco user can be a smoker, chewer, etc. and can be a current user or recent quitter interested in staying quit (i. e. , have not been quit at intake or registration for more than 30 consecutive days)

Section 4: Utilization Key Definitions Definition of REFERRALS: Referrals are client and self referrals to the quitline from health professionals, other intermediaries or services (including websites) that generate an outbound call initiated from the quitline to the tobacco user. Definition of Electronic Health Record (EHR): The terms electronic health record (EHR) and electronic medical record (EMR) are often used interchangeably, although technically there is a distinction between the two. An EMR is a computerized medical record designed to replace the traditional paper chart in a provider setting. EHRs are essentially EMRs with the capacity for greater electronic exchange (e. g. , following patients from practice to practice, data exchange and messaging among physicians).

Section 4: Utilization Key Definitions Definition of UNIQUE REFERRALS: A unique referral is a single unduplicated referral that was referred to the quitline for any reason in your FY 15. A unique referral is analogous to a unique tobacco user but it is for individuals who were referred to the quitline rather than called the quitline.

Section 4: Utilization Key Definitions Definition of Evidence –Based Cessation Services: Began at least one counseling session by phone. Counseling is defined as a tobacco user centers, person tailored, in depth, motivational interaction between a cessation counselor/coach and a tobacco user. (Note: Quitline Intake/Registration time does not meet this definition) AND/OR Provided FDA approved cessation medications: • Nicotine Replacement Therapy (NRT) in the form of gum, patch or lozenge • Nicotine Inhaler • Nicotine Nasal Spray • Bupropion (Wellbutrin) • Varenicline (Chantix)

Section 4: Utilization Key Definitions Definition of RECEIVED SERVICES: Received services includes receipt of one or more of the following: • Quitline self help materials • Began at least one counseling call with a cessation coach/counselor (Note: Intake/Registration time does not qualify as a counseling call) • Received FDA approved cessation medication Definition of COUNSELING CALL: Counseling Call is defined as tobacco user centered, person tailored, in depth, motivational interaction between a cessation coach/counselor and tobacco user. This DOES NOT include time spent on intake/registration or administration.

Section 4: Utilization • Q 29: Unique tobacco users receiving services a. Counseling (began at least one session) by phone AND FDA approved cessation medications provided either through the quitline or through a web based system. b. ONLY Counseling (began at least one session) by phone [DO NOT include intake or registration as counseling] c. ONLY FDA approved cessation medications provided either through the quitline or through a web based system. d. Self help materials ONLY without counseling or medications. e. TOTAL of Rows a to c. [Do NOT include those who received only self help materials here from Row d in this table. ](Note: This is the number that will be used to calculate treatment reach using the NAQC standard calculation. )

Section 5: Minimal Data Set (MDS) • Question 32 to 41 • Same questions as asked in FY 13 • Change to Behavioral Health/Chronic Conditions question • Historically one question • FY 15 – split into 2 questions • Q 38: asks if quitline has screening questions about Behavioral Health Issues • Q 39: asks if quitline has screening questions about other Chronic Health Conditions

Section 6: Evaluation • Questions 42 to 55 • Same questions as asked in FY 13 • Addition of one new question – Q 44: asks what type organization conducted the quitline’s evaluation • NAQC standard quit rate based on 2009 issue paper

Section 7: Final Comments • Question 55 • Opportunity to provide NAQC Staff with feedback/comments about the survey items • Notes about your responses to specific items • Comments about the survey process • Things NAQC should consider for future surveys

How Annual Survey Data Will Be Used • Summary report presented to NAQC members • Full set of findings available on NAQC website • Data are available to members and researchers for additional analysis • Publications and reports (aggregate data) • Benchmarking work (reach, spending, and quit rates) • Populate quitline profile “metrics” section

How to Assistance with the Survey? Contact NAQC: • Email: annualsurvey@naquitline. org • Call: (800) 398 5489 ext. 701

Maria Rudie, MPH Research Manager North American Quitline Consortium Phone: 800 398 5489 x 704 Email: mrudie@naquitline. org

Q&A DISCUSSION