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IT Solutions for General Practice

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Prepared for: Smokefree Nurses Aotearoa/New

ZealandMarch 2010

Prepared by: Lis Cowling – Harbour HealthKindly presented by: Lynn Stevenson

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Tobacco Control:Brief Advice and Interventions in Primary

Care

• More Quit Attempts, More Often

• “ABC” approach for health care workers

• Primary care targeted to implement “ABC”

• Development of ABC E-learning tool for primary care

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To address

• Knowledge• Skill• Priority• Recording• Guidelines and Evidence• Time and funding Resource 

ABC e-learning tool and training will begin to assist with the barrier of knowledge – ATM Tool will do the rest!

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Background

• Professor Paul McDonald, University of Waterloo, Canada

• Paper based questionnaire to indicate readiness and level of support required to quit smoking

• Triage into appropriate smoking cessation service to suit individual

• Permission given to Harbour Health to create electronic, NZ version of tool

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Development

• Steering Group formed• Adapted to NZ environment• Web Based, linked into PMS Systems• Brief Intervention statement prompts• Decision support • NZ National Guidelines• Patients triaged to best personal cessation

option

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Linking with PMS

ATM - Linking with MedTech 32

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Brief Advice

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Intervention - Referral

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Intervention - Prescribing

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Intervention - Prescribing Info and

Contraindications

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Intervention - Patient Advice

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ATM Pilot

Piloted in 12 Harbour Health Practices Sept 09 to Dec 09 – 28 GPs and 7 PNs

• Participants found the ATM to be user-friendly (72%) and to be ‘helpful’ or ‘very helpful’ in raising the issue of smoking with their patients (74%), exploring smoking cessation options with their patients (83%), and in knowing the best service to refer their patient to (71%).

(Full evaluation available: www.harbourhealth.org.nz )

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Future

Watch this space!Working with MoH to look at

feasibility of a national roll out …..

Acknowledgements:• Professor Paul McDonald, Waterloo University,

Canada• ATM Steering Group• MoH for funding this project

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Contact Details

Lis CowlingEmail: lcowling@harbourhealth.org.nz

DDI: 09 448 0462Mobile: 0275 502 400

Harbour Health42B Tawa Drive, Albany, AKwww.harbourhealth.org.nz