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Going Smoke-Free:Going Smoke-Free:the Cleveland Clinic examplethe Cleveland Clinic example
Bruce Rogen MD, MPHBruce Rogen MD, MPHChief Medical OfficerChief Medical Officer
Cleveland Clinic Employee Health PlanCleveland Clinic Employee Health Plan
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Cleveland Clinic Background
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Cleveland Clinic Cleveland Clinic CommitmentCommitment
Cleveland Clinic is dedicated to the Cleveland Clinic is dedicated to the health, wellness and prevention of health, wellness and prevention of disease for our employees, our disease for our employees, our patients and the communities we patients and the communities we serve.serve.
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Health and Disease Health and Disease PreventionPrevention
Programming HistoryProgramming History
2005 2010
Smash the Ash
SmokeFree Greater Cleveland
Farmers Market
Chief Wellness
Officer
Go!Foods
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Cigarette Use Decline Cigarette Use Decline 2003-20072003-2007
CuyahogaCuyahoga
OhioOhio
USAUSA
30
25
15
%
20
2003 2004 20072005 2006
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Cleveland Clinic Bends Cleveland Clinic Bends the Cost Curvethe Cost Curve
• Increase efficiency through Increase efficiency through integrated healthcare delivery integrated healthcare delivery systemssystems• Reduce burden of disease by Reduce burden of disease by
addressing tobacco and obesityaddressing tobacco and obesity
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Key tenetsKey tenets Key leadership must support and have Key leadership must support and have
strategy for moving forwardstrategy for moving forward
Incentivize positive changes; build Incentivize positive changes; build personal responsibility for healthpersonal responsibility for health
Importance of building a culture of Importance of building a culture of wellnesswellness
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Importance of communicationImportance of communication• Media/Communications/Marketing Media/Communications/Marketing
teams must be ready to:teams must be ready to:- Notify personnel of the change and Notify personnel of the change and
how it effects themhow it effects them- Address the positive nature of the Address the positive nature of the
changechange- Develop a timetable for roll-outDevelop a timetable for roll-out- Respond to media inquiriesRespond to media inquiries
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• 2005…All CC campuses declared non-smoking2005…All CC campuses declared non-smoking
• 2007…Hiring of smokers discontinued2007…Hiring of smokers discontinued
All new hires undergo cotinine testing. All new hires undergo cotinine testing. Positive test results…offer rescinded;Positive test results…offer rescinded;free treatment; reapply in 90 days.free treatment; reapply in 90 days.
• 2008…Free smoking cessation program 2008…Free smoking cessation program for Employee Health Plan members. for Employee Health Plan members.
• Only 8-10% of our current workforce currently uses Only 8-10% of our current workforce currently uses tobaccotobacco
Moving Toward Non-Smoking…
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ResourcesResources
• For current employees:For current employees:- Tobacco cessation is covered by Tobacco cessation is covered by
employee health plan employee health plan - Also covered for dependents Also covered for dependents
• For the community:For the community:- Tobacco Treatment CenterTobacco Treatment Center- clevelandclinic.org/tobaccotreatment
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• Insurance providers:Insurance providers:• Does your health plan cover behavioral Does your health plan cover behavioral
therapy, such as reading material, web-based therapy, such as reading material, web-based programs and individual or group counseling, programs and individual or group counseling, or non-traditional approaches such as or non-traditional approaches such as acupuncture or hypnosis for beneficiaries? acupuncture or hypnosis for beneficiaries? Their dependents?Their dependents?
• Does your health plan cover tobacco Does your health plan cover tobacco treatment medication such as Chantix, Zyban treatment medication such as Chantix, Zyban and Nicotine Replacement Therapy (NRT) and Nicotine Replacement Therapy (NRT) covered for beneficiaries? Their covered for beneficiaries? Their dependents?dependents?
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