Quit Assist for McDowell County,
WV SmokersMina Schultz
Lucy Lowenthal
Overview•Welcome to McDowell County, WV•Who is Welch Community Hospital•The Impact of Smoking•Existing Programs•Quit Assist Program•Why Quit Assist Will Work•References
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Welcome to McDowell County, WV
Charleston
Source: Google, 20163
Where Does McDowell Stand?
Source: QuickFacts: McDowell County, WV, 2015.
Sources: McDowell County, West Virginia, 2016. McDowell County: Behavioral Health Epidemiological
County Profile, 2014.
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Community•Who is Welch Community Hospital (WCH)• Only acute care hospital serving McDowell• Comprehensive medical services
•Mission: To be the Provider of Choice of Quality Health Care for McDowell County and
Southern West Virginia Focusing on the Needs of our Patients and Customers
Source: Google, 20165
Current Health Issues• Smoking• WV ranks 50th in U.S. for smoking, low cessation rate• McDowell in top 10% worst-performing counties in U.S.• Increased susceptibility
• Lung Disease• Lung cancer leading cause of cancer deaths in WV• Smoking accounts for 80% of COPD cases• McDowell has highest prevalence of COPD in WV
• Supports:• WV Tobacco Quitline• Medicaid coverage of cessation services• Tobacco tax• Welch Community Hospital
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Impact of Smoking
Sources: Percent of Adults who Smoke by Gender, 2014. QuickFacts: McDowell County, West Virginia, 2014.
West Virginia Behavioral Risk Factor Survey Report, 2013.
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Existing Interventions
• Medicaid Coverage• Tobacco Tax• WV Tobacco Quitline:• Over the phone support for smokers attempting to quit• 8 weeks free tobacco cessation products• Budget= $1.4 million
• Impact• Enrolled over 73,000 smokers since 2000• 33.4% success rate in WV• Smoking rates steady over past decade
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WV Tobacco QuitlineStrengths Weaknesses
1. Cost effective2. Extensive reach3. Proven effectiveness
in some populations
1. Not personalized2. Inadequate
promotion3. Not preventative
Opportunities Threats
1. Increased cell phone use
2. Tobacco Tax funds
1. Budget concerns2. Community
communication preferences
3. Community demand for service
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Quit Assist• Will reduce smoking in McDowell County by
10% after 2 years of implementation• Personalized approach to cessation• One-on-one counseling, 24-hour support, peer
motivation• Based at Welch Community Hospital
• 5 full time, local but mobile staff• Flexible locations• Multiple options for communication• Total project cost: $310,300
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PERSONNEL TITLE EFFORT SALARY SALARY BENEFITS** TOTAL
PT Program Director 5% $60,000 $3,000 $750 $3,750 FTE Program Coordinator 100% $33,000 $33,000 $8,250 $41,250 FTE Peer Support Specialist 100% $27,000 $27,000 $6,750 $33,750 FTE Peer Support Specialist 100% $27,000 $27,000 $6,750 $33,750 FTE Peer Support Specialist 100% $27,000 $27,000 $6,750 $33,750 FTE Peer Support Specialist 100% $27,000 $27,000 $6,750 $33,750
Total FTW 505%Total Salaries/Wages/Fringe Benefits: $144,000 $36,000 $180,000
OTHER DIRECT COSTS*Note: FIXED PRICE rent and consultants are excluded from modified direct costs (MTDC)Rent (fixed price) $12,000
$0 Training $20,000 Domestic Travel $15,000 Advertising $10,000 Supply/ Materials $15,000
Total Other Costs: $72,000 Total Direct Costs $252,000 Modified Total Direct Cost (MTDC) $220,000 Indirect Costs @ 26.5% rate (audit agency negotiated rate) $58,300TOTAL FUNDING REQUESTED $310,300
Quit Assist Budget
Source: U.S. Bureau of Labor Statistics. (2015). State Occupational Employment and Wage Estimates: West Virginia. Retrieved from: http://www.bls.gov/oes/current/oes_wv.htm
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How can WV reduce smoking in McDowell County in order to improve health outcomes?• Background:• Human and economic cost of smoking to state• Why McDowell is unique• Programs already in place
• Landscape:• Severe budget shortfall• New governor with other priorities• Still early for tobacco tax results
• Role of WCH:• Already hub for health care in county• House Quit Assist• Reduce costs of lung disease
Source: Google, 2016 12
Summary of Program Options Quit Assist Raise tax
on tobacco products
WV Quitline
Feasibility Moderate Low Moderate
Cost Low High Moderate
Community Factors
High Low Moderate
Political Factors
Moderate Low Moderate
High= Highly effective Moderate= Somewhat effective Low= Not effective
• Quit Assist is the best choice for McDowell County• Counseling works• Personalization will be effective for this community• Politically and economically feasible
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References• Bader, P., Boisclair, D., and Ferrence, R. (2011). Effects of Tobacco Taxation and Pricing on
Smoking Behavior in High Risk Populations: A Knowledge Synthesis. International Journal of Environmental Research and Public Health, 8(11): 4118–4139. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228562/
• County Profile: McDowell County, West Virginia. (2012). The Institute for Health Metrics and Evaluation. University of Washington. Retrieved from: https://www.healthdata.org/sites/default/files/files/county_profiles/US/County_Report_McDowell_County_We st_Virginia.pdf
• Croyle, R. (2010). Increasing the Effectiveness of Tobacco Quitlines. Journal of the National Cancer Institute, 102(2): 72-73. Retrieved from: http://jnci.oxfordjournals.org/content/102/2/72.full
• McDowell County: Behavioral Health Epidemiological County Profile. (2014). West Virginia Department of Health and Human Resources Bureau for Behavioral Health and Health Facilities. Retrieved from: http://www.dhhr.wv.gov/bhhf/Sections/programs/ProgramsPartnerships
• McDowell County, West Virginia. (2016). County Health Rankings and Roadmaps. Retrieved from: http://www.countyhealthrankings.org/app/west- virginia/2016/rankings/mcdowell/county/outcomes/overall/snapshot
• Miners Hospitals. (2010). e-WV: The West Virginia Encyclopedia. Retrieved from: http://www.wvencyclopedia.org/articles/1819
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References (cont.)
• Percent of Adults who Smoke by Gender. (2014). State Health Facts. Henry J. Kaiser Family Foundation. Retrieved from: http://kff.org/other/state-indicator/smoking-adults-by- gender/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Male%22,%22sort%22:%22desc%22%7D
• QuickFacts: McDowell County, West Virginia. (2015). United States Census Bureau. Retrieved from: http://www.census.gov/quickfacts/
• Quitline FactSheet. (2016). West Virginia Tobacco Quitline. Retrieved from: http://www.dhhr.wv.gov/wvdtp/cessation/Quitline/Documents/Quitline%20Factsheet.pdf
• Tobacco is Killing and Costing Us. (2013). Division of Tobacco Prevention. Retrieved from: http://www.dhhr.wv.gov/wvdtp/Resources/reports/Documents/2-
page%20KCUs%20Summary%2007-30-13.pdf• State Occupational Employment and Wage Estimates: West Virginia. (2015). U.S. Bureau
of Labor Statistics. Retrieved from: http://www.bls.gov/oes/current/oes_wv.htm• Welch Community Hospital. (2016). West Virginia Department of Health and Human
Resources Bureau for Behavioral Health and Health Facilities. Retrieved from: http://www.dhhr.wv.gov/bhhf/facilities/WelchCommunity/Pages/default.aspx
• West Virginia Behavioral Risk Factor Surveillance System Report. (2013). West Virginia Department of Health and Human Resources Bureau for Public Health. Retrieved from:
http://www.wvdhhr.org/bph/hsc/pubs/brfss/2013/BRFSS2013.pdf15
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