Short term Outcome Indicators
Reducing Commercial Tobacco Use Indicators
- Strategies (Process Measures)
- Short term Outcome Indicators
- Intermediate Outcome Indicators
- Long-Term Indicators
Availability and expanded coverage of comprehensive cessation services (change in covered benefits)
Note: After selecting interventions and strategies, 6|18 teams may choose to document or assess changes in coverage or benefits. This section provides example indicators to measure changes in covered benefits.
Potential Measures
Source and Frequency
Potential Measures
Changes in language describing covered benefits, as found in Medicaid contracts with MCOs/ACOs:
- Documentation of change in coverage benefits for cessation to cover all evidence-based cessation treatments. The change in coverage benefits may lead to a new or enhanced Medicaid service/benefit, compared to prior language describing benefits.
- Documentation of removal of health insurance-related barriers (such as cost sharing or prior authorization) to accessing evidence-based cessation services.
Resource: American Lung Association (ALA) resource: Approaches to Promoting Medicaid Tobacco Cessation Coverage: Promising Practices and Lessons Learnedpdf iconexternal icon
Source and Frequency
Managed care organization (MCO) contracts: Every year
CDC STATE SYSTEM: Quarterly
Potential Measures
Changes in language describing covered benefits, as found in State Plan Amendments, Section 1115 waiver letters, or documents that give notice of administrative changes to covered benefits (example: annual notice of requirements or other relevant documents).
Source and Frequency
Potential Measures
Changes in language describing covered benefits, or changes in services offered, as implemented by MCOs/ACOs –
Resources:
Source and Frequency
Increasing Awareness
Potential Measures
Source and Frequency
Potential Measures
Awareness of available cessation services – Proportion of Persons Who Use Tobacco Who Are Aware of Available Cessation Services. Examples:
- Awareness of Quitline services
- Awareness of counseling services
Awareness of health insurance coverage for smoking cessation aids – Proportion of Persons Who Use Tobacco Who Are Aware of Health Insurance Coverage for Smoking Cessation Aids. Examples:
- Health insurance status
- Awareness of health insurance coverage for smoking cessation aids for cigarettes
- Awareness of health insurance coverage for smoking cessation aids for other tobacco products
Example: Key Outcome Indicator 3.1.e.pdf icon
State example: Missouri.external icon
Notes:
- A state Adult Tobacco Survey (ATS) that collects type of insurance coverage (such as Medicaid, Medicare, private, or military) as part of demographics may benefit 6|18 teams, by facilitating analyses that use this additional variable to focus on Medicaid enrollees.
Source and Frequency
State Adult Tobacco Survey (age of respondents may depend on state) or Behavioral Risk Factor Surveillance System (BRFSS) State Added Questions
Every 1-2 years