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Site Champion 

A site champion is a volunteer staff person who serves as the liaison between the medical office and the Center for Smoking Cessation’s Outreach Specialist.

 

 

three-femail-docsChampion Tools

Office Supplies

  Order Form
  Posters, brochures and self help materials 
  EHR - AAFP Recommendations
  Site Champion Job Description

 

Education/Training

  “30 Seconds to Save a Life” Agenda
  Book Site Training
  Clinician PHS Guideline Materials

 

Quitline

  Fax-to-quit form

  Quitline Electronic Referrals

 

Billing information:

  Coding Information for Pediatric Visits
  Smoking Cessation Codes Summary
  Cessation Medication- Medicaid Coverage

  Cessation Counseling- Medicaid Coverage
  Cessation Medication & Counseling- Medicare Coverage

 

Chart Reviews

  Chart Review Instructions
  Chart Review Forms
  Time Sheet

 

21 CME  - Performance Improvement Program

  Flyer
  Program Overview
  Stage A
  Stage B
  Stage C
  Chart Review Form

 

Healthcare provider resources

  Pediatric Patients and Tobacco Use

  PACT - Professional Assisted Cessation Therapy

 

Newsletters

Winter 2010

Summer 2010

Fall 2010

Winter 2011

Summer 2011

Winter 2012

Spring 2012

Summer 2012

Fall 2012

Winter 2013

 

Miscellaneous

  Tobacco Free Periodicals
  Sample Policies