Building a tobacco intervention system in managed care
Tobacco cessation program implementation
from plans to reality:
skill building workshopgroup model
Sallie Dacey
Group Health
Cooperative of Puget Sound, 201 16th Avenue East Main
Building, Suite A-300, Seattle, WA 98112, USA;
dacey.s@ghc.org
| The first 150 words of the full text of this article appear below. |
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Introduction |
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The following article describes
highlights from the skill building workshop "Program
implementation
from plans to reality". This workshop was conducted
by Sallie Dacey, Group Health Cooperative of Puget Sound, and Risé
Krejci, Pacific Health Systems.
Group Health Cooperative of Puget Sound (GHC) is a not-for-profit, group model, consumer governed health maintenance organisation (HMO). GHC serves over 450 000 enrollees at 29 medical centres, two hospitals, and three specialty centres in the state of Washington, primarily in the Puget Sound area. The cooperative employs 900 physicians, more than 40% of whom are primary care providers.
GHC reorganised its quality implementation structure in the early 1990s
into a framework called the "clinical roadmap". This population and
evidence based approach was designed to identify and improve
systematically key clinical processes, and then embed them into
everyday care. Tobacco use was one of the first areas to receive such
attention. In 1992, reduction of tobacco use in
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