Our Approach

NYCTT's Practice Facilitators implement the "NYCTT Practice Facilitation Program" at different healthcare organizations. NYCTT has combined concepts from the EPIS Framework, Chronic Care Model, Million Hearts Tobacco Cessation Change Package, and the Treating Tobacco Use and Dependence: 2008 Update to create the NYCTT Practice Facilitation Program Framework.

 

The Practice Facilitation Program is based on the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. EPIS was chosen for its structure and process of implementation, which helps in planning and developing metrics. This model is geared toward allied health interventions delivered in the public sector and serves as a guide for planning processes and assessing effective interventions—in this case, TDT. With the adoption of EPIS as a model, there is potential to introduce strategies, encourage participation, improve health, and reduce health disparities among tobacco use populations.

 

While the EPIS framework structures NYCTT’s Practice Facilitation Plan, NYCTT has also incorporated 6 components of the Chronic Care Model (CCM) into its PF approach. The CCM was created to model the most important components necessary for an effective health system to care for chronic disease. The six main components of the CCM include: health systems, self-management support, delivery system design, decision support, clinical information system, and community. In order to deliver the most comprehensive approach to treating tobacco at each health system, NYCTT addresses each of these components at each health system.

 

NYCTT has utilized ten “change concepts” from the Million Hearts Tobacco Cessation Change Package (MHTCCP) developed by the Centers for Disease Control and Prevention as a framework to improve health systems’ delivery of effective tobacco dependence treatment. The MHTCCP additionally identifies “change ideas” associated with each change concept. 

 

The Treating Tobacco Use and Dependence: 2008 Update is a set of guidelines put forth by the US Department of Health and Human Services which are proven to be the most effective evidence-based approaches to treating tobacco dependence. All health systems changes are made with this evidence-base in mind.