A. Screening Tool Instruction Sheet
B. Data Submission – Cover Sheet
- Data Submission Link: Click Here
C. Sample Screening Tool/Data Sheet
- Please note your Site ID is pre-filled on the printed screening tools and not on this PDF.
D. Handout Crosswalk
- Provider Talking Points
- Families with Smoke Exposure
- Myths Resource Page
- Prescription for Safe Sleep
- Ohio Quit Line Referral Form
- Ohio Quit Line Brochure
- Stage of Change Talking Points
E. QI Resources
- Important Dates
- PDSA Worksheet
- Office Flow Symbols
- Wave 4 MOC Requirements
- Wave 4 Key Driver Diagram
F. Learning Session
- Wave 4 Learning Session Materials
- Recordings of Wave 3 Learning Session:
- Talking With Families – Dr. Michele Dritz (28 minutes)
- Health Effects of Tobacco Smoke Exposure on Children – Dr. Melinda Mahabee-Gittens (17 minutes)
- Implementation Guidance – SFF Project Team (25 minutes)
- Technical Assistance Call Slides (PDSA Guidance)
- Recording (presentation starts at approximately minute 10)
G. Wave 4 Action Period Presentations
H. Wave 3 Action Period Presentations