Smoke Free for Me Resources

A. Screening Tool Instruction Sheet

B. Data Submission – Fax/Scan Cover Sheet

1. Data Submission Link: Click Here
2. Data Submission Fax Number: 614-366-1556

C. Sample Screening Tool/Data Sheet

D. Handout Crosswalk

1. Provider Talking Points
2. Families with Smoke Exposure
3. Myths Resource Page
4. Prescription for Safe Sleep 
5. Ohio Quit Line Referral Form
6. Ohio Quit Line Brochure
7. Stage of Change Talking Points

E. QI Resources

• Important Dates
• PDSA Worksheet
• Office Flow Symbols
• Wave 3 MOC Requirements
• Wave 3 Key Driver Diagram
• Wave 3 Measures Table

F. Learning Session

• Presentation Slides
• Recordings of 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. Action Period Presentations

• Action Period Call 1 Slides (PDF)
  • Recording
• Action Period Call 2 Slides (PDF)
• Action Period Call 3 Slides (PDF)
  • Recording
• Action Period Call 4 Slides (PDF)
  • Recording
• Action Period Call 5 Slides (PDF)
  • Recording
• Action Period Call 6 Slides (PDF)
  • Recording
• Action Period Call 7 Slides (PDF)
  • Recording

Next Action Period Call Scheduled for June 16, 12:00 pm (Resources Coming Soon)