Smoke Free for Me Resources

A. Screening Tool Instruction Sheet

B. Data Submission – Cover Sheet

1. Data Submission Link: Click Here

C. Sample Screening Tool/Data Sheet

1. Please note your Site ID is pre-filled on the printed screening tools and not on this PDF.

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
   1. Ohio Quit Line Referral Portal Link
6. Ohio Quit Line Brochure
7. 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
  • All Slides and Recordings in a Shared Folder by clicking here
  • Learning Session Slides (PDF)
• 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

• Action Period Call 1 Slides (PDF)
  • Recording
• Action Period Call 2 Slides (PDF)
  • Recording

H. Wave 3 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