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For 18 years, Lynne has eclectically worked in public health with the state health department and for a national non-profit. Her first public health position was at Michigan’s HIV Care and Treatment section, staffing people living with HIV statewide advisory councils. Moving to the Cardiovascular Disease Prevention and subsequently to the Community Health Assessment and Improvement Programs, she managed community contracts, and provided technical assistance and; received a special commendation from Michigan’s first Surgeon General for the development, and initiation of Healthy Michigan 2010, a plan to improve the health of Michigan citizens. Interested in quality improvement and management, Lynne worked with her leadership team to revitalize quality management in her department of 5,000 employees and helped lead employee feedback sessions to implement former Governor Granholm’s vison and values cultural change initiative. Taking a position with the Tobacco Prevention and Control Program in 2012 she proposed and developed the Tobacco Reduction in PLWH Pilot Project, a $1.3 Million/year project. Lynne currently coordinates this project, an expected national promising practice which also has increased the Tobacco Programs budget by 30%. Lynne volunteers on Ingham County’s Board of Health, and the American Lung Association Regional Leadership Council.
Presentation: Tobacco Reduction in People Living with HIV: A Systems Approach to Saving Lives in Michigan
Time: Breakout Session 3
For many PLWH, the disease has changed from a fatal to a manageable chronic disease due to advances in medical treatment. PLWH are now facing diseases similar to the general population which include cancer, heart disease and diabetes. People Living with HIV (PLWH) in Michigan smoke cigarettes more than 2 times (50%) the general (non-HIV positive) population (21.4%) and are dying 12 years sooner from tobacco related illness than from AIDS complications. Smoking is among the most prevalent problems affecting HIV-positive clients as it negatively affects medication efficacy, increases medication complications and moves a client quicker to an AIDS diagnosis. A better knowledge and understanding of tobacco use among PLWH and their providers will help guide more appropriate and specific interventions to improve health outcomes. To address this health disparity a partnership formed between the TCP and the HIV Care Section to fund a 3-year pilot project at $1.3/annually implemented January 2015. The goal is to increase the number of tobacco quit attempts using evidence-based tobacco clinical practice guidelines through a health system change. The first phase is focused on assessing the HIV staff and client’s knowledge, attitude and behaviors on tobacco use; training and educating the ASO employees to build internal agency capacity and; to convene client focus groups to better target tobacco dependence treatment. The second phase is providing tobacco dependence treatment to the HIV-positive tobacco user.
1. Understand why tobacco prevention and control is a priority for people living with HIV or State 3 HIV.
2. Aware of the new Tobacco Reduction in PLWH Pilot Project in Michigan and the accomplishments.
3. Understand some of barriers to PLWH to stop smoking and the opportunities to overcome these challenges.