What is the Build a Clinic Program?
The Behavioral Health and Wellness Program will, with the help of its partners, train up to 15 primary care clinics to add or augment tobacco cessation services and supports into existing clinical practice. Collectively the six, themed webinars and collaborative learning activities will comprise a comprehensive series on the skills and knowledge necessary to create, integrate, and operate an efficient tobacco cessation workflow within normal clinic operations.

Where can my practice apply?
You can fill out the electronic application through Survey Monkey. The entire process should take about 15 minutes or so. You can access the survey here:

Why should my practice apply?
For over 50 years the medical field has recognized that quitting tobacco is the most important thing an individual can do to improve their quality of life immediately and to live healthier for longer. But nicotine is an incredibly addictive drug and most of those who try to quit unaided relapse. Unfortunately, many healthcare providers and practices are unprepared to offer evidence-based screening, assessment, brief intervention, and referral to treatment. But in a short amount of time, providers and practices can be taught the low-burden skills and workflows necessary to offer these critical patient services.

Who is the Behavioral Health and Wellness Program?
The Behavioral Health and Wellness Program is part of the University Of Colorado School Of Medicine and located on the Anschutz Medical Campus in Aurora, Colorado. BHWP was created by Chad Morris, PhD, in 2006 in order to address the overwhelming need for tobacco cessation treatment for persons with behavioral health conditions.

Over the years, we have become a multi-disciplinary center of excellence for public policy, research, training, and clinical care. Although initially specializing in tobacco cessation treatment, training, and technical assistance, we have evolved to include education and training on increasing overall health and wellness across the lifespan. We work with communities, healthcare facilities, public health and government agencies to promote health and wellness. We also offer training and consultation to healthcare providers, administrators and peer advocates.

You can read more about us here.

Who should apply?
Applicant organizations should be (1) primary care practices (2) working in rural, provider shortage, or medically underserved areas and (3) ready and able to adopt or augment tobacco cessation services into existing clinical practice right away.

Rural,” “medically underserved,” and “provider shortage areas” each have federal definitions and federal designations. However, the BAC program does not require that practices meet those definitions or have those designations. Rather, on the application, you will be given an opportunity to provide statistics or other evidence that your practice merits consideration for one or more of these terms.

While participation space is limited, the following criteria will be most important for selection: (1) Need—practices operating within areas of high risk for long-term nicotine dependence, (2) Willingness and Capacity for change. We assume that all applicants have at least a moderate desire to effect change to their current workflows. However, the ability to make these changes matters. (3) Range of Existing Skills and Services. Unlike many programs which uniformly target the most or least skilled applicants, learning collaboratives depend on the variety provided by a range of experiences within a defined area. As such, practices should not feel compelled to exaggerate or understate the scope of services offered or their success with each of those services.

Who should fill out the application?
Because the BAC encourages a whole-practice approach, the person(s) who should fill out the application may vary. The person who would serve as the lead Point of Contact or Program Supervisor should be involved, as well as the person who has the most knowledge of current tobacco cessation strategies—this is especially true if your practice extends across more than one physical site.

When is the deadline to fill out the application?
Applications will be accepted until December 23, 2016. Final notifications will be emailed to all that apply the first week of January. The first live, collaborative session will be held on January 24 and all participants will be expected on that day to have (1) attended the first webinar and (2) be prepared to discuss their initial rapid improvement goals.

When are the Build a Clinic program activities?
We know that your clinic is extremely busy and time is of the utmost importance. As a result of feedback gathered during previous BAC implementations, we have substantially reduced the time burden. The six didactic webinars are available on the Build a Clinic Materials page to be watched at any time prior to participation in the 6 live, collaborative learning sessions that act as the heart of BAC. The six live sessions will be held on the following dates:

  • January 24, 2017—Tobacco Cessation Best Practices: An Introduction
  • February 21, 2017—Tobacco Cessation Best Practices: Pharmacotherapy
  • March 21, 2017—Tobacco Cessation Best Practices: Motivational Interviewing
  • April 25, 2017—Analyzing and Adapting Clinical Workflow
  • May 23, 2017—Special Population & Cultural Sensitivity
  • June 20, 2017—Tobacco Clinic Scalability and Sustainability

With the exception of the first session, all sessions are held on Tuesdays from 12-1 (Mountain Time). For each live session, participants will be expected to share their rapid improvement goals, anticipated barriers, and an update on goals attempted or completed. There are also 3 technical assistance calls with national tobacco cessation experts. These calls will be individually scheduled at times convenient to the clinic’s program manager and other clinic staff.

What are the technical requirements? (Do I need to buy any software?)
In order to participate in the webinars, participating practices will need access to a computer and an internet connection. In addition to those two things, in order to participate in the live, collaborative ECHO sessions, participants will also require access to a webcam and microphone.

Today’s smart phones, tablets, and many laptops come equipped with a built in camera and mic. That’s all that is required to participate in our learning community! Access to the live-video conferencing tool for each learning sessions is through a link we provide.

What is an “ECHO session”?
Hosted using ZOOM live-video conferencing, participants will use a smart phone, tablet or laptop with a camera to join a 60-minute live, collaborative learning session. Participants will present a case for feedback, recommendations and discussion. Fellow participants will provide or help brainstorm innovative solutions to help organizations overcome the very real barriers they are actively facing.

How do I apply?

Applications for the January 2017-June 2017 session are available now. Apply here.