Implementation of an Electronic Health Record-Based Care Management System to Improve Tobacco Treatment

Kruse, Gina; Kelley, Jason; Linder, Jeffrey A.; Park, Elyse R.; Rigotti, Nancy A.

doi:10.1007/s11606-012-2174-6

Cited by 25 publications

(37 citation statements)

References 17 publications

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“…Systematic prompts have been shown to increase assessment of smoking status and provision of (or referral to) counseling/treatment. (16, 29–32) HRSA has been supporting health centers to adopt EHRs for over a decade. As of 2011, 80% of health centers were using EHRs; among these, 96% have EHRs that record patients’ smoking status, and 70% have EHRs that prompt for and record tobacco cessation interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have examined tobacco use within primary care safety-net settings, however these have focused on assessing prevalence and evaluating pilot interventions in a limited number of health centers or free clinics. (10–16) To date there have been no nationally representative studies of tobacco use and related counseling or treatment within health centers.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers

Lebrun‐Harris

Fiore²,

Tomoyasu³

et al. 2015

Am J Public Health

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Background Federally supported health centers provide primary care services for over 20 million medically underserved patients across the U.S. Health centers are well-positioned to identify patients who smoke and ensure receipt of needed cessation counseling or treatment. Purpose Determine the prevalence of current cigarette smoking, desire to quit, and receipt of tobacco-related counseling among a national sample of adult health center patients; identify sociodemographic and health-related factors associated with these measures. Methods Data came from the 2009 Health Center Patient Survey and the 2009 National Health Interview Survey. The analytic sample included 3,949 adult health center patients and 27,731 U.S. adults. Results Findings showed that 31% of adult health center patients were current smokers, compared with 21% of U.S. adults in general. Among currently smoking health center patients, 83% reported a desire to quit and 68% reported receiving tobacco counseling. In multivariable models, patients had higher odds of wanting to quit if they showed signs of severe mental illness (OR=3.26, 95% CI: 1.19–8.97) and lower odds if they had health insurance (OR=0.43, 95% CI: 0.22–0.86). Patients had higher odds of receiving counseling if they had two or more chronic conditions (OR=2.05, 95% CI: 1.11–3.78) and lower odds if they were Hispanic (OR=0.57-0.34-0.96). Conclusions The prevalence of cigarette smoking is substantially higher among health center patients than the U.S. in general. However, most smokers seen in health centers desire to quit smoking. Continued efforts are warranted to reduce tobacco use in this vulnerable segment of the population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers

Lebrun‐Harris

Fiore²,

Tomoyasu³

et al. 2015

Am J Public Health

View full text Add to dashboard Cite

show abstract

“…tobacco, the scalability of in-person interventions is limited [8,11,12]. Mobile health interventions delivered via smartphone may help to alleviate this issue.…”

Section: Electronic Supplementary Materialsmentioning

confidence: 99%

A systematic review of smartphone applications for smoking cessation

Haskins

Lesperance

Gibbons

et al. 2017

Behav. Med. Pract. Policy Res.

231

161

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“…EHR prompts have been demonstrated to increase tobacco counseling and referral for treatment. [49][50][51] Multiple studies have reported that bans on public smoking are associated with a decreased risk of SCD. 36,45,52,53 Although the preponderance of evidence supports the role of secondhand smoke in increasing the risk of SCD, the evidence is insufficient to establish a causal relation.…”

Section: Measures Included In the Setmentioning

confidence: 99%

“…However, EHR prompts and ancillary staff members have proven effective in increasing smoking cessation counseling and referrals. [49][50][51] Another potential challenge that may exist is the accuracy of data capture in current EHRs.…”

Section: Challenges To Implementationmentioning

confidence: 99%

2016 AHA/ACC Clinical Performance and Quality Measures for Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

Al‐Khatib¹,

Yancy²,

Solis³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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Implementation of an Electronic Health Record-Based Care Management System to Improve Tobacco Treatment

Cited by 25 publications

References 17 publications

Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers

Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers

A systematic review of smartphone applications for smoking cessation

2016 AHA/ACC Clinical Performance and Quality Measures for Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

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