Targeting Primary Care Referrals to Smoking Cessation Clinics Does Not Improve Quit Rates: Implementing Evidence‐Based Interventions into Practice

Abstract

EBQI stimulated practices to increase smoking cessation clinic referrals and try other less evidence-based interventions that did not translate into improved quit rates at a population level.

Strategies to increase the delivery of smoking cessation treatments in primary care settings: A systematic review and meta-analysis

“…A single trial examined academic detailing which included support with developing a quality improvement plan, support facilitating changes to the practice, and feedback and monitoring during implementation of practice changes (Yano et al, 2008).…”

Electronic health records as a tool for recruitment of participants' clinical effectiveness research: lessons learned from tobacco cessation

“…The healthcare setting was chosen because it provides an ideal opportunity to intervene; more than 70 % of smokers visit such settings each year [6]. However, current efforts to improve real-world smoking cessation outcomes within primary care settings continue to yield low success rates [7][8][9]. This lack of success appears to be due, in part, to conflicting duties and time constraints of clinic staff, the need for burdensome staff training, and the interference of research activities into clinic work flow [10][11][12][13][14].…”

Impact of Medical Home Implementation Through Evidence-based Quality Improvement on Utilization and Costs

“…EBQI strategies have been found to be effective at enhancing adoption and fidelity to collaborative care models for depression care, improved guideline adherence for smoking cessation in primary care, and improved quality for patients with schizophrenia. [16][17][18][19] Given fundamental and extensive changes needed to achieve PCMH and findings from prior EBQI research, 20,21 the current project added implementation of local quality councils, data-savvy quality council coordinators for each health care system, and veteran representatives to quality councils to the prior EBQI structure. Quality councils and coordinators were trained in QI methods such as Plan-Do-Study-Act cycles through collaboratives and weekly telephone calls.…”