Corpus ID: 13780053

A demonstration project for using the electronic health record to identify and treat tobacco users.

@article{Lindholm2010ADP,
  title={A demonstration project for using the electronic health record to identify and treat tobacco users.},
  author={Christopher Lindholm and Robert T Adsit and Philip A. Bain and P M Reber and Tricia Brein and Lezli A Redmond and Stevens S. Smith and Michael C Fiore},
  journal={WMJ : official publication of the State Medical Society of Wisconsin},
  year={2010},
  volume={109 6},
  pages={
          335-40
        }
}
  • C. Lindholm, R. Adsit, +5 authors M. Fiore
  • Published 1 December 2010
  • Medicine
  • WMJ : official publication of the State Medical Society of Wisconsin
BACKGROUND While the majority of smokers visit a primary care physician each year, only a small proportion of them receive evidence-based tobacco dependence treatment. The electronic health record (EHR) provides an opportunity to prompt clinicians to deliver tobacco dependence treatment in primary care. METHODS Over 1 year, Dean Health Systems worked with the University of Wisconsin School of Medicine and Public Health to modify the existing Dean EHR system (Epic Systems Corp, Verona… Expand
Utilizing clinical support staff and electronic health records to increase tobacco use documentation and referrals to a state quitline.
TLDR
Documentation and referrals for smoking cessation can be increased in organizations using EHR by empowering MAs to promote tobacco cessation and providing electronic referral options. Expand
Recruiting and engaging smokers in treatment in a primary care setting: developing a chronic care model implemented through a modified electronic health record
TLDR
The chronic care model developed for treating tobacco dependence, integrated into the primary care system through the EHR, has the potential to engage up to 4.3 million smokers in treatment a year. Expand
A content analysis of electronic health record (EHR) functionality to support tobacco treatment
TLDR
A content analysis of EHR modifications aimed at supporting tobacco cessation and to document these modifications using a 5 A’s framework was conducted, with most modifications occurring to support documenting smoking status and assisting with medication prescribing. Expand
Using the electronic health record to connect primary care patients to evidence-based telephonic tobacco quitline services: a closed-loop demonstration project
TLDR
A markedly higher percentage of adult tobacco users were referred to the quitline using eReferral than using the previous paper fax referral, suggesting the feasibility and effectiveness of a secure, closed-loop EHR-based e Referral system. Expand
Use of electronic health records to support smoking cessation.
BACKGROUND Health information systems such as electronic health records (EHR), computerized decision support systems, and electronic prescribing are potentially valuable components to improve theExpand
Electronic health records as a tool for recruitment of participants' clinical effectiveness research: lessons learned from tobacco cessation
TLDR
The accomplishments and lessons learned from a translational team science (clinic/research) approach to the development of an EHR tool for participant recruitment and clinic engagement in tobacco cessation research are described. Expand
Designing a Quality Improvement Program With Electronic Health Records
TLDR
Key design elements used to engage centers’ participation include designating a project champion at each organization, confirming ability to transmit data for reporting and participation, and offering money to facilitate initial engagement; however, financial incentives did not motivate all organizations. Expand
Receipt of evidence-based brief cessation interventions by health professionals and use of cessation assisted treatments among current adult cigarette-only smokers: National Adult Tobacco Survey, 2009–2010
TLDR
Receipt of the ‘5 A’s’ intervention was associated with a significant increase in patients’ use of recommended counseling and medication for cessation, and it is important for health professionals to deliver all 5 A”s when conducting brief cessation interventions with patients who smoke. Expand
Use of systems change and health information technology to integrate comprehensive tobacco cessation services in a statewide system for delivery of healthcare
TLDR
The PRECEDE-PROCEDE model and systems strategies were employed to design and implement the Tobacco Control Initiative, which provides evidence-based cessation services for the patients of a statewide public hospital system. Expand
Closed-Loop Electronic Referral From Primary Care Clinics to a State Tobacco Cessation Quitline: Effects Using Real-World Implementation Training.
TLDR
Real-world implementation of an electronic health record-based electronic referral system markedly increased readiness to quit assessment and quitline referral rates in primary care patients. Expand
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References

SHOWING 1-10 OF 21 REFERENCES
Provider feedback to improve 5A's tobacco cessation in primary care: a cluster randomized clinical trial.
TLDR
EHR-generated provider feedback improved documentation of assistance with tobacco cessation and connected physician offices to a state-level quitline was feasible and well accepted. Expand
Under-use of smoking-cessation treatments: results from the National Health Interview Survey, 2000.
TLDR
Cessation aids are under-used across insurance categories, and advice by a healthcare provider to quit smoking and the number of cigarettes smoked per day were significant predictors of treatment use, regardless of insurance status. Expand
Physician advice for smoking cessation.
TLDR
There was insufficient evidence, from indirect comparisons, to establish a significant difference in the effectiveness of physician advice according to the intensity of the intervention, the amount of follow up provided, and whether or not various aids were used at the time of the consultation in addition to providing advice. Expand
A brief smoking cessation intervention for women in low-income planned parenthood clinics.
TLDR
This brief, clinic-based intervention appears to be effective in reaching and enhancing cessation among female smokers, a traditionally underserved population. Expand
Evaluation of a (pilot) stage-tailored brief smoking cessation intervention among hospital patients presenting to a hospital pre-admission clinic.
TLDR
Brief smoking cessation advice tailored to stage-of-change by a health worker in a hospital pre-admission clinic significantly increased the quit rates for females. Expand
Smoking status as the new vital sign: effect on assessment and intervention in patients who smoke.
TLDR
Expanding the vital signs to include smoking status was associated with a dramatic increase in the rate of identifying patients who smoke and of intervening to encourage and assist with smoking cessation. Expand
Electronic health record use and the quality of ambulatory care in the United States.
TLDR
As implemented, EHRs were not associated with better quality ambulatory care and there was no significant difference in performance between visits with vs without EHR use. Expand
Effectiveness of a brief counseling and behavioral intervention for smoking cessation in pregnant women.
TLDR
Counseling and behavioral brief interventions seem to be promising approaches that can help women stop smoking during pregnancy. Expand
Treating tobacco use and dependence: an evidence-based clinical practice guideline for tobacco cessation.
TLDR
This article summarizes the major findings and clinical recommendations of the US Department of Health and Human Services/Public Health Service Guideline, Treating Tobacco Use and Dependence, which is a comprehensive, evidence-based blueprint for smoking cessation. Expand
Are patients' office visits with physicians getting shorter?
BACKGROUND Many believe that managed care creates pressure on physicians to increase productivity, see more patients, and spend less time with each patient. METHODS We used nationallyExpand
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