Health Care Systems

2008 Clinical Practice Guideline Update:
Treating Tobacco Use and Dependence. Download the 2008 update to this important new guideline for tobacco cessation. You can also visit http://www.surgeongeneral.gov/tobacco for the updated Clinicians Guide and stop smoking materials.

Systems Change: Treating Tobacco Use and Dependence (2008)
Based on the 2008 Public Health Service (PHS) Clinical Practice Guideline.  Describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependence.

Fax to Quit Manual: A Step-by-Step Guide for Healthcare Organizations
(February 2008)
Developed by the Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine & Public Health.

Healthcare Provider Reminder Systems, Provider Education, and Patient Education: Working with Healthcare Delivery Systems to Improve the Delivery of Tobacco-Use Treatment to Patients—An Action Guide (2008)
An evidence-based tool developed by Partnership for Prevention and CDC that provides guidance on how to work with healthcare delivery systems to improve rates of tobacco-use treatment.

Destination Tobacco-Free: A Practical Tool for Hospitals & Health Systems
Practical advice, examples, and adaptable templates can help health care employees, patients and visitors become and remain tobacco-free.

A Practical Guide to Working with Health-Care Systems on Tobacco-Use Treatment (2006) Developed by the Centers for Disease Control, Office on Smoking and Health

Achievements in Tobacco Cessation: Case Studies (June 2000)
Case studies from the U.S. Public Health Service.

America's Health Insurance Plans (AHIP)
Includes public health and prevention statements of support.

Interagency Committee on Smoking and Health (ICSH)
Coordinates Department of Health and Human Services' research, educational programs, and other smoking and health efforts with similar activities of other federal, state, local, and private agencies.

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Measurement Information Forms include common national smoking cessation performance measures for hospitals.

Priority Areas for National Action: Transforming Health Care Quality (2003)
Institutes of Medicine’s recommendations for 20 priority areas to improve the quality of health care delivered to all Americans.

Crossing the Quality Chasm: A New Health System for the 21st Century (March 2001)
This report from the Institute of Medicine focuses on closing the quality gap between what we know to be good health care and the health care that people actually receive.

Designing a Model Cessation Benefit for Managed Care Coverage (November 2002) / California
Developed by the Next Generation California Tobacco Control Alliance (NGA), this short policy brief describes NGA's plan to make cessation treatments more accessible and available to Californians. The brief describes the proposed coverage and co-pays for pharmaceuticals (e.g., the patch) and counseling.

Treating Tobacco Use and Dependence: In Hospitalized Smokers (October 2002)
Designed to assist hospitals to successfully integrate smoking cessation interventions into every hospitalization for every patient admitted who smokes. Developed by the Center for Tobacco Research and Intervention, University of Wisconsin Medical School.

Treating Tobacco Use and Dependence: A PLANNING GUIDE for Obstetric Health Care Practice Sites (2004)
A planning guide for obstetric health care practice sites to assist them in implementing office systems for smoking cessation services.

Websites:

Step Up!
Step Up! is a statewide partnership to improve health by supporting hospitals to make the hospital campus tobacco-free; provide effective stop-smoking benefits for all employees; ask, advise, and assist all patients to quit tobacco; and lead other local businesses to curb tobacco use.

University of Arkansas for Medical Sciences
UAMS College of Public Health Smoke-Free Hospital Toolkit Resource list

University of Michigan Health System (UMHS)
UMHS Smoke-Free Hospital CD/Toolkit

Publications:

Curry SJ, Grothaus LC, McAfee T, Pabiniah C (CK). Use and cost-effectiveness of smoking cessation services under four insurance plans in a health maintenance organization. New England Journal of Medicine 1998; 673-9.

Fiore MC, Keller PA, Curry SJ. Health System Changes to Facilitate the Delivery of Tobacco-Dependence Treatment.  Am J Prev Med 2007;33(6S):349-356. Click to view publication.

Manley MW, Griffin T, Foldes SS, et al. The role of health plans in tobacco control. Annu Rev Public Health 2003. 24:247-266.

Quinn VP, Stevens VJ, Hollis JF, et. al. Tobacco cessation services and patient satisfaction in nine non-profit HMO’s. Am J Prev Med 2005; 29(2).

Revell, CC. Schroeder, SA. Simplicity matters: Using system-level changes to encourage clinician intervention in helping tobacco users quit. Nicotine & Tobacco Research 2005; Vol 7, Suppl 1:S67-69.

Schauffler HH, Mc Menamin S, Olsen K, Boyce-Smith G, Rideout JA, Kamil J. Variations in treatment benefits influence smoking cessation: Results of a randomized controlled trial. Tobacco Control 2001;10:175-80.

Wagner E, Curry SJ, Grothuas L, et al. The impact of smoking and quitting on health care use. Arch Intern Med 1995;155:1789-1795.

Warner KE. Cost effectiveness of smoking-cessation therapies. Interpretation of the evidence and implications for coverage. Pharmacoeconomics 1997; 11(6):538?49.

West, R, Sohal T. "Catastrophic" pathways to smoking cessation: findings from national survey. BMJ 2006;332:458-460.

Supplement: Addressing Tobacco in Managed Care. Nicotine & Tobacco Research - Official Journal of the Society for Research on Nicotine and Tobacco Volume 7 / Supplement 1 / April 2005.