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www.ahrq.gov/evidencenow/heart-health/smoking/uspstf-rec.html
August 01, 2018 - USPSTF Recommendation: Tobacco Smoking Cessation in Adults
Resource title: Behavioral Counseling … and Pharmacotherapy Interventions for Tobacco Cessation in Adults: A Review of Reviews for the U.S.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide84.html
October 01, 2014 - Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update … High motivation
Ready to change
Moderate to high self-efficacy
Supportive social network
Tobacco … Tobacco user is ready to quit within a 1-month period. … Tobacco user is confident in his or her ability to quit. … Tobacco user has currently elevated depressive symptoms, active alcohol abuse, or schizophrenia.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide37.html
October 01, 2014 - (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation … evidence that health care policies significantly affect the likelihood that smokers will receive effective tobacco … dependence treatment and successfully stop tobacco use. … For instance, making tobacco dependence treatment a covered benefit of insurance plans increases the … likelihood that a tobacco user will receive treatment and quit successfully.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-resources-help-quit.pptx
August 27, 2018 - 1
Table of Contents
The Opportunity
The Problem
The Solution
Advantages of a Protocol
The Package
Tobacco … Treatment Protocol
Tobacco Treatment Action Guide
Implementation Guidance
Additional Resources on MH … can help clinicians intervene more effectively & consistently by:
Prompting clinicians to identify tobacco … & nicotine dependence
SNOMED codes for smoking/tobacco use
http://millionhearts.hhs.gov/tools
protocols … /protocols.html
8
Tobacco Treatment Action Guide
Actions to improve delivery system design
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide10.html
October 01, 2014 - Final Selected Topics
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version … Tobacco use interventions for individuals with low socio-economic status/limited formal education. … Tobacco use interventions for adolescent smokers. … Tobacco use interventions for pregnant smokers. … Tobacco use interventions for individuals with psychiatric disorders, including substance abuse disorders
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide29.html
October 01, 2014 - Ten Key Guideline Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version … Tobacco dependence is a chronic disease that often requires repeated intervention and multiple attempts … It is essential that clinicians and health care delivery systems consistently identify and document tobacco … use status and treat every tobacco user seen in a health care setting. … Tobacco dependence treatments are effective across a broad range of populations.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide170.html
October 01, 2014 - System Strategies
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation … Implementing a tobacco-user identification system in every clinic ( Systems Strategy 1 ). … Dedicating staff to provide tobacco dependence treatment and assessing the delivery of this treatment … Promoting hospital policies that support and provide tobacco dependence services ( Systems Strategy 4 … Including tobacco dependence treatments (both counseling and medication) identified as effective in this
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-smoking-cessation.pdf
August 20, 2018 - We will be looking at all adults 18 and older for the tobacco measurement
review. … Was there an assessment of tobacco use recorded in a standard field in the EHR within the
24 months … Was the assessment that the patient is not a current tobacco user? … Was the assessment that the patient is a current tobacco user AND received a tobacco
cessation intervention … Was the assessment that the patient is a current tobacco user AND a qualifying tobacco
cessation medication
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-worksheet-mw.pdf
May 19, 2016 - Reminder to order aspirin for primary prevention in appropriate patients
Reminder for intervention in tobacco … cholesterol and/or cholesterol treatment
Standing orders for lipid profiles
Patient education on tobacco … protocol
Blood pressure treatment protocol
Workflow for patient to report home blood pressures
Tobacco … use/smoking assessment part of intake or rooming process
Clinic-based tobacco use/smoking interventions … control among patients with hypertension
Metric for cholesterol treatment or control
Metric for tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide62.html
October 01, 2014 - For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Action
Strategies for implementation
In a clear, strong , and personalized manner, urge every tobacco … Advice should be:
Clear —"It is important that you quit smoking (or using chewing tobacco) now … Personalized —Tie tobacco use to current symptoms and health concerns, and/or its social and economic … costs, and/or the impact of tobacco use on children and others in the household.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide124.html
October 01, 2014 - Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 … Clinical guidelines for prescribing medication for treating tobacco use and dependence
Who should … receive medication for tobacco use? … populations for which there is insufficient evidence of effectiveness (i.e., pregnant women, smokeless tobacco … All seven of the FDA-approved medications for treating tobacco use are recommended: bupropion SR, nicotine
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide73.html
October 01, 2014 - For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Rewards
The clinician should ask the patient to identify potential benefits of stopping tobacco … Enjoyment of tobacco.
Being around other tobacco users. … Tobacco users who have failed in previous quit attempts should be told that most people make repeated
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide28.html
October 01, 2014 - Specific Populations and Other Topics
Treating Tobacco Use and Dependence: 2008 Update Overview … In addition, many of the studies supporting these interventions comprised diverse samples of tobacco … interventions identified as effective in this Guideline are recommended for all individuals who use tobacco … specific populations in which medication has not been shown to be effective (pregnant women, smokeless tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide190.html
October 01, 2014 - Specific Populations and Other Topics
Treating Tobacco Use and Dependence: 2008 Update
Text … In addition, many of the studies supporting these interventions comprised diverse samples of tobacco … interventions identified as effective in this Guideline are recommended for all individuals who use tobacco … specific populations in which medication has not been shown to be effective (pregnant women, smokeless tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide43.html
October 01, 2014 - -New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version … In addition, many of the studies supporting these interventions comprised diverse samples of tobacco … interventions identified as effective in this Guideline are recommended for all individuals who use tobacco … specific populations in which medication has not been shown to be effective (pregnant women, smokeless tobacco
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-b.pdf
January 01, 2025 - The mean practice-level percentage of tobacco users receiving tobacco cessation counseling
across all … Excluding Tennessee, the mean percent of tobacco users receiving
tobacco cessation counseling was 75% … associated with the mean practice-level tobacco cessation interventions,
with the percent of tobacco … Mean practice-
level percent tobacco users receiving tobacco cessation counseling across all grantees … Tobacco Cessation
Across grantees, the mean percentage of tobacco users who received tobacco cessation
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapa.html
March 01, 2013 - Tobacco use counseling and interventions—non-pregnant adults
The USPSTF recommends that clinicians … ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco … Tobacco use counseling—pregnant women
The USPSTF recommends that clinicians ask all pregnant women … about tobacco use and provide augmented, pregnancy-tailored counseling to those who smoke.
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www.ahrq.gov/pqmp/measures/child-clinical-preventive-services.html
February 01, 2020 - Measure Developer: National Collaborative for Innovation in Quality Measurement (NCINQ)
Adolescent Tobacco … Subcategory/Measure
Products
Measure Technical Specifications and Other Supporting Documents *
Tobacco … and Help Quitting Among Adolescents
Fact Sheet (PDF, 647 KB) Full Report (PDF, 315.6 KB)
NCINQ Tobacco … Use and Help Specifications—Prov (PDF, 82 KB) NCINQ Tobacco Use and Help Specifications—Pop (PDF, … 88 KB) NCINQ Tobacco Use and Help Form (PDF, 697 KB) NCINQ Tobacco Use and Help Form—References (PDF
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
October 01, 2014 - For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Address tobacco use at next clinical visit (treat tobacco use as a chronic disease). … If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide60.html
October 01, 2014 - For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version