OJPM  Vol.3 No.1 , February 2013
Use of systems change and health information technology to integrate comprehensive tobacco cessation services in a statewide system for delivery of healthcare
ABSTRACT
Despite the availability of effective treatments and recommendations for systems change, full application of the USPublic Health Service clinical practice guideline for the treatment of tobacco use is seldom achieved. The present report describes a comprehensive, structured approach used to implement the guideline and to integrate evidence-based cessation services into a system for delivery of health care. The PRECEDE-PROCEDE model and systems strategies were employed to design and implement the Tobacco Control Initiative (TCI), which provides evidence-based cessation services for the patients of a statewide public hospital system. For the TCI, multi-level assessments, pilot programs, electronic data collection, and performance feedback were needed to produce system-wide changes in workflow and in the quality of care for tobacco users. Although there are advances in health information technology (HIT), systems approaches are required for responding effectively to the Health Information Technology for Economic and Clinical Health (HI-TECH) Act and to standards governing use of electronic data related to treatment of tobacco use and dependence.

Cite this paper
Moody-Thomas, S. , Celestin Jr., M. and Horswell, R. (2013) Use of systems change and health information technology to integrate comprehensive tobacco cessation services in a statewide system for delivery of healthcare. Open Journal of Preventive Medicine, 3, 75-83. doi: 10.4236/ojpm.2013.31010.
References
[1]   Centers for Disease Control and Prevention (US), National Center for Chronic Disease Prevention and Health Promotion (US), Office on Smoking and Health (US) (2010) How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease. A report of the surgeon general. Centers for Disease Control and Prevention (US), Atlanta (GA).

[2]   Centers for Disease Control and Prevention (CDC) (2008) Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000-2004. Morbidity and Mortality Weekly Report (MMWR), 57, 1226-1268.

[3]   Office of the Surgeon General (US), Office on Smoking and Health (US) (2004) The health consequences of smoking: A report of the surgeon general. Centers for Disease Control and Prevention (US), Atlanta (GA).

[4]   Centers for Disease Control and Prevention (CDC) (2009) State-specific smoking-Attributable mortality and years of potential life lost—United States, 2000-2004. Morbidity and Mortality Weekly Report (MMWR), 58, 29-33.

[5]   Centers for Disease Control and Prevention (CDC) (2011) Vital signs: Current cigarette smoking among adults aged ≥ 18 years—United States, 2005-2010. Morbidity and Mortality Weekly Report (MMWR), 60, 1207-1212.

[6]   Curry, S.J., Sporer, A.K., Pugach, O., Campbell, R.T. and Emery S. (2007) Use of tobacco cessation treatments among young adult smokers: 2005 national health interview survey. American Journal of Public Health, 97, 14646-1469. doi:10.2105/AJPH.2006.103788

[7]   Stead, L.F., Bergson, G. and Lancaster, T. (2008) Physician advice for smoking cessation. Cochrane Database of Systematic Reviews, 2, Article ID: CD000165. doi:10.1002/14651858.CD000165.pub3

[8]   Cokkinides, V.E., Ward, E., Jemal, A. and Thun, M.J. (2005) Under-use of smoking cessation treatments: Results from the National Health Interview Survey, 2000. American Journal of Preventive Medicine, 28, 119-122. doi:10.1016/j.amepre.2004.09.007

[9]   Fiore M.C., Bailey W.C., Cohen S.J., Dorfman, S.F., Goldstein, M.G., Gritz, E.R., et al. (2000) Treating tobacco use and dependence. Clinical practice guideline. Department of Health and Human Services, Rockville.

[10]   Orleans, C.T. (1998) Challenges and opportunities for tobacco control: The robert wood johnson foundation agenda. Tobacco Control, 7, S8-S10. doi:10.1136/tc.7.2008.S8

[11]   Curry, S.J. (2000) Organizational interventions to encourage guideline implementation. CHEST, 118, 40S-46S. doi:10.1378/chest.118.2_suppl.40S

[12]   Curry, S.J., Orleans, C.T., Keller, P. and Fiore, M. (2006) Promoting smoking cessation in the healthcare environment. American Journal of Preventive Medicine, 31, 269-272. doi:10.1016/j.amepre.2006.05.003

[13]   Fiore M.C., Jaén C.R., Baker T.B., Bailey, W.C., Benowitz, N.L., Curry, S.J., et al. (2008) Treating tobacco use and dependence: 2008 update. Clinical Practice Guideline, US Department of Health and Human Services, Rockville.

[14]   Moolchen, E.T., Fagan, P., Fernander, A.F., Velicer, W.F., Hayward, M.D., King, G., et al. (2007) Addressing tobacco related health disparities. Addiction, 102, 30-42. doi:10.1111/j.1360-0443.2007.01953.x

[15]   Zapka, J.G., White, M.J., Reed, G., Ockene, J.K., List, E., Pbert, L., Jolicoeur, D. and Reiff-Hekking, S. (2005) Organizational systems to support publicly funded tobacco treatment services. American Journal of Preventive Medicine, 28, 338-345. doi:10.1016/j.amepre.2005.01.008

[16]   Santos, L., Braun, K., Aea, K. and Shearer, L. (2008) Institutionalizing a comprehensive tobacco cessation protocol in an indigenous health system: Lessons learned. Progress in Community Health Partnerships, 2, 279-289. doi:10.1353/cpr.0.0038

[17]   Foley, K.L., Pockey, J.R., Helme, D.W., Song, E.Y., Steward, K., Jones, C., Spangler, J.G. and Sutfin, E.L. (2012) Integrating evidence-based tobacco cessation interventions in free medical clinics: Opportunities and challenges. Health Promotion Practice, 13, 687-695. doi:10.1177/1524839911433465

[18]   Centers for Disease Control (CDC) (2001) Behavioral risk factor surveillance system survey data. US Department of Health and Human Services, Atlanta

[19]   Horswell, R., Butler, M.K., Kaiser, M., Moody-Thomas, S., McNabb, S., Besse, J., et al. (2008) Disease management programs for the underserved. Disease Management, 11, 145-152. doi:10.1089/dis.2007.0011

[20]   Boyle R., Solberg L. and Fiore, M. (2011) Use of electronic health records to support smoking cessation. Cochrane Database of Systematic Reviews, 12, Article ID: CD008743. doi:10.1002/14651858.CD008743.pub2

[21]   National Cancer Institute. (2007) Greater than the sum: Systems thinking in tobacco control: Tobacco control monograph No. 18. US Department of Health and Human Services, Bethesda.

[22]   Green, L.W. and Kreuter, M.W. (2005). Health program planning: An educational and ecological approach. Mc-Graw-Hill Higher Education, New York.

[23]   McPhillips-Tangum, C., Rehm, B., Carreon, R., Erceg, C.M. and Bocchino, C. (2006) Addressing tobacco in managed care: Results of the 2003 survey. Preventing Chronic Disease, 3, 1-11.

[24]   Thomas, S.M., Horswell, R., Celestin, M.D., Dellinger, A.B., Kaiser, M. and Butler, M. (2011) Awareness and implementation of the 2000 United States public health service Tobacco dependence treatment guideline in a pubic hospital system. Population Health Management, 4, 79-85. doi:10.1089/pop.2010.0004

[25]   Krejci, R. (2000) Tobacco cessation program implementation—From plans to reality: Skill building workshop-network model. Tobacco Control, 9, i33-i36. doi:10.1136/tc.9.suppl_1.i33

[26]   National Tobacco Cessation Collaborative (2002) A national blueprint for disseminating and implementing evidence-based clinical and community strategies to promote tobacco-use cessation. http://www.tobacco-cessation.org/PDFs/blueprint_adult.pdf

[27]   Glasgow, R.E., Vinson, C., Chambers, D., Khoury, M.J., Kaplan, R.M. and Huncer, C. (2012) National institutes of health approaches to dissemination and implementation science: Current and future directions. American Journal of Public Health, 102, 1274-1281. doi:10.2105/AJPH.2012.300755

[28]   Institute of Medicine (2001) Crossing the quality chasm: A new health system for the 21st century. National Academies Press, Washington DC.

[29]   Pawson, R., Greenhalgh, T., Harvey, G. and Walshe, K. (2005) Realist review—A new method of systematic review designed for complex policy interventions. Journal of Health Service Research and Policy, 10, 21-34. doi:10.1258/1355819054308530

[30]   Shiell, A., Hawe, P. and Gold, L. (2008) Complex interventions or complex systems? Implications for health economic evaluation. British Medical Journal, 336, 1281-1283. doi:10.1136/bmj.39569.510521.AD

[31]   Bentz, C.J., Bayley, K.B., Bonin, K.E., Fleming, L., Hollis, J.F., Hunt, J.S., et al. (2007) Provider feedback to improve 5A’s tobacco cessation in primary care: A cluster randomized clinical trial. Nicotine and Tobacco Research, 9, 341-349. doi:10.1080/14622200701188828

[32]   Mallen, M.J., Blalock, J.A. and Cinciripini, P.M. (2006) Using technology to serve patients and practitioners: A comprehensive tobacco cessation program for cancer patients. Counseling and Psychotherapy Research, 6, 196-201. doi:10.1080/14733140600857550

[33]   Sherman, S. (2008) A framework for tobacco control: Lessons learned from Veterans Health Administration. British Medical Journal, 336, 1016-1019. doi:10.1136/bmj.39510.805266.BE

[34]   Lindholm, C., Adsit, R., Bain, P., Reber, P.M., Brein, T., Redmond, L., Smith, S.S. and Fiore, M.C. (2010) A demonstration project for using the electronic health record to identify and treat tobacco users. Wisconsin Medical Journal, 109, 335-340.

[35]   Rigotti, N.A., Munafo', M.R. and Stead, L.F. (2007) Interventions for smoking cessation in hospitalized patients. Cochrane Database of Systematic Reviews, 5, Article ID: CD001837. doi:10.1002/14651858.CD001837.pub3

[36]   Rigotti, N.A. (2011) Integrating comprehensive tobacco treatment into the evolving US health care system. Archives of Internal Medicine, 171, 53-55. doi:10.1001/archinternmed.2010.491

[37]   Blumenthal, D. and Tavenner M. (2012) The meaningful use regulation for electronic health records. New England Journal of Medicine, 363, 501-504. doi:10.1056/NEJMp1006114

[38]   Leishcow, S.J. and Milstein, B. (2006) Systems thinking and modeling for public health practice. American Journal of Public Health, 96, 403-406. doi:10.2105/AJPH.2005.082842

 
 
Top