Using the chronic care model to address tobacco in health care delivery organizations: a pilot experience in Washington state

Health Promotion Practice
Beatriz H CarliniJuliet Thompson

Abstract

This article describes a Washington State-based Systems Change Pilot Project in which the chronic care model and the model for improvement were used as tools to promote tobacco cessation-related changes within a health care system. Three diverse sites participated in the pilot. Site teams tailored plan-do-study-act tests to site circumstances, addressing current resources and barriers to implementing change. Teams tested system changes that incorporated tobacco use documentation into the routine health services provided. Findings from this pilot suggest that (a) even simple changes with minimal disruption of services can make a difference in improving documentation of tobacco use status; (b) changes to routine practices of health organizations may not be sustainable if ongoing quality assurance mechanisms are not developed; and (c) systems implemented for other disease states within the same organization or patient population are not instinctively applied to tobacco, because of a multitude of factors.

References

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Citations

Jan 30, 2014·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Amy K FerketichMary Ellen Wewers
Jun 27, 2013·Healthcare Management Forum·Saskia N Sivananthan, Larry W Chambers
Sep 26, 2012·The Journal of Continuing Education in the Health Professions·Kelly M CarpenterSusan A Stoner
Apr 13, 2012·Health Promotion Practice·Gillian L SchauerSusan M Zbikowski
Mar 8, 2017·International Journal of Mental Health Nursing·Helen Bingham, Anthony John O'Brien

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