Treating Tobacco Use and Dependence in Hospitalized Patients

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Table of Contents

Section 1, Introduction
Tobacco dependence treatment in the hospital setting
Why hospitals should implement the Joint Commission tobacco measure set
The Joint Commission’s tobacco measure set
Tobacco measure set specifications
Tobacco dependence treatment inpatient flow chart

Section 2, Developing a Successful Hospital-wide Tobacco Cessation Program to Meet the Joint Commission Tobacco Measure Set
Getting Started
Step 1:  Assemble a multidisciplinary team to develop the program
Step 2:  Conduct an assessment of existing tobacco use treatment services
Step 3:  Set measurable tobacco cessation goals to meet Joint Commission standards
Step 4:  Train staff to deliver evidence-based tobacco cessation treatment
Step 5:  Identify a tobacco cessation counselor or counseling team
Step 6:  Assess current medical record system and modify as needed

Implementation: Joint Commission Tobacco Measures
TOB-1 Tobacco Use Screening
TOB-2 Tobacco Use Treatment Provided or Offered During the Hospital Stay
TOB-3 Tobacco Use Treatment Provided or Offered at Discharge
TOB-4 Tobacco Use: Assessing Status after Discharge

Section 3, Other Considerations When Treating Tobacco Dependence in Hospitals
Coding/Billing/Reimbursement
Tobacco users who are unwilling to quit
Obstetrics/Maternity units
Patient education
               
Section 4, Resources
Resources
Programs/Training
Hospital references

• Appendix 1, Hospital Assessment of Tobacco Use Procedures and Policies Worksheet
  
  
• Appendix 2A, Physician’s Orders for Nicotine Dependence Treatment
  
  
• Appendix 2B, Tobacco Abstinence Standing Order Set
  
  
• Appendix 3, Respiratory Therapy Referral Tobacco Cessation Intervention and Education
  
  
• Appendix 4, Not Ready to Quit Tobacco Assessment and Education Form
  
  
• Appendix 5A, Prenatal Five A’s Tobacco Cessation Intervention Record
  
  
• Appendix 5B, Postnatal Five A’s Tobacco Cessation Intervention Record
  
  
• Appendix 5C, Smoke-Free Families Postpartum Assessment Form
  
  
• Appendix 6, Wisconsin Tobacco Quit Line Fax to Quit Sample Form
  
  
• Appendix 7, Wisconsin Tobacco Quit Line Fax to Quit Treatment Outcome Sample Form
  
  
• Appendix 8, Tobacco Cessation Discharge Plan
  
  
• Appendix 9, Sample letter to Primary Care Provider Regarding a Hospital Tobacco Cessation Intervention

Selected text adapted with permission from Partnership for Prevention's Helping Patients Quit: Implementing the Joint Commission Tobacco Measure Set in Your Hospital

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