Electronic Health Record-Enabled Evidence-Based Smoking Cessation Quality Improvement Implementation Program

Completed

• Conditions: Smoking Cessation
• Interventions: Behavioral: ELEVATE enhancement to electronic health record (EHR) to improve cessation counseling offer; Behavioral: ELEVATE enhancement to electronic health record (EHR) to improve smoking cessation medication offer; Behavioral: Data Driven Feedback reports

• Registration Number: NCT04107857
• Lead Sponsor: Washington University School of Medicine

Brief Summary

The goal of this quality improvement program is to implement, evaluate, and sustain an evidence-based smoking cessation treatment program with a population-based approach so that all patients at the Siteman Cancer Center, Washington University, Barnes-Jewish Hospital, BJC Healthcare, and satellite locations receive assessment of smoking and all smokers receive treatment support.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-09-25
• Study First Submitted QC: 2019-09-26
• Study First Posted: 2019-09-27
• Study Start: 2019-10-02
• Primary Completion: 2020-04-02
• Study Completion: 2024-10-02
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-18
• Last Update Posted: 2024-12-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1000000

Inclusion Criteria

-Patients seen at Siteman Cancer Center, Washington University, Barnes-Jewish Hospital, BJC Healthcare, or any of the satellite locations

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Exclusion Criteria

-None

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Smoking Cessation	ELEVATE enhancement to electronic health record (EHR) to improve cessation counseling offer	* Patients enter the program through clinic appointments or community outreach programs. * Patients will be given brief advice to quit smoking and referral options to receive evidence-based treatment through Missouri/Illinois Quitlines, Smokefree.TXT, or smokefree.gov dependent on the patient's preference for counseling * Patient can also be prescribed smoking cessation pharmacotherapy
Smoking Cessation	Data Driven Feedback reports	* Patients enter the program through clinic appointments or community outreach programs. * Patients will be given brief advice to quit smoking and referral options to receive evidence-based treatment through Missouri/Illinois Quitlines, Smokefree.TXT, or smokefree.gov dependent on the patient's preference for counseling * Patient can also be prescribed smoking cessation pharmacotherapy
Smoking Cessation	ELEVATE enhancement to electronic health record (EHR) to improve smoking cessation medication offer	* Patients enter the program through clinic appointments or community outreach programs. * Patients will be given brief advice to quit smoking and referral options to receive evidence-based treatment through Missouri/Illinois Quitlines, Smokefree.TXT, or smokefree.gov dependent on the patient's preference for counseling * Patient can also be prescribed smoking cessation pharmacotherapy

Primary Outcome Measures

Name	Time	Method
Clinic level percentage of smokers offered referral to additional counseling	From 6 months pre-intervention through 6 months post-intervention
Clinic level percentage of smokers offered medication	From 6 months pre-intervention through 6 months post-intervention
Clinic level percentage of patients receiving brief counseling	From 6 months pre-intervention through 6 months post-intervention

Secondary Outcome Measures

Name	Time	Method
Clinic level percentage of patients receiving brief counseling	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Clinic level percentage of smokers receiving smoking assessment	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Clinic level percentage of smokers receiving cessation medication	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Clinic level percentage of smokers offered medication	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Number of patients who have abstained from smoking	Estimated to be 6 months post-intervention
Clinic level percentage of smokers offered referral to additional counseling	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention

Trial Locations

Locations (1)

Washington University School of Medicine; 🇺🇸 Saint Louis, Missouri, United States