Curated here are the best resources and tools to help increase the capacity of health systems to routinely intervene with their patients that use commercial tobacco.
Smoking Cessation Leadership Center (University of California San Francisco)
Twin Cities Medical Society’s Physician Advocacy Network: Tobacco tools and more.
TRAINING AND RESOURCE TOOLS
“HOW TO” TOOLS AND RESOURCES
Agency for Health Care Research and Quality: This website provides clear systems change strategies, recommendations, evidence and the cost-effectiveness on systems change efforts to treat tobacco use dependence.
American Academy of Family Physicians Ask and Act: A Tobacco Cessation Program Manual: This manual provides information on assessing your current health system and defining a new system based on the Ask and Act protocol. It also includes helpful tips around motivational interviewing, referrals and follow-up, and standardizing your systems change approaches.
DIMENSIONS: Tobacco Free Toolkit for Healthcare Providers: This is designed for a broad range of health care providers and includes information on tobacco use, skills for tobacco cessation discussions and interventions, and efficient methods to assess a patient’s readiness to quit, plus cessation treatment resources. You’ll also find several supplements for priority populations, including those with mental illness, low-income individuals and pregnant and postpartum women.
Expert Consensus Decision Pathway on Tobacco Cessation Treatment developed by the American College of Cardiology. This tool provides a comprehensive and structured approach to evaluating and treating tobacco dependence. The website also includes the Tobacco Cessation For Patients with Cardiovascular Disease Clinician Tool, along with patient resources such as infographics, tips and more.
Help Your Patients Quit Tobacco Use: An Implementation Guide for Community Health Centers: This popular guide provides clear steps on how to plan, prepare and implement tobacco treatment interventions into Community Health Centers. It includes a section on how to deal with challenges and a sample intervention model and EHR builds with specific case studies shared at the end of the guide.
Million Hearts Tobacco Cessation Protocols: This website includes a number of tools and resources. There are also templates where providers can “Create Your Own Protocols” for tobacco cessation interventions.
New York City Department of Health and Mental Hygiene: Tobacco Quit Kit: The Tobacco Quit Kit contains clinical tools, resources for providers, and patient education materials to promote evidence-based practices for tobacco cessation.
Tobacco Health Systems Change Starter Toolkit for Clinics: This toolkit provides key resources and practical tools to help clinics and health systems improve how they address tobacco use. Many of these resources have been used by our network of champions advancing tobacco as a priority across their health system.
OTHER PROVIDER TOOLS
Million Hearts Tobacco Cessation Action Guide: Identifying and treating patients who use tobacco: An action guide for clinicians. This is a short and simple action guide that includes three tables; 1) Actions to improve tobacco cessation delivery systems design; 2) The 5 A’s Tobacco Cessation Brief Intervention Model; and 3) FDA-Approved Tobacco Cessation Medications
WellShare International: WellShare International utilizes a Community Health Worker model for all of its programs, including its East African and Karen Smoke-Free Programs. You can find free health education resources on their website, including Somali and Karen-language educational videos.
TRAINING AND CME COURSES FOR PROVIDERS
American Academy of Pediatrics – Training and CME Courses: This website provides a comprehensive list of effective training and CME courses to build tobacco use cessation and secondhand smoke exposure knowledge. This includes a list of courses from the AAP and other organizations.
Rx for Change – Clinician-Assisted Tobacco Cessation: Rx for Change: Clinician-Assisted Tobacco Cessation is a comprehensive tobacco cessation training program that provides health professional students and practicing clinicians with evidence-based knowledge and skills for assisting patients with quitting (University of California, San Francisco).
Tobacco Treatment Specialist Training Information
Where can you or your providers get certified as a Tobacco Treatment Specialist? See the full list of accredited training programs from the Council for Tobacco Treatment Training Programs
University of Massachusetts Medical School: The UMASS Medical School Center for Tobacco Treatment Research and Training has a Train the Trainer in Tobacco Treatment (T4) program.
SPECIALTY POPULATIONS & SETTINGS
American Indian Community
HeathCare Partnership – Native American Resources: This website provides key reports, resources and specific tools to set up and implement a commercial tobacco dependence treatment process. It includes an assessment survey tool, a patient intake form, and a follow-up form that can be freely modified to fit your needs.
Treating Tobacco Use and Dependence: A Toolkit for Dental Office Teams: This toolkit was created by the University of Wisconsin – CTRI, Wisconsin Dental Association, and Delta Dental. It includes the 5A’s model for treating tobacco use, medication resource materials for clinicians, patient education materials, and more.
Tobacco Cessation Toolkit for Indiana Dental Practices: This toolkit provides information needed to effectively address patient tobacco use, including a step-by-step process for developing a tobacco cessation program with key roles for each member of the dental team. It also include common barriers and potential solutions. PDF shared with permission of the Indiana Dental Association.
Treating Tobacco Use and Dependence in Hospitalized Patients: A Practical Guide: Developed by the University of Wisconsin Center for Tobacco Research and Intervention and Wisconsin Hospital Association, this guide provides practical steps to developing a successful hospital-wide cessation program.
American Academy of Pediatrics; Clinicians and Clinical Practice: This website includes helpful clinical practice information and tools and resources to address tobacco use in the clinical setting.
CEASE: The Clinical Effort Against Secondhand Smoke Exposure (CEASE), is a program developed at Massachusetts General Hospital to effectively address family tobacco use.
People Living with Mental Health & Substance Abuse Disorders
About 1 in 4 Mental Health Treatment Facilities Offered Services to Quit Smoking (SAMHSA Data Spotlight)
How to Address Tobacco Use in Minnesota’s Mental Health and Substance Use Disorder Services: TIPS FROM THE FIELD: This guide provides easy-to-follow information and resources that meet the needs of mental illness and substance use disorder treatment organizations wanting to incorporate standard tobacco treatment and support services.
American College of Chest Physicians – Tobacco Dependence Toolkit: A user-friendly, interactive online toolkit.
Veterans & Military
Veterans Health Administration (VHA): Tobacco use cessation treatment guidance. This three-part treatment guidance includes two easy-to-use charts and a table detailing VHA medication options. Part 1 Part 2 Part 3
A Time to Lead: The Case for Integrating Treatment of Tobacco Use in the Treatment of Other Substance Use and Mental Health Disorders: “A Time to Lead” is an appeal for action. Its purpose is to bring to light the urgent need to integrate evidence-based treatment of nicotine dependence into the protocols for treating substance use and mental disorders in the United States. March 2017,
American Academy of Family Practice 2008, Clinical Practice Guidelines. See Chapter 5, Systems Interventions – Importance to HealthCare, Administrators, Insurers, and Purchasers.
An Argument for Change in Tobacco Treatment Options Guided by the ASAM Criteria for Patient Placement, Williams, Jill et al. Journal of Addiction Medicine, September-October 2016.
Editorial: Prevention Priorities: Guidance for Value-Driven Health Improvement, co-authored by George Isham, M.D., M.S., HealthPartners Institute. Annals of Family Medicine, January/February, 2017.
VIDEOS & WEBINARS
American Academy of Family Physicians: Office Champions, A Systems Change Approach: Includes a 25 minute training video.
Smoking Cessation Leadership Center Webinar Series: On a variety of tobacco control and cessation topics.
Addressing Nicotine Dependence – An Integrated Approach: Pete Dehnel, M.D., & Grace Higgins, M.P.H., Physician Advocacy Network
How to Ask About Tobacco Without Starting a Fire: Joel Spoonheim, HealthPartners
Medication Education for Tobacco Dependence: Krista Rouse, Pharm.D., Essentia Health
Smoking Cessation 2017: The Patient Perspective: Nabeel Ailabouni, D.O., CentraCare Big Lake Clinic
Tobacco Dependence Treatment: A System’s Change Approach, Jill Doberstein, M.A.P.L., C.T.T.S., Essentia Health