Tobacco Use Cessation Clinical Trial
Official title:
Transforming the Treatment of Tobacco Use in Health Care: Seizing the Potential of the Electronic Health Record to Deliver Comprehensive Chronic Care Treatment for Smoking: Study 1: the EHR and Fax Referral Study
This study is designed to assess whether completely electronic, HIPAA-compliant, EHR-based, closed-loop referrals for tobacco cessation from primary care clinics to a state telephone tobacco quitline service can increase the number/percentage of adult tobacco users receiving evidence-based tobacco dependence treatment when compared to paper-based fax referrals. This study also will survey clinic staff to evaluate satisfaction with the referral process.
Aim 1: To evaluate the rates of referral of tobacco users visiting primary care clinics to
the WTQL, comparing those who were referred via an EHR-based electronic referral system vs.
those referred via a manual paper fax referral system. Analyses will address the change in
rates of referrals from pre- to post-intervention and the trajectory of referral
post-intervention and will reflect per clinic rates.
Aim 2: To evaluate the rates of quality referrals of tobacco users visiting primary care
clinics to the WTQL, comparing those who were referred via an EHR-based electronic referral
system vs. those referred via a manual paper fax referral system (quality referrals are
defined as ones that result in individuals who enroll in and receive WTQL counseling and/or
medication treatment services). Analyses will address the change in referrals from pre- to
post-intervention and will reflect per clinic rates.
Aim 3: To examine variation in referral rates across clinics to test the hypothesis that the
eReferral system will result in greater consistency in referral in addition to higher rates
of referral. Qualitative methods will be used to understand the sources of variation.
Aim 4: To assess clinician and staff satisfaction with the eReferral and paper fax referral
systems via self-report questionnaires.
Aim 5: To evaluate smoking abstinence rates of tobacco users who were referred to and
accepted services from the WTQL, comparing those who were referred via an EHR-based referral
system vs. those referred via a manual paper fax referral system.
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