|Health care systems should ensure that clinicians have sufficient training to treat tobacco dependence, clinicians and patients have resources, and clinicians are given feedback about their tobacco dependence treatment practices.
Educate all staff. On a regular basis, offer training (e.g., lectures, workshops, in-services) on tobacco dependence treatments and provide continuing education (CE) and/or other incentives for participation.
Provide resources such as ensuring ready access to tobacco quitlines (e.g., 1-800-QuitNow) and other community resources, self-help materials, and information about effective tobacco use medications (e.g., establish a clinic fax-to-quit service, place medication information sheets in examination rooms).
Report the provision of tobacco dependence interventions on report cards or evaluative standards for health care organizations, insurers, accreditation organizations and physician group practices (e.g., HEDIS, the Joint Commission (formerly JCAHO), and Physician Consortium for Performance Improvement).
Provide feedback to clinicians about their performance, drawing on data from chart audits, electronic medical records, and computerized patient databases. Evaluate the degree to which clinicians are identifying, documenting, and treating patients who use tobacco.