171. Systems Strategy 1. Implement a tobacco-user identification system in every clinic
|Action||Strategies for implementation|
|Implement an office-wide system that ensures that for EVERY patient at EVERY clinic visit, tobacco-use status is queried and documented.||
Office system change: Expand the Vital Signs to include tobacco use or implement an alternative universal identification system.
Responsible staff: Nurse, medical assistant, receptionist, or other individual already responsible for recording the vital signs. These staff must be instructed regarding the importance of this activity and serve as nonsmoking role models.
Frequency of utilization: Every visit for every patient regardless of the reason for the visit.a
System implementation steps: Routine smoker identification can be achieved by modifying electronic medical record data collection fields or progress note in paper charts to include tobacco use status as one of the vital signs.
Blood Pressure: ______________________
Pulse: _______ Weight: _________
Respiratory Rate: _____________________
Tobacco Use: Current Former Never (circle one)
a. Repeated assessment is not necessary in the case of the adult who has never used tobacco or not used tobacco for many years, and for whom this information is clearly documented in the medical record.