Problem/Objective: The Ohio Bureau of Child and Family Health Services funded a smoking cessation initiative among pregnant women and young families in the WIC and Help Me Grow programs. The Ohio Partners for Smoke-Free Families pilot is being implemented between 2006 and 2007 in four geographically diverse counties. The purpose is to determine how the 5 A's can be delivered by clinic staff prior to a statewide dissemination effort. Methods: Sources of evaluation data include key informant interviews, baseline and follow-up provider surveys, chart audits, and quitline referrals. Results: Preliminary esults from baseline provider surveys (n=41) revealed: 100% ask about tobacco use; 59% believe they have responsibility for addressing tobacco use; 64% felt they had time to discuss tobacco use during client visits; 55% felt they have the resources to help clients quit smoking. After instituting a tobacco flow sheet in 11 clinics, baseline chart audits (n=71) showed that 44% of tobacco users received at least two components of the 5 A's. We will provide feedback to improve clinic performance and monitor progress over the next 4 months. Final data will be collected by June 2007. Conclusions: With Medical Director leadership, clinics can partially incorporate the 5 A's into their daily routine within several months. Standardized documentation, free materials, mandatory training, and on-going technical assistance are the minimum requirements for success. To achieve state-wide dissemination, the state-level WIC and Help Me Grow programs must incorporate tobacco screening and treatment into their program requirements and electronic data collection systems.