2007 National Conference on Tobacco or Health

Thursday, October 25, 2007 - 1:30 PM
Room 200 B

Hospital Systems for Treating Tobacco Dependence Among Inpatients

Kimber P. Richter, PhD, University of Kansas Medical Center, Department of Preventive Medicine and Public Health, M.S. 1008, krichter@kumc.edu, Nancy Rigotti, Director, Tobacco Research and Treatment Center, Massachusetts General Hospital, nrigotti@partners.org, Michael Burke, EdD, Mayo Clinic, Rochester MN, Burke.Michael1@mayo.edu, Rebecca Hitchcock, RN, Maine Medical Center, Center for Tobacco Independence, HITCHR2@mmc.org, Edward Ellerbeck, MD, University of Kansas Medical Center, Associate Professor, Internal Medicine, eellerbe@kumc.edu.

Learning Objectives: Describe barriers and solutions to identifying, treating, conducting discharge planning, and following up on hospital inpatient smokers Design hospital policies, order sets, and other tools to facilitate identification and treatment Identify a variety of strategies for working with the health care team to facilitate pharmacotherapy in the hospital and on discharge

Background: Hospitals are beginning to adopt tobacco treatment as a core service for inpatients. Effective, evidence-based hospital treatment should include inpatient cessation counseling, pharmacotherapy, and post-discharge follow-up for 3-5 months. It is important to integrate tobacco treatment services into the existing hospital culture and systems in order to effectively identify and treat smokers.

Audience: Clinicians, tobacco control advocates, and researchers

Key Points: Clinicians and researchers from 4 evidence-based hospital programs will present descriptions and data from their services, including 1) how smokers are identified and referred; 2) service components and support materials, 3) coordinating pharmacotherapy; 4) supportive system changes such as new order sets, altering the electronic medical record, changes to discharge planning, and implementing new treatment/indoor air policies; and 5) how tobacco treatment providers interface with other members of the hospital health care team.

Activities: Presenters will describe their programs and discussant Dr. Nancy Rigotti will present Massachusetts General Hospital and Partners programs and discuss themes across presentations. Time will be reserved for audience questions and discussion regarding barriers and solutions for optimizing hospital treatment of tobacco dependence.

Learning Objectives: 1) To describe elements of evidence-based hospital programs 2) To identify hospital systems changes that facilitate identification and treatment of smokers 3) To tailor systems changes to a range of hospital programs

Benefits: The audience will gain expertise in designing effective tobacco treatment programs for hospital inpatients.



Related Web Pages:
www.mayoclinic.org/ndc-rst/
www.mmc.org/mmc_homepage.cfm?id=794
www.kumc.edu/prevmed/
www.massgeneral.org/cancer/research/basic/affiliated/medicine/rigotti.asp