An electronic health record-based intervention to improve tobacco treatment in primary care: a cluster-randomized controlled trial.

ABSTRACT:

Background

To improve the documentation and treatment of tobacco use in primary care, we developed and implemented a 3-part electronic health record enhancement: (1)smoking status icons, (2) tobacco treatment reminders, and (3) a Tobacco Smart Form that facilitated the ordering of medication and fax and e-mail counseling referrals.

Methods

We performed a cluster-randomized controlled trial of the enhancement in 26 primary care practices between December 19, 2006, and September 30, 2007. The primary outcome was the proportion of documented smokers who made contact with a smoking cessation counselor. Secondary outcomes included coded smoking status documentation and medication prescribing.

Results

During the 9-month study period, 132 630 patients made 315 962 visits to

SUBMITTER: Linder JA 

PROVIDER: S-EPMC3005286 | biostudies-literature | 2009 Apr

REPOSITORIES: biostudies-literature