Rapid Cycle Evaluation and Adaptation of an Inpatient Tobacco Treatment Service at a U.S. Safety-Net Hospital.

ABSTRACT:

Background

To address disparities in smoking rates, our safety-net hospital implemented an inpatient tobacco treatment intervention: an "opt-out" electronic health record (EHR)-based Best Practice Alert + order-set, which triggers consultation to a Tobacco Treatment Consult (TTC) service for all hospitalized patients who smoke cigarettes. We report on development, implementation, and adaptation of the intervention, informed by a pre-implementation needs assessment and two rapid-cycle evaluations guided by the Consolidated Framework for Implementation Research (CFIR) and Expert Recommendations for Implementing Change (ERIC) compilation.

Methods

We identified stakeholders affected by implementation and conducted a local needs assessment starting 6 months-pre-launch. We then co

SUBMITTER: Kathuria H 

PROVIDER: S-EPMC9981890 | biostudies-literature | 2021 Jan-Dec

REPOSITORIES: biostudies-literature