ArticleJournal of general internal medicine2012
Implementation of an electronic health record-based care management system to improve tobacco treatment.
Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Proactive Referral to Behavioral Smoking Cessation Programs by Healthcare Staff: A Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Pooled it
- Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis.BMJ health & care informatics · 2019Pooled it
- Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- A systematic review of smartphone applications for smoking cessation.Translational behavioral medicine · 2017Pooled it
- Assessing the Efficacy of Pre-professional Students in Identifying and Delivering Interventions to Current Smokers.Journal of general internal medicine · 2025Article
- MiQuit: A Study Protocol to Link Low-Income Smokers to a State Tobacco Quitline.Ethnicity & disease · 2023Article
- Implementation of a multi-level community-clinical linkage intervention to improve glycemic control among south Asian patients with uncontrolled diabetes: study protocol of the DREAM initiative.BMC endocrine disorders · 2021Article
- Mining Electronic Health Records to Promote the Reach of Digital Interventions for Cancer Prevention Through Proactive Electronic Outreach: Protocol for the Mixed Methods OptiMine Study.JMIR research protocols · 2020Article
- Recent cessation attempts and receipt of cessation services among a diverse primary care population - A mixed methods study.Preventive medicine reports · 2019Article
- Health System Implementation of a Tobacco Quitline eReferral.Applied clinical informatics · 2019Article
- A Comprehensive Digital Program for Smoking Cessation: Assessing Feasibility in a Single-Group Cohort Study.JMIR mHealth and uHealth · 2018Article
- Identifying Differences in Rates of Invitation to Participate in Tobacco Treatment in Primary Care.WMJ : official publication of the State Medical Society of Wisconsin · 2018Article
- Protocol for project IMPACT (improving millions hearts for provider and community transformation): a quasi-experimental evaluation of an integrated electronic health record and community health worker intervention study to improve hypertension management among South Asian patients.BMC health services research · 2017Article
- Offering smoking treatment to primary care patients in two Wisconsin healthcare systems: Who chooses smoking reduction versus cessation?Preventive medicine · 2017Article
- The Prevalence of Tobacco Use at Federally Qualified Health Centers in the United States, 2013.Preventing chronic disease · 2017Article
- Effect of systems change and use of electronic health records on quit rates among tobacco users in a public hospital system.American journal of public health · 2015Article
- Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers.American journal of public health · 2015Article
- Using the electronic health record to connect primary care patients to evidence-based telephonic tobacco quitline services: a closed-loop demonstration project.Translational behavioral medicine · 2014Article
- Parental tobacco screening and counseling in the pediatric emergency department: practitioners' attitudes, perceived barriers, and suggestions for implementation and maintenance.Journal of emergency nursing · 2014Article
- Integrating community health workers within Patient Protection and Affordable Care Act implementation.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundTobacco treatment is underused in primary care. We designed a Tobacco Care Management system to increase the delivery of treatment and reduce the burden on primary care providers (PCPs). A one-click functionality added to the electronic health record (EHR) allowed PCPs to refer smokers to a centralized tobacco treatment coordinator (TTC) who called smokers, provided brief counseling, connected them to ongoing treatment and gave feedback to PCPs.
objectiveTo study the system's feasibility and acceptability among PCPs, and its utilization by smokers.
designUsing a mixed methods design, we documented system utilization quantitatively from February 1, 2010 to July 31, 2011, and conducted two focus groups with PCPs in June 2011.
participantsThirty-six PCPs and 2,894 smokers from two community health centers in Massachusetts. MAIN MEASURES: Quantitative: One-click referral utilization by PCPs, proportion of smokers referred and connected to treatment. Qualitative: PCPs' reasons for use, barriers to use, and experiences with feedback. KEY
resultsTwenty-nine PCPs (81 %) used the functionality more than once, generating 466 referrals for 15 % of known smokers seen during the study. The TTC reached 260 (56 %) of the referrals and connected 135 (29 %) to additional treatment. The director of one center sent PCPs monthly feedback about their utilization compared to peers. These PCPs referred a greater proportion of their known smokers (18 % vs. 9 %, p<0.0001) and reported that monthly feedback motivated referrals. PCPs attending focus groups (n=24) appreciated the system's simplicity, access to updated resources, and time-efficient way to address smoking, and wanted more feedback about cessation outcomes. They collectively supported the system's continuation.
conclusionsA novel EHR-based Tobacco Care Management system was adopted by PCPs, especially those receiving performance feedback, and connected one-third of referred smokers to treatment. The model has the potential to improve the delivery and outcomes of evidence-based tobacco treatment in primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.