Approaches for Implementing Tobacco Cessation Services in Different Settings

	Hospital	Community	Ambulatory Care Clinic
Adherence Tools	Adherence Toolkit and Supplemental Material Financial Barriers to Adherence
Clinical Tools	Tobacco Cessation Clinical Pocket Toolkit Wisconsin Tobacco Quit Line 1-800-QUIT-NOW (1-800-784-8669) Med Counseling Sheets
Motivational Interviewing	Integrate Motivational Interviewing through MA or Pharmacy Technician at admission – “On a scale of 1 to 10, how ready are you to quit tobacco?” MI Video 1 MI Video 2
Best Practices	Integrate pharmacist into perioperative, discharge, and referral workflows Create tobacco cessation team including RTs and pharmacists Integrating 5As into roadmap of care	Identify a tobacco cessation champion Use the Willingness to Quit validated questions from Pfizer Integrating 5As into roadmap of care	Use the Willingness to Quit validated questions from Pfizer Integrating 5As into roadmap of care Identify a tobacco cessation champion Encourage use of the 5A’s Use the Willingness to Quit validated questions from Pfizer Get referrals to provide service Integrating 5As into roadmap of care
Referral Process	Use CPA template (Appendix A) Integrate pharmacist into perioperative, discharge, and referral workflows Use 5As during pathway of care Refer patient to clinic or Quit Line at discharge Use EHR	Use CPA template (Appendix A) Receive referrals from employer programs Use 5As during counseling to identify patients Integrate tobacco cessation into CMR/A through WPQC If patient does not meet criteria for coverage, refer to clinic or Quit Line
Financial Sustainability	Health system metrics (readmissions, prevention)	Facility Fee Incident to Fee WPQC CMR/A Employee Wellness Programs