TY - JOUR
KW - Adult
KW - Aged
KW - Counseling/statistics & numerical data
KW - Family Practice/organization & administration/statistics & numerical data
KW - Feedback
KW - Female
KW - Humans
KW - Logistic Models
KW - Male
KW - Medical Records Systems, Computerized/utilization
KW - Middle Aged
KW - Oregon/epidemiology
KW - Patient Education as Topic/statistics & numerical data
KW - Patient Satisfaction/statistics & numerical data
KW - Physician-Patient Relations
KW - Primary Health Care/organization & administration/statistics & numerical data
KW - Smoking Cessation/methods/statistics & numerical data
KW - Smoking/epidemiology/prevention & control
AU - C. J. Bentz
AU - K. B. Bayley
AU - K. E. Bonin
AU - L. Fleming
AU - J. F. Hollis
AU - J. S. Hunt
AU - B. LeBlanc
AU - T. McAfee
AU - N. Payne
AU - J. Siemienczuk
A1 - 
AB - The electronic health record (EHR) may be an effective tool to help clinicians address tobacco use more consistently. To evaluate the impact of EHR-generated practice feedback on rates of referral to a state-level tobacco quitline, we conducted a cluster randomized clinical trial (feedback versus no feedback) within 19 primary care clinics in Oregon. Intervention clinics received provider-specific monthly feedback reports generated from EHR data. The reports rated provider performance in asking, advising, assessing, and assisting with tobacco cessation compared with a clinic average and an achievable benchmark of care. During 12 months of follow-up, EHR-documented rates of advising, assessing, and assisting were significantly improved in the intervention clinics compared with the control clinics (p<.001). A higher case-mix index and presence of a clinic champion were associated with higher rates of referral to a state-level quitline. EHR-generated provider feedback improved documentation of assistance with tobacco cessation. Connecting physician offices to a state-level quitline was feasible and well accepted.
BT - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
C5 - HIT & Telehealth
CP - 3
CY - England
DO - 10.1080/14622200701188828
IS - 3
JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
N2 - The electronic health record (EHR) may be an effective tool to help clinicians address tobacco use more consistently. To evaluate the impact of EHR-generated practice feedback on rates of referral to a state-level tobacco quitline, we conducted a cluster randomized clinical trial (feedback versus no feedback) within 19 primary care clinics in Oregon. Intervention clinics received provider-specific monthly feedback reports generated from EHR data. The reports rated provider performance in asking, advising, assessing, and assisting with tobacco cessation compared with a clinic average and an achievable benchmark of care. During 12 months of follow-up, EHR-documented rates of advising, assessing, and assisting were significantly improved in the intervention clinics compared with the control clinics (p<.001). A higher case-mix index and presence of a clinic champion were associated with higher rates of referral to a state-level quitline. EHR-generated provider feedback improved documentation of assistance with tobacco cessation. Connecting physician offices to a state-level quitline was feasible and well accepted.
PP - England
PY - 2007
SN - 1462-2203; 1462-2203
SP - 341
EP - 349
EP - 
T1 - Provider feedback to improve 5A's tobacco cessation in primary care: a cluster randomized clinical trial
T2 - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
TI - Provider feedback to improve 5A's tobacco cessation in primary care: a cluster randomized clinical trial
U1 - HIT & Telehealth
U2 - 17365766
U3 - 10.1080/14622200701188828
VL - 9
VO - 1462-2203; 1462-2203
Y1 - 2007
ER -