TY - JOUR
KW - Female
KW - Humans
KW - Male
KW - Medical Records Systems, Computerized
KW - Middle Aged
KW - Primary Health Care
KW - Program Development
KW - Tobacco Use Disorder/diagnosis/therapy
KW - User-Computer Interface
KW - Wisconsin
AU - C. Lindholm
AU - R. Adsit
AU - P. Bain
AU - P. M. Reber
AU - T. Brein
AU - L. Redmond
AU - S. S. Smith
AU - M. C. Fiore
A1 - 
AB - BACKGROUND: While the majority of smokers visit a primary care physician each year, only a small proportion of them receive evidence-based tobacco dependence treatment. The electronic health record (EHR) provides an opportunity to prompt clinicians to deliver tobacco dependence treatment in primary care. METHODS: Over 1 year, Dean Health Systems worked with the University of Wisconsin School of Medicine and Public Health to modify the existing Dean EHR system (Epic Systems Corp, Verona, Wisconsin) to improve identification and treatment of adult smokers visiting primary care clinics. Modifications included evidence-based prompts that helped guide medical assistants to identify smokers and clinicians to deliver a brief tobacco cessation intervention (medication and Wisconsin Tobacco Quit Line referral). Eighteen primary care clinics provided data 1 year before and 1 year after implementing the EHR modifications. RESULTS: A higher percentage of adult patients had their tobacco use status identified after EHR modification compared to pre-implementation (71.6% versus 78.4%, P < .001). During the post-implementation year, 6.3% of adult smokers were prescribed tobacco cessation medication, 2.5% of adult smokers had documentation of counseling, and 1.5% of adult smokers had counseling billed (pre-implementation data not available). CONCLUSIONS: This demonstration project showed that a large health care system can increase the delivery of tobacco dependence treatment interventions (increased identification of smokers and relatively high rates of delivering specific tobacco dependence clinical interventions) building on an existing EHR platform. The project demonstrated that brief, evidence-based tobacco dependence interventions can be incorporated into primary care, especially when the EHR is used to improve clinic workflow.
BT - WMJ : official publication of the State Medical Society of Wisconsin
C5 - HIT & Telehealth
CP - 6
CY - United States
IS - 6
JF - WMJ : official publication of the State Medical Society of Wisconsin
N2 - BACKGROUND: While the majority of smokers visit a primary care physician each year, only a small proportion of them receive evidence-based tobacco dependence treatment. The electronic health record (EHR) provides an opportunity to prompt clinicians to deliver tobacco dependence treatment in primary care. METHODS: Over 1 year, Dean Health Systems worked with the University of Wisconsin School of Medicine and Public Health to modify the existing Dean EHR system (Epic Systems Corp, Verona, Wisconsin) to improve identification and treatment of adult smokers visiting primary care clinics. Modifications included evidence-based prompts that helped guide medical assistants to identify smokers and clinicians to deliver a brief tobacco cessation intervention (medication and Wisconsin Tobacco Quit Line referral). Eighteen primary care clinics provided data 1 year before and 1 year after implementing the EHR modifications. RESULTS: A higher percentage of adult patients had their tobacco use status identified after EHR modification compared to pre-implementation (71.6% versus 78.4%, P < .001). During the post-implementation year, 6.3% of adult smokers were prescribed tobacco cessation medication, 2.5% of adult smokers had documentation of counseling, and 1.5% of adult smokers had counseling billed (pre-implementation data not available). CONCLUSIONS: This demonstration project showed that a large health care system can increase the delivery of tobacco dependence treatment interventions (increased identification of smokers and relatively high rates of delivering specific tobacco dependence clinical interventions) building on an existing EHR platform. The project demonstrated that brief, evidence-based tobacco dependence interventions can be incorporated into primary care, especially when the EHR is used to improve clinic workflow.
PP - United States
PY - 2010
SN - 1098-1861; 1098-1861
SP - 335
EP - 340
EP - 
T1 - A demonstration project for using the electronic health record to identify and treat tobacco users
T2 - WMJ : official publication of the State Medical Society of Wisconsin
TI - A demonstration project for using the electronic health record to identify and treat tobacco users
U1 - HIT & Telehealth
U2 - 21287886
VL - 109
VO - 1098-1861; 1098-1861
Y1 - 2010
ER -