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Implementing an Evidence-based Strategy in Primary Care: Ask-Advise-Connect and eReferral to Reduce Tobacco Use
October 20 @ 9:00 am - 10:30 am
The burden of smoking tobacco on morbidity and mortality is substantial. While rates of smoking have generally declined in the US, rates have not declined for the lowest economic classes. Guidelines urge primary care practices to routinely provide tobacco cessation care (i.e., assess tobacco use, provide brief cessation advice, and refer to cessation support). The purpose of this study is to assess the uptake and impact of a systems-based strategy to address provision of tobacco cessation care among primary care clinics serving predominately economically disadvantaged patients. The presentation will describe the engagement of key stakeholders, the process using the electronic health record that was implemented, and the main findings from the study on uptake and the reach of services to patients.
Susan Flocke, PhD is an Associate Director at the PRCHN and Professor in Center for Community Health Integration with secondary faculty appointments in the Departments of Family Medicine and Community Health, Oncology and Population and Quantitative Health Sciences at CWRU School of Medicine. Her research interests include preventive service delivery in the primary care setting, doctor-patient communication of health behavior change, and linkages to community resources to facilitate behavior change. The CWRU PRCHN is one of eight PRCs engaged in the Cancer Prevention and Control Research Network and Dr. Flocke serves as the principal investigator for CWRU. The CPCRN is a national network of academic, public health, and community partners who work together to reduce the burden of cancer, especially among those disproportionately affected. Dr. Flocke is leading local projects focused on establishing and implementing linkages between MetroHealth Health System primary care centers and the Ohio Quitline and she is leading the cross-center initiative workgroup on Tobacco and Lung Cancer Screening to inform the burden of tobacco use among Federally Qualified Health Centers and low income populations.