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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Treating Tobacco Use and Dependence in Hospitalized Tobacco Users Through State Partnerships

Kristine A. Hayden, BS, Department of Medicine, UW Medical School - Center for Tobacco Research and Intervention, 610 Gibson Street, Suite 3, Eau Claire, WI 54701-3687

Objective: The University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) and the Wisconsin Hospital Association (WHA) collaborated in a public/private partnership during late 2004 into 2005 to encourage hospitals across the state to make tobacco dependence treatment a standard of patient care. While smoking continues to be the largest cause of preventable death in the U.S. and interferes with healing, many hospitals still do not provide state-of-art smoking cessation treatment.

Methods: UW-CTRI developed a manual with practical strategies for hospitals to help patients quit. WHA and UW-CTRI worked together to mass-produce the manuals and distribute them to hospitals across the state. UW-CTRI presented three conference calls to leaders from 55 Wisconsin hospitals and quality care promotion organizations. WHA provided technical support for the calls. UW-CTRI also worked with WHA to make sure each of the 150 WHA member hospitals would receive a manual. Follow-up training and technical assistance was provided on-site to hospitals by UW-CTRI Outreach Staff.

Results: Administrative staff from 55 Wisconsin hospitals and quality care promotion organizations participated in one of three conference calls. Based on Outreach Specialist reports, the Outreach Specialists worked with or are currently working with over 45 hospitals across the state to ensure that all hospitalized patients are screened and offered tobacco dependence treatment. Recent aggregate tobacco-related JCAHO scores for Wisconsin hospitals are markedly above the national aggregate. The hospital outreach has also had a “spill-over” effect with associated clinics and systems, leading to improvements in tobacco treatment beyond the hospital setting.