BWH Smoking Cessation Initiatives

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BWH Smoking Cessation Initiatives
Ann Furey RN, MBA Kate Koplan MD, MPH
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BWH Performance Scores
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BWH Referrals to Smoking Counselor
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BWH Smoking Cessation Team

• Initial Team
• Quit Smoking Counselors
• Nursing
• Quality and Measurement Center for Clinical
  Excellence

Goal Identify Barriers to Providing
Smoking Cessation Counseling
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The Process
MDs and RNs Are the Key Healthcare Providers to
Identify Positive Smokers RN Role
Identify Positive Smokers
Provide Smoking Cessation Material
Refer to Smoking Counselor
Document
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RN Barriers to Providing Counseling

• RN Knowledge Deficit
• Importance of Smoking Counseling
• Action to take when patient says they smoke
• Definition of a Positive Smoker
• No Smoking Cessation Material Available to RNs
• Lack of Documentation / Inconsistent
  Documentation

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RN Initiatives

• Provided RN Education
• 1 cause of diseases and preventable death
• 3.6 billion in annual healthcare costs in MA
• Counseling increases smoking cessation rates
• Definition of a positive smoker
• Developed a Smoking Cessation Packet
• 500 Packets ordered in May
• Provided Clear Documentation Guidelines
• What
• Where- New Admission Form

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Kate Koplans presentation

• MD initiatives

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Results of BWH MD and RN Initiatives
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Results of MD and RN Intervention
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Next Steps

• Expand the BWH Smoking Cessation Team
• Physicians
• Nurses
• Quit Smoking Counselors
• Quality Center for Clinical Excellence
• Partners Tobacco Task Force member
• Unit Coordinators
• Occupational Health

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Next Steps

• Continue to examine our process and identify
  barriers
• Develop action plans to decrease barriers

Identify Smokers
Intervene
Document
Measure
Who? How?
Who? How?
Who? How?
Who? How?
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BWH Smoking Cessation Goals

• Improve the health of BWH patients by applying
  known helpful interventions
• Assist healthcare providers in their
  interventions
• Utilize technology to aid the decision making
  process of busy residents
• Have smoking cessation resources readily
  available
• Increase provider knowledge of the importance of
  interventions
• Continue to identify barriers and develop a
  highly reliable system for identifying and
  referring patients for smoking counseling
• Improve BWH Hospital Quality Outcome scores