September 7, 2006

1
Smoking Cessation Service

• September 7, 2006

2

• Tier One
• ID of every smoker
• Give Partners Booklet on Hospital Patients who
  Smoke
• Document tobacco usage online

• Tier Two
• Bedside counseling from Tobacco Treatment
  Counselor to patients identified (esp. CHF, AMI,
  Pneumonia)
• MDs and Nurses can generate online smoking
  cessation order

• Tier Three
• Quit and Quit for Good -8-session outpatient
  smoking cessation program
• Individual counseling sessions available with
  TTC
• Support group for new non-smokers

3
Smoking Referral Report Prints Daily in Rehab
Office
DATE 03/29/05 TIME 0325 A.M. PAGE 2 REPORT
A2COR3 NORTH SHORE MEDICAL CENTER

NURSING
ASSESSMENT - CURRENT OR PAST 12 MONTH SMOKER
FIELD VALUED
UNIT
PT PATIENT NAME ADM
DIAGNOSIS CODE VALUE BED MR



DAV6 1024026633
CHEST PAIN R/O MI TOBACCO CURRENT 06
10B 537194


DAV6 5000326578
A-FIB
TOBACCO CURRENT 0614A 051812


DAV6 1024017285
CHEST PAIN
TOBACCO CURRENT 0607B 011437


DAV7 1024005751
HYPERGLYCEMIA, KETOSIS
TOBACCO CURRENT 0720D 133221


4
Admission Assessment History, Personal Habits
5
Admission Assessment Personal Habit
Documentation
6
Discharge Assessment Discharge Teaching
7
Discharge Assessment Documentation
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
Information systems are as good as the people
using them

• Nurse Champions have been critical at NSMC
• Daily education and feedback to MDS and RNS
• Positive feedback and thanks regularly for
  continuous improvement (e.g.Chair Massages as a
  thank you)
• Redundancy in infrastructure is critical for
  success
• Need a village to reach 100 of pts
• Make all staff part of the team and accountable
  for documentation
• Grand Rounds and Nursing Education Programs
• Recommend mandatory IS fields to improve Smoking
  outcome
• Future GoalEstablish order set in CPOM with
  Automatic Referral to Smoking Service and
  Medication choices