@article{e473bf623f7f49af9262012905d551a6,
title = "Tobacco Treatment Program Models in US Hospitals and Outpatient Centers on Behalf of the SRNT Treatment Network",
abstract = "Because tobacco use remains one of the leading causes of disease, disability, and mortality, tobacco treatment programs should be integrated into medical systems such as hospitals and outpatient centers. Medical providers have a unique, high-impact opportunity to initiate smoking cessation treatment with patients. However, there are several barriers that may hinder the development and implementation of these programs. The purpose of this review was to address such barriers by illustrating several examples of successful tobacco treatment programs in US health-care systems that were contributed by the authors. This includes describing treatment models, billing procedures, and implementation considerations. Using an illustrative review of vignettes from existing programs, various models are outlined, emphasizing commonalities and unique features, strengths and limitations, resources necessary, and other relevant considerations. In addition, clinical research and dissemination trials from each program are described to provide evidence of feasibility and efficacy from these programs. This overview of example treatment models designed for hospitals and outpatient centers provides guidelines for any emerging tobacco cessation services within these contexts. For existing treatment programs, this review provides additional insight and ideas about improving these programs within their respective medical systems.",
keywords = "cessation, hospital systems, review, smoking, tobacco",
author = "Palmer, {Amanda M.} and Rojewski, {Alana M.} and Chen, {Li shiun} and Fucito, {Lisa M.} and Panagis Galiatsatos and Hasmeena Kathuria and Land, {Stephanie R.} and Morgan, {Glen D.} and Ramsey, {Alex T.} and Richter, {Kimber P.} and Xiaozhong Wen and Toll, {Benjamin A.}",
note = "Funding Information: FUNDING/SUPPORT: This study was funded by the National Institutes of Health [Institutional Postdoctoral Training Grant NIH-T32-HL144470], the National Cancer Institute [Grant K07CA214839 ], and the Hollings Cancer Center [Grant P30-CA138313] at the Medical University of South Carolina . Funding Information: Oncology patients who smoke experience higher rates of mortality and second tobacco-related cancers, relative to never smokers. 4 The Cancer Center Cessation Initiative (C3I) promotes the establishment of programs that are fully integrated into oncology clinic workflows to document the tobacco use status of every patient and to offer evidence-based cessation treatment. The C3I, funded by the Cancer Moonshot 40 and launched in 2017, awarded 42 National Cancer Institute (NCI)-designated cancer centers 2 years of funding in two cohorts. 41 Following 2 years of initial funding, the two cohorts were then expected to sustain these initiatives through institutional support. In 2020, the NCI provided additional 1-year supplements for 11 funded centers and 10 previously unfunded centers. Three C3I-awarded centers are among institutions highlighted in this article ( Table 1 ). Funding Information: In response to high rates of smoking in the greater Baltimore area, The Tobacco Treatment Clinic at Johns Hopkins School of Medicine (JHTTC) was formed in 2018. It is staffed by a physician, nurse, tobacco treatment specialist, and administrative personnel, and is located in the outpatient pulmonary-designated clinical section. Recently, the JHTTC has expanded to provide service to inpatients. The program is funded through the Division of Pulmonary and Critical Care, as well as cigarette restitution funding. Funding Information: Smoking prevalence is high among pregnant and postpartum women in the Greater Buffalo area, which contributes to poor maternal and infant health. To address this challenge, the State University of New York at Buffalo initiated the Pregnancy and Smoking Cessation Program in 2015. It is a multicomponent behavioral intervention program for maternal smoking cessation during pregnancy and up to 2 years{\textquoteright} postpartum. It has been funded by two National Institutes of Health Clinical and Translational Science Award pilot grants and one R21 grant; however, the team is actively seeking more sustainable funding sources, such as health insurance plans, private foundations, and donations. The smoking cessation clinic is located within the Department of Pediatrics at the State University of New York at Buffalo. To date, it has recruited 134 pregnant women who are daily smokers from local prenatal care clinics, communities, and social media (eg, Facebook) in the Greater Buffalo New York area. Most participants are socioeconomically disadvantaged, have low educational attainment, and have low family income. Visits are completed in the clinic, patients{\textquoteright} homes, and maternity hospitals. Publisher Copyright: {\textcopyright} 2020 American College of Chest Physicians",
year = "2021",
month = apr,
doi = "10.1016/j.chest.2020.11.025",
language = "English (US)",
volume = "159",
pages = "1652--1663",
journal = "CHEST",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "4",
}