300,000 quitters and counting; A systematic approach to tobacco cessation
Objective: To describe Kaiser Permanente Northern California's (KPNC) systematic implementation of universal tobacco screening, evidence-based interventions, and performance measures to achieve long-term smoking cessation success. Methods: We outline seven key components of KPNC's tobacco...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | American Journal of Preventive Cardiology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667724002629 |
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| author | Renee Fogelberg Kelly C. Young-Wolff Jaya Nadella Mehreen Khan Yi-Fen Irene Chen Jamal S. Rana |
| author_facet | Renee Fogelberg Kelly C. Young-Wolff Jaya Nadella Mehreen Khan Yi-Fen Irene Chen Jamal S. Rana |
| author_sort | Renee Fogelberg |
| collection | DOAJ |
| description | Objective: To describe Kaiser Permanente Northern California's (KPNC) systematic implementation of universal tobacco screening, evidence-based interventions, and performance measures to achieve long-term smoking cessation success. Methods: We outline seven key components of KPNC's tobacco screening and intervention program that contributed to a significant decline in smoking prevalence. We also report changes in the prevalence of current smokers within KPNC from 2014 to 2023 using linear regression analyses. Results: Key factors driving the success of the tobacco cessation program included risk-based screening algorithms, alert prompts for at-risk patients, system-wide medical champions, performance tracking, virtual coaching, widespread messaging, and comprehensive medication management. Implementing this multifaceted approach across all facilities was associated with a significant reduction in smoking prevalence, from 8.6% in 2014 to 5.8% in 2023 (p < 0.0001). Conclusion: Our comprehensive, system-wide approach resulted in substantial public health gains and highlights the potential of similar preventive strategies as healthcare systems transition toward value-based care. |
| format | Article |
| id | doaj-art-1a853a210e7e4eada241f759d0dc0cf4 |
| institution | DOAJ |
| issn | 2666-6677 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj-art-1a853a210e7e4eada241f759d0dc0cf42025-08-20T02:50:08ZengElsevierAmerican Journal of Preventive Cardiology2666-66772024-12-012010089410.1016/j.ajpc.2024.100894300,000 quitters and counting; A systematic approach to tobacco cessationRenee Fogelberg0Kelly C. Young-Wolff1Jaya Nadella2Mehreen Khan3Yi-Fen Irene Chen4Jamal S. Rana5Department of Obstetrics and Gynecology, The Permanente Medical Group, Oakland CA, United StatesDivision of Research, Kaiser Permanente Northern California, Oakland CA, United States; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, United StatesDivision of Research, Kaiser Permanente Northern California, Oakland CA, United StatesDepartment of Endocrinology, The Permanente Medical Group, Santa Clara CA, United StatesDepartment of Adult and Family Medicine, The Permanente Medical Group, Santa Clara CA, United StatesDivision of Research, Kaiser Permanente Northern California, Oakland CA, United States; Department of Cardiology, The Permanente Medical Group, Oakland CA, United States; Corresponding author at: Department of Cardiology, The Permanente Medical Group, Kaiser Permanente Oakland Medical Centre, 3600 Broadway, Oakland, California 94611, United States.Objective: To describe Kaiser Permanente Northern California's (KPNC) systematic implementation of universal tobacco screening, evidence-based interventions, and performance measures to achieve long-term smoking cessation success. Methods: We outline seven key components of KPNC's tobacco screening and intervention program that contributed to a significant decline in smoking prevalence. We also report changes in the prevalence of current smokers within KPNC from 2014 to 2023 using linear regression analyses. Results: Key factors driving the success of the tobacco cessation program included risk-based screening algorithms, alert prompts for at-risk patients, system-wide medical champions, performance tracking, virtual coaching, widespread messaging, and comprehensive medication management. Implementing this multifaceted approach across all facilities was associated with a significant reduction in smoking prevalence, from 8.6% in 2014 to 5.8% in 2023 (p < 0.0001). Conclusion: Our comprehensive, system-wide approach resulted in substantial public health gains and highlights the potential of similar preventive strategies as healthcare systems transition toward value-based care.http://www.sciencedirect.com/science/article/pii/S2666667724002629SmokingPublic healthHeart diseaseSystem implementation |
| spellingShingle | Renee Fogelberg Kelly C. Young-Wolff Jaya Nadella Mehreen Khan Yi-Fen Irene Chen Jamal S. Rana 300,000 quitters and counting; A systematic approach to tobacco cessation American Journal of Preventive Cardiology Smoking Public health Heart disease System implementation |
| title | 300,000 quitters and counting; A systematic approach to tobacco cessation |
| title_full | 300,000 quitters and counting; A systematic approach to tobacco cessation |
| title_fullStr | 300,000 quitters and counting; A systematic approach to tobacco cessation |
| title_full_unstemmed | 300,000 quitters and counting; A systematic approach to tobacco cessation |
| title_short | 300,000 quitters and counting; A systematic approach to tobacco cessation |
| title_sort | 300 000 quitters and counting a systematic approach to tobacco cessation |
| topic | Smoking Public health Heart disease System implementation |
| url | http://www.sciencedirect.com/science/article/pii/S2666667724002629 |
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