Electronic Health Record-Enabled Evidence-Based Smoking Cessation Quality Improvement Implementation Program

Electronic Health Record-Enabled Evidence-based Smoking Cessation Quality Improvement Program

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04107857

Enrollment

1000000

Registered

2019-09-27

Start date

2019-10-02

Completion date

2024-10-02

Last updated

2024-12-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smoking Cessation

Brief summary

The goal of this quality improvement program is to implement, evaluate, and sustain an evidence-based smoking cessation treatment program with a population-based approach so that all patients at the Siteman Cancer Center, Washington University, Barnes-Jewish Hospital, BJC Healthcare, and satellite locations receive assessment of smoking and all smokers receive treatment support.

Interventions

BEHAVIORALELEVATE enhancement to electronic health record (EHR) to improve cessation counseling offer

* Brief advise to quit smoking * Referral to Missouri/Illinois Quitlines, Smokefree.TXT, or smokefree.gov

BEHAVIORALELEVATE enhancement to electronic health record (EHR) to improve smoking cessation medication offer

-Nicotine replacement therapy, varenicline, bupropion, or combination therapy (not provided by study)

BEHAVIORALData Driven Feedback reports

-Feedback reports will be based on data

Study design

Observational model

ECOLOGIC_OR_COMMUNITY

Time perspective

OTHER

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

-Patients seen at Siteman Cancer Center, Washington University, Barnes-Jewish Hospital, BJC Healthcare, or any of the satellite locations

Exclusion criteria

-None

Design outcomes

Primary

Measure	Time frame
Clinic level percentage of smokers offered medication	From 6 months pre-intervention through 6 months post-intervention
Clinic level percentage of patients receiving brief counseling	From 6 months pre-intervention through 6 months post-intervention
Clinic level percentage of smokers offered referral to additional counseling	From 6 months pre-intervention through 6 months post-intervention

Secondary

Measure	Time frame
Clinic level percentage of smokers receiving smoking assessment	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Clinic level percentage of patients receiving brief counseling	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Number of patients who have abstained from smoking	Estimated to be 6 months post-intervention
Clinic level percentage of smokers receiving cessation medication	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Clinic level percentage of smokers offered referral to additional counseling	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention
Clinic level percentage of smokers offered medication	Estimated to be 12 months pre-intervention and 12, 24, 36, and 48 months post-intervention

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026