TABLE 1.

Logic model for an institutional approach to smoking cessation at the University of Ottawa Heart Institute (UOHI)

Resources/inputs	Processes/activities	Outputs	Outcomes	Impacts
Policies and processes Smoking status as a performance benchmark Smoking status on patient chart Cessation counselling on care maps Standard orders for pharmacotherapy Staffing Nurse-specialist Administrative support Medical director Research associate Financial resources Materials Self-help booklets Pharmacotherapy IVR follow-up system Program evaluation database	Documenting smoking status of all patients admitted to the UOHI Advising all smoking patients to quit Providing counselling to all smokers during their hospitalization Providing self-help materials to all smokers Providing pharmacotherapy to those patients experiencing significant withdrawal symptoms Contacting patients after discharge to assess smoking status and need for additional support Providing outpatient counselling to those experiencing difficulty postdischarge or relapsers Assessing smoking status six months postdischarge Training physicians and nursing staff to provide advice and assistance to patients who smoke	Number of smokers identified and documented Number of smokers who receive counselling to help them quit Number of patients who receive pharmacotherapy Number of patients contacted by the IVR system Number of patients receiving additional outpatient support Number of patients contacted for outcome assessment Number of physicians and nurses trained	Increased motivation to quit smoking Increased confidence to quit smoking More attempts to quit smoking Fewer withdrawal symptoms Greater likelihood of quitting smoking Greater abstinence from smoking at follow-up Physicians and nurses have increased confidence in their ability to help smokers	All-cause and cardiac morbidity is reduced All-cause and cardiac mortality is reduced Hospital admissions are reduced

IVR Interactive voice response