Table 2.

Mapping the CEASE implementation steps to the 5As

Implementation Step	The A's
Step 1. Identification and self-assessment Identify smokers with the CEASE annual card during the office visit and document smoking status. Ask those who smoke to fill out the CEASE action sheet: self-assessment screener at each visit. Document no smoking policy in the home and car.	Ask and Assess
Step 2. Counseling Talk with smokers about tobacco use and establishing a strict no smoking policy in the home and car. For those who are not ready to quit, give a “Think About It” halflet.	Advise and Assist
Step 3. Referral Complete the Cease action sheet: quitline enrollment with smokers who are ready to quit. Give those who enroll a “Welcome” halflet.	Assist
Step 4. Medication Prescribe or recommend pharmacotherapy, if appropriate, for relief of withdrawal symptoms and to aid cessation.	Assist
Step 5. Follow-up File the CEASE action sheet and review before each visit. Talk with those who smoke about smoking at each visit until the family is smoke-free.	Arrange