Table 2.
Electronic Health Record Documentation in Participating Sites
| Site 1 | Site 2 | Site 3 | Site 4 | |
|---|---|---|---|---|
| EHR-Forms | Medical history screening (MHS) Medical history (MH) Tobacco history (TH) |
Medical history (MH) | Medical history (MH) | Medical history (MH) |
| Tobacco Screening (SM-1) |
MHS: Any significant Family/Social History (Tobacco, alcohol, recreational drugs)? Yes/No MH: Do you use any tobacco/nicotine products (Cigarette, cigars, pipes, smokeless tobacco)? Yes/No TH: Multiple questions. Patient screened if form was completed. |
MH (Q1): How often do you smoke? MH (Q2): If over 12, do you use or have you used tobacco? (smoking, snuff, chew, bidis) |
MH (Q1): Did you use or have you used tobacco (smoking, snuff, chew, bidis)? MH (Q2): Reviewed Medical History Yes/No and Include date |
MH (Q1): Did you use or have you used tobacco (smoking, snuff, chew, bidis)? MH (Q2): Reviewed Medical History Yes/No and Include date |
| Tobacco Use (SM-2) |
MHS: Any significant Family/Social History (Tobacco, alcohol, recreational drugs)? Yes/No MH: Do you use any tobacco/nicotine products (Cigarette, cigars, pipes, smokeless tobacco)? Yes/No TH: Multiple questions. Form only completed for tobacco users. |
MH (Q1): How often do you smoke? MH (Q2): If over 12, do you use or have you used tobacco? (smoking, snuff, chew, bidis) |
MH (Q1): Did you use or have you used tobacco (smoking, snuff, chew, bidis)? MH (Q2): Reviewed Medical History Yes/No and Include date |
MH (Q1): Did you use or have you used tobacco (smoking, snuff, chew, bidis)? MH (Q2): Reviewed Medical History Yes/No and Include date |
| Tobacco Cessation Intervention (SM-3) | D1320 procedure code1 Pharmacotherapy2 |
D1320 procedure code1 MH (Cessation Counseling Referral): How interested are you in quitting: Very/Somewhat/No Pharmacotherapy2 |
D1320 procedure code1 MH (Cessation Counseling Referral): Assessed interest in quitting. Yes/No If yes, Are you interested in stopping tobacco use? Yes: Please call 1–800-NOBUTTS Pharmacotherapy2 |
D1320 procedure code1 MH: Are you interested in stopping tobacco use? Yes/No. If yes, Cessation Counselling Referral provided Pharmacotherapy2 |
1
Tobacco counseling for the control and prevention of oral disease
2
Prescriptions included Chantix® and Zyban® available in the EHR medications mod