Table 1.
Program Descriptions, Components, and Related Publications
| Program/Publication | Components of Program/Description of Publication |
Publication Components |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Funding | Counseling | Pharmacotherapy | QL | LCS | Referral | Feasibility / Acceptability | Describe Patient Sample | Engagement | Abstinence: > 6 mo | Abstinence: < 6 mo | Pharmacotherapy Use | Other health/Performance Effects | Funding, Costs, Cost-Savings | |
| University of Kansas Medical Center; established 2006 | H | B | NRT | X | X | E, O | ||||||||
| Faseru et al,16 2009 | Patients treated on surgical, obstetric, and psychiatric services are less likely to be referred for tobacco treatment than those treated on medical services | X | X | |||||||||||
| Stoltzfus et al,17 2011 | Offering quitline referral regardless of patients’ self-professed readiness to quit expands the reach of quitline counseling | X | ||||||||||||
| Faseru et al,18 2011 | Many smokers make unassisted quit attempts postdischarge because use of cessation medications and quitline counseling is low | X | X | X | X | X | ||||||||
| Rigotti et al,19 2015 | E-cigarette use increased substantially from 2010 to 2013 among a large sample of hospitalized adult cigarette smokers | X | X | |||||||||||
| Fitzgerald et al,20 2016 | Although one-half of inpatients with HIV smoke, few are referred for tobacco treatment. One in five who received treatment reported they quit | X | X | X | ||||||||||
| Richter et al,21 2016 | Enrolling patients in quitline via a “warm handoff” doubles enrollment compared with fax referral. Hospital-borne costs are significantly lower in warm handoff than in fax referrals | X | X | X | X | |||||||||
| Carrillo et al,22 2017 | When resources are committed to compliance, the CMS Inpatient Psychiatric Facilities Quality Reporting Program results in a 10-fold increase in the number of smokers with mental disorders who receive inpatient treatment | X | X | X | ||||||||||
| Mussulman et al,23 2018 | Pilot study findings suggest that a warm handoff is a promising intervention for hospitalized people living with HIV and AIDS | X | X | X | ||||||||||
| Patel et al, 24 2019 |
Among smoking inpatients with no contraindications, only 41% who requested a quit smoking script on discharge actually received one |
X |
X |
|||||||||||
| Funding |
Counseling |
Pharmacotherapy |
QL |
LCS |
Referral |
Feasibility/Acceptability |
Describe Patient Sample |
Engagement |
Abstinence: Short Term, < 6 mo |
Abstinence: Long Term, > 6 mo |
Pharmaco-therapy Use |
Other Health/Performance Effects |
Funding, Costs, Cost-Savings |
|
| Scheuermann et al,25 2019 | Referring hospitalized patients to quitline via warm handoff increases adherence to quitline services | X | X | |||||||||||
| Liebmann et al,26 2019 | Getting inpatient NRT predicts receipt of a postdischarge script for NRT | X | X | |||||||||||
| Liebmann et al,27 2019 | Engaging in both postdischarge quitline services and pharmacotherapy independently facilitates long-term quitting; both are important | X | X | X | ||||||||||
| Mussulman et al,28 2019 | Among patients who were interested in quitting and participated in a clinical trial, 37% relapsed to smoking within 1 h of leaving the hospital | X | X | X | ||||||||||
| Medical University of South Carolina; established 2014 | H, C3I | B, OP | NRT, Bu, V | X | X | E, O | ||||||||
| Nahhas et al,29 2016 | Most patients choose to opt-in to a smoking cessation intervention and follow-up. Those who do not are more likely to be male, younger in age, and not visited by a counselor during admission | X | X | |||||||||||
| Nahhas et al,30 2017 | An opt-out smoking cessation service for hospitalized inpatients is feasible to implement, well accepted by patients, and increased short-term abstinence, medication use, and quitline use | X | X | X | X | X | ||||||||
| Buchanan et al,31 2017 | An opt-out smoking cessation program is feasible and accepted by patients admitted to the perinatal unit of the hospital, and increased abstinence rates following discharge. | X | X | X | ||||||||||
| Cartmell et al,11 2018 | Smokers who engage in a visit with the tobacco treatment service while admitted have lower rates of readmission at 30, 90, and 180 days following discharge | X | ||||||||||||
| Cartmell et al,10 2018 | Health-care charges 1 year following discharge were reduced among smokers who received counseling from the tobacco treatment service while an inpatient. Tobacco treatment costs were low | X | ||||||||||||
| Boston Medical Center; established 2016 | H | B, OP | NRT Bu, V |
X | X | E, O | ||||||||
| Kathuria et al,32 2019 | Hospital inpatients with a substance use disorder were significantly more likely to smoke, but cigarette use was de-prioritized during addiction treatment | X | X | |||||||||||
| Seth et al,33 2020 | Implementing a large-scale tobacco treatment program is feasible and acceptable by patients; however, barriers related to clinician adaptation affect uptake | X | X | X | X | |||||||||
| Herbst et al,34 2020 | An opt-out service at a large safety-net hospital was effective at improving hospital-level tobacco performance metrics, increasing NRT use during and following admission, as well as increasing abstinence rates following discharge | X | X | X | ||||||||||
| Smilow Cancer Hospital at Yale New Haven Hospital; established 2011 | H, C3I | QL, OP, TXT | NRT, Bu, V | X | E, O | |||||||||
| Johns Hopkins Medical Center; established 2018 | H | B, OP | NRT, Bu, V | X | E, O | |||||||||
| Galiatsatos et al,35 2020 | A case study of a patient who was identified as having hypersensitivity pneumonitis following secondhand exposure to electronic cigarettes. | X | ||||||||||||
| Washington University in St. Louis/BJC Healthcare System; established 2018 | H, R, C3I | QL, TXT | NRT, Bu, V | X | X | E, O | ||||||||
| Ramsey et al,36 2019 | A point-of-care, low-burden model of tobacco treatment service integrated in the electronic health record increased identification and treatment referrals for patients with cancer | X | X | X | X | X | ||||||||
| Ramsey et al,15 2019 | Participatory mixed methods study revealed that hospital-based smoking cessation treatment program should address key leverage points: workflow disruptions from patient smoking, misalignment between patient and provider perceptions, and coordination across the medical team to use standardized approaches (eg, nurse-driven protocol) to treat nicotine withdrawal and promote cessation | X | X | X | X | X | ||||||||
| Ramsey et al,37 2020 | Low-barrier, easily accessible tobacco treatment programs increase the use of services, especially among clinics that otherwise may not have access to such a resource | X | X | X | X | X | ||||||||
| State University of New York at Buffalo Hospital; established 2015 | R | R | R | |||||||||||
| Wen et al,38 2019 | A pilot intervention of contingency management smoking cessation intervention for pregnant women was shown to be efficacious and acceptable among participants | X | X | X | X | |||||||||
| Wen et al,39 2019 | Following a smoking cessation intervention for pregnant smokers, the infants of those who successfully quit early in pregnancy had lower rates of rapid weight gain, which is a risk factor for child obesity | X | X | |||||||||||
B = bedside counseling inpatient; BJC = Barnes Jewish Center; Bu = bupropion; CMS = Centers for Medicare & Medicaid Services; C3I = affiliated cancer center received Cancer Center Cessation Initiative support; E = electronic medical record identification; H = hospital funded; LCS = association with lung cancer screening program; N = national funding; NRT = nicotine replacement therapy; O = opt-out service; OP = outpatient counseling; QL = state quitline referral/treatment; R = research-related funding, intervention, and recruitment; TXT = referral to text message intervention; V = varenicline; X = affirmative of characteristic.