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. 2020 Nov 28;159(4):1652–1663. doi: 10.1016/j.chest.2020.11.025

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.