Tobacco Cessation Clinic Enhancement Program
The Tobacco Cessation Clinic Enhancement Program (TCCEP) is a comprehensive program designed to help Texas clinics improve their tobacco treatment services for their patients through a systems-level change approach. The program:
- Ensures clinics have a tobacco-free policy
- Provides prevention education
- Helps clinics provide evidence-based tobacco treatment services to the communities they serve
TCCEP helps create a culture of health and a tobacco-free environment where:
- Healthcare providers understand that using tobacco products is an addiction because of nicotine and there are evidence-based best practices to help patients quit.
- Patients receive the best cessation support and services.
- Educational materials are readily available to increase awareness on the harms of using tobacco products.
- Patients and visitors are protected from secondhand smoke because the workplace is 100% tobacco-free.
Toolkit Overview
Through TCCEP we developed a toolkit which includes several documents designed to guide clinic champions, clinic staff and clinicians, and to educate patients throughout the process of implementing system-change activities. All resources support a strategy that provides the gold standard of pharmacotherapy and counseling for patients who want to quit using tobacco.
For an overview of the program and its aims, key objectives and benefits, download the one-pager.
Provider Outcomes
TCCEP demonstrated a tailored, comprehensive, systems change approach to tobacco cessation that is feasible and can enhance treatment services across different health centers. TCCEP encourages cessation attempts for patients through creating a tobacco-free environment, educating staff and patients on the harms of using tobacco use, training champions to become a tobacco treatment specialist, and increasing tobacco use screening and treatment referrals. Other health centers can consider our pilot model as a foundation for addressing tobacco use and encouraging cessation efforts.
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Pilot Clinic Outcomes
9,244
Patients were screened for tobacco use.
42
Patients received NRT
24
Policy actions were conducted to improve and ensure compliance with tobacco-free policies
Tobacco-Free Policy Resources
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Tobacco-free policy signage
Guide on how to utilize signage to communicate a tobacco-free environment
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Sample scenarios and frequently asked questions for policy implementation
Resources of possible questions and scenarios staff may experience while trying to enforce a tobacco-free policy
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Sample letters
Example of how to notify patients, staff, neighbors, etc. about new tobacco-free policy
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Model Policy
Model Policy for a Tobacco-free Healthcare System
Clinic Resources
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NICOTINE REPLACEMENT THERAPY ORDERING AND DISTRIBUTION GUIDE
Pharmacotherapy: Your Patients' Best Choice to Become Tobacco-Free
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NICOTINE REPLACEMENT THERAPY
Clinician's resource to outline specific instructions of how to use Nicotine Replacement Therapy
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How to Initiate Clinic Systems Change
Outline of processes the clinic needs to take to implement and enforce tobacco-free policy
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Sustainability Checklist
Checklist of processes the clinic needs to ensure sustainability
Provider Tools
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Counseling Strategies
A brief overview of different counseling strategies used for tobacco treatment
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Pharmacotherapy: Manage patients' medication
Overview of available medications, including NRTs and non-nicotine-based medications
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MD Anderson's Tobacco Treatment Training Program
Learn more about how to treat tobacco dependence in your clinic
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Project TEACH ECHO
ECHO provides tobacco education, consulting and treatment strategies to clinical providers and health professionals
Patient Resources
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Tobacco Quick Facts
An educational handout outlining the harms of tobacco use, health benefits of quitting and cessation tools
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Nicotine Replacement Therapy: Gum
An educational handout outlining the instructions of how to use nicotine gum
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Nicotine Replacement Therapy: Patch
An educational handout outlining the instructions of how to use the nicotine patch
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Nicotine Replacement Therapy: Lozenges
An educational handout outlining the instructions of how to use nicotine lozenges