Bailey SR, Heintzman JD, Marino M, Jacob RL, Puro JE, DeVoe JE, Burdick TE, Hazlehurst BL, Cohen DJ, Fortmann SP. Smoking-Cessation Assistance: Before and After Stage 1 Meaningful Use Implementation. American Journal of Preventive Medicine 2017 Aug;53(2):192-200. doi: 10.1016/j.amepre.2017.02.006. Epub 2017 Mar 29. Access Abstract
NPM: 14-1: Smoking During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Incentives
Intervention Description: The Centers for Medicare and Medicaid Services' Meaningful Use (MU) of Electronic Health Record (EHR) Incentive Program could increase rates of smoking assessment and cessation assistance among vulnerable populations. This study examined whether smoking status assessment, cessation assistance, and odds of being a current smoker changed after Stage 1 MU implementation.
Conclusion: Findings suggest that incentives for MU of EHRs increase the odds of smoking assessment and cessation assistance, which could lead to decreased smoking rates among vulnerable populations. Continued efforts for provision of cessation assistance among pregnant patients is warranted.
Study Design: Quasi experimental cross-sectional (Non- randomized evaluation of a policy change)
Setting: Community health centers (CHC)
Target Audience: All smokers over 18 years of age with at least one primary care visit to one of the study CHCs in 2010, 2012, or 2014 as well as a subset of pregnant women
Data Source: Electronic health records
Sample Size: Review of health records for 16,802 participants in 2010, 17,631 in 2012 and 18,110 in 2014
Age Range: Not specified