Table 2

Summary of OMSC Multicomponent Intervention Components

Outreach facilitation visitsTrained outreach facilitator works with each primary care clinic over a 3-month period to implement the program
7-step facilitation process used to introduce OMSC 10 Best Practices. Facilitators act by supporting clinics as follows:
Review current clinic practices for delivery of evidence-based smoking cessation intervention and complete needs assessment
Provide information and recommendations on integration of evidence-based smoking cessation strategies into clinical practice
Facilitate development of clinic tobacco-dependence treatment protocol for integrating evidence-based smoking cessation strategies into all clinic appointments
Define roles and responsibilities of clinic staff for delivering evidence-based smoking cessation treatments
Support communications and training activities for members of clinic staff
Clinician trainingFrontline physicians and nurse practitioners participate in 3-hour training session providing information and skills training for addressing tobacco use with patients in the context of a busy primary care practice setting
Key staff responsible for delivering quit plan visits (eg, nurse, nurse practitioner, pharmacist) attend intensive 1-day training session teaching how to conduct quit plan and follow-up visits based on evidence-based practice
Electronic health record tools and real-time promptsReal time point-of-care reminders (eg, standard smoking-status questions) introduced and embedded in vital-sign screening forms and prompts to document smoking status and deliver brief advice
Standardized check-list style smoking cessation consult forms embedded into EHRs to guide tobacco treatment delivery for advice, quit plan, and follow-up visit
Practice tools and patient self-help materialAll materials designed to support intervention delivery and reduce amount of face-to-face time required to support tobacco-dependence treatment delivery. Materials include the following:
Patient tobacco use survey to document smoking history
Patient self-help quit plan booklet for smokers ready to quit
Patient self-help booklet for smokers not ready to quit
Clinic waiting room posters and materials
Smoker’s follow-up support systemPatients ready to quit referred to smoker’s follow-up system including 5 triage calls or e-mails delivered over a 2-month period (3, 7, 14, 30, 60 days after quit date) by automated program. Patients struggling with quit attempt had additional telephone-based support arranged from trained smoking-cessation counselors, and as required, changes to their quit plan coordinated with primary care clinician
  • EHR = electronic health record; OMSC = Ottawa Model for Smoking Cessation.

  • Adapted with permission from Papadakis S, Cole AG, Reid RD, et al. Increasing rates of tobacco treatment delivery in primary care practice: Evaluation of the Ottowa Model for Smoking Cessation. Ann Fam Med. 2016:14(3):235-243.