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Updated: May 15, 2025

Spectral Confocal Imaging of Fluorescently tagged Nicotinic Receptors in Knock-in Mice with Chronic Nicotine Administration
Published on: February 10, 2012
Interdisciplinary Approach to Developing Nicotine Dependence Treatment Order Set: An Innovative Pilot Implementation
Pravesh Sharma1,2, Celia Kamath1,3, Quang Anh Nguyen4,2
1Behavioral Health Research Program Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
A new electronic health record system significantly increased healthcare providers
Area of Science:
- Public Health
- Health Services Research
- Behavioral Medicine
Background:
- Tobacco use is a leading cause of preventable death in the U.S.
- State quitlines are effective tobacco cessation interventions but have low referral rates.
- A gap exists in integrating quitline referrals into clinical practice.
Purpose of the Study:
- To develop and evaluate a new electronic health record-based referral system for nicotine dependence treatment.
- To improve patient referral rates to state quitlines and community resources.
- To assess the usability and adoption potential of the new system among healthcare providers.
Main Methods:
- Stakeholder feedback was gathered to update an existing nicotine dependence order set (NDO).
- The updated NDO included links to state quitlines and social determinants of health resources.
- Surveys measured intention to use, acceptance, appropriateness, and feasibility before and after dissemination to leadership and clinicians.
Main Results:
- Pre-intervention, only 10-13% of providers used the existing NDO.
- Post-intervention, nearly 100% of providers intended to use the new NDO.
- Acceptance, appropriateness, and feasibility were rated highly by both leadership and clinicians.
Conclusions:
- The new electronic health record-based NDO shows high potential for improving tobacco cessation referrals.
- Provider intention to use and perceived usability are strong.
- Further research is needed to confirm adoption, sustainability, and impact on smoking cessation outcomes.
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