Purpose:

The specific aim of the project is to develop and pilot an intervention for primary care practices to enhance the routine provision of tobacco dependence treatment. The intervention will be comprised of two elements: academic detailing and data feedback on tobacco-related measures.

Objectives:

Two practice-based educational sessions will be developed that focus on office system assessment, exploration of attitudes and behavior, and problem solving to enhance the capacity of staff to provide effective tobacco cessation treatments.

This project will identify tobacco-related measures generated from office evaluation and MCO administrative databases, and use this data through provider feedback as part of the practice intervention. Measures will be analyzed at the level of the provider as well as the practice; data reports will be generated by the MMAF with input from primary care physician study group members. The results of these analyses will be presented and discussed during the office-based educational sessions.

We will explore the feasibility of collecting data at the practice sites, working with each plan to capture data, compiling multi-plan data on common providers, and employing a physician study group to critically appraise the data reports.