Transforming The Treatment of Tobacco Use in Health Care: Seizing The Potential of the Electronic Health Record to Deliver Comprehensive Chronic Care Treatment for Smoking

改变医疗保健中烟草使用的治疗：抓住电子健康记录的潜力，提供全面的吸烟慢性病护理治疗

• 批准号: 10005034
• 负责人: MICHAEL C FIORE
• 金额: $ 81.4万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10005034
• 关键词: Address; American; Award; Cessation Research; Cessation of life; Chronic Care; Clinic Visits; Economics; Electronic Health Record; Engineering; Failure; Fostering; Goals; Health; Health Care Visit; Health system; Healthcare; Intervention; Laboratories; Malignant Neoplasms; Methodology; Patient Care; Physicians; Policies; Preventable cancer cause; Preventive; Primary Health Care; Principal Investigator; Research Methodology; Research Personnel; Science; Scientist; Smoker; Smoking; Support System; System; Technology; Testing; Tobacco; Tobacco Use Cessation; Tobacco use; Translating; Translational Research; Translations; Treatment Effectiveness; Vendor; Visit; Wisconsin; base; design; effective therapy; experience; grasp; health care delivery; health information technology; novel; prevent; primary care setting; public health relevance; reduce tobacco use; tobacco cessation intervention; tobacco control; treatment research

 DESCRIPTION (provided by applicant): Smoking maintains its grip on over 40 million Americans, resulting in devastating illness, grievous economic loss, and tragic death for over 480,000 Americans each year. Tobacco use is the leading preventable cause of cancer, directly responsible for 1/3 of cancer deaths. This profound toll would be dramatically reduced if we substantially boosted rates of cessation among the 70% of smokers making healthcare visits each year. Despite multiple effective smoking treatments, and despite powerful health information technologies such as the electronic health record (EHR), far too few smokers get effective treatment during their healthcare visits. This is largely due to a failure of translatioal science; much translation of treatment research occurs by guesswork and hunch. This R35 Outstanding Investigator proposal will address the great need for translation of tobacco science via a unique set of real-world partners: a Wisconsin health system that will serve as a "primary care laboratory," the world's leading EHR vendor, and a nationally renowned tobacco cessation research team led by the PI, Michael Fiore. These partners propose to: 1) develop and apply highly efficient and novel research methods to advance methodologically principled intervention translation, 2) design and test a highly efficient EHR-based treatment support system that organizes tobacco cessation treatment and fosters its dissemination, and 3) increase treatment effectiveness by delivering truly comprehensive chronic care smoking treatment to primary care patients. Thus, EHR changes and groundbreaking research methods will be used to re-engineer healthcare delivery systems to efficiently and seamlessly organize and deliver state-of-the-art treatment to the great majority of the nearly 30 million smokers visiting primary care settings each year. The smoking treatment and its support system will be designed for ready dissemination across health systems and diverse EHR platforms. The translational research methods should benefit any attempt to translate preventive health interventions. The proposed Principal Investigator has a 26-year track record of reducing tobacco use and its resulting harms. His experiences as a practicing physician, tobacco control scientist, and designer of national smoking policies, reflect enormous potential to fulfill the goals of the R35 mechanism - to revolutionize the delivery of tobacco use treatment so as to prevent literally millions of cance deaths.