NCT02735382

EHR-Based and Fax-Based Referral to a Tobacco Quitline: A Comparative Study

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: Study 1: the EHR and Fax Referral Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 14,930 (actual)
• Sponsor: University of Wisconsin, Madison · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

This study is designed to assess whether completely electronic, HIPAA-compliant, EHR-based, closed-loop referrals for tobacco cessation from primary care clinics to a state telephone tobacco quitline service can increase the number/percentage of adult tobacco users receiving evidence-based tobacco dependence treatment when compared to paper-based fax referrals. This study also will survey clinic staff to evaluate satisfaction with the referral process.

Detailed description

Aim 1: To evaluate the rates of referral of tobacco users visiting primary care clinics to the WTQL, comparing those who were referred via an EHR-based electronic referral system vs. those referred via a manual paper fax referral system. Analyses will address the change in rates of referrals from pre- to post-intervention and the trajectory of referral post-intervention and will reflect per clinic rates. Aim 2: To evaluate the rates of quality referrals of tobacco users visiting primary care clinics to the WTQL, comparing those who were referred via an EHR-based electronic referral system vs. those referred via a manual paper fax referral system (quality referrals are defined as ones that result in individuals who enroll in and receive WTQL counseling and/or medication treatment services). Analyses will address the change in referrals from pre- to post-intervention and will reflect per clinic rates. Aim 3: To examine variation in referral rates across clinics to test the hypothesis that the eReferral system will result in greater consistency in referral in addition to higher rates of referral. Qualitative methods will be used to understand the sources of variation. Aim 4: To assess clinician and staff satisfaction with the eReferral and paper fax referral systems via self-report questionnaires. Aim 5: To evaluate smoking abstinence rates of tobacco users who were referred to and accepted services from the WTQL, comparing those who were referred via an EHR-based referral system vs. those referred via a manual paper fax referral system.

Conditions

• Tobacco Use Cessation
• Tobacco Smoking

Interventions

Type	Name	Description
BEHAVIORAL	Tobacco quitline EHR referral	Using an EHR-based referral to the tobacco quitline from primary care outpatient clinics.
BEHAVIORAL	Tobacco quitline Fax referral	Using an Fax--based referral to the tobacco quitline from primary care outpatient clinics.

Timeline

• Start date: 2016-09-01
• Primary completion: 2018-03-01
• Completion: 2018-04-01
• First posted: 2016-04-12
• Last updated: 2019-09-03
• Results posted: 2019-08-13

Locations

1 site across 1 country: United States