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Partnering with health care systems to assess tobacco treatment practices and beliefs among clinicians: evaluating the process.

Celestin MD, Hart A, Moody-Thomas S - Prev Chronic Dis (2014)

Bottom Line: Louisiana State University Health System, one of the largest safety-net public hospital systems in the United States, consists of 10 facilities in population centers across the state of Louisiana.Use of the hospital's internal e-mail system and distribution of an online survey were effective means to engage clinicians.Partnering with stakeholders and using existing resources within the health care system are essential to successful implementation of a system-wide survey of clinician practices and beliefs regarding treatment of tobacco use.

View Article: PubMed Central - PubMed

Affiliation: 2020 Gravier St, 3rd Fl, New Orleans, LA 70112. Telephone: 504-568-5742. E-mail: mceles@lsuhsc.edu.

ABSTRACT

Background: Tobacco is a major cause of preventable illness and death. However, clinician use of an evidence-based guideline for treatment of tobacco use is low. This case study describes the process for conducting a pre-intervention assessment of clinician practices and beliefs regarding treatment of tobacco use.

Community context: Louisiana State University Health System, one of the largest safety-net public hospital systems in the United States, consists of 10 facilities in population centers across the state of Louisiana. The system serves a large proportion of the state's underinsured and uninsured, low-income, and racial/ethnic minority populations, groups that have high rates of tobacco use.

Methods: Activities included 1) partnering with hospital administrators to generate support for conducting a clinician assessment, 2) identifying and adapting a survey tool to assess clinicians' practices and beliefs regarding treatment of tobacco use, 3) developing a survey protocol and obtaining approval from the institutional review board, and 4) administering the survey electronically, using the hospital's e-mail system.

Outcome: Existing partnerships and system resources aided survey administration. Use of the hospital's internal e-mail system and distribution of an online survey were effective means to engage clinicians. Following notification, 43.6% of 4,508 clinicians opened their e-mail containing the invitation letter with a Web link to the survey; of these, 83.1% (1,634) completed the survey.

Interpretation: Partnering with stakeholders and using existing resources within the health care system are essential to successful implementation of a system-wide survey of clinician practices and beliefs regarding treatment of tobacco use.

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Related in: MedlinePlus

Anticipated and actual timeline of activities. Abbreviation: IRB, institutional review board.
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Related In: Results  -  Collection


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Figure 1: Anticipated and actual timeline of activities. Abbreviation: IRB, institutional review board.

Mentions: Protocol for survey distribution. System-wide layoffs by the HCSD in February 2012 presented another unanticipated delay. Although terminated employees were not present physically, they were not officially removed from the HCSD Department of Human Resources’ (HR) employee management system (which populates WILMA). Beginning survey administration before HR could reconcile its management system would result in issuing a greater number of surveys than the number of clinicians employed, thereby skewing the data. The DoSD suggested that the survey not begin until the hospital’s e-mail system was recalibrated in April 2012. Because of these delays, the survey was not distributed until May 2012. Figure 1 compares the anticipated and actual timeline of events. Additionally, the original protocol included e-mailing a survey notification letter, invitation letter, and 3 reminder letters. Because of complaints received from physicians at 1 facility, the third reminder letter was not e-mailed at the request of the CMO.


Partnering with health care systems to assess tobacco treatment practices and beliefs among clinicians: evaluating the process.

Celestin MD, Hart A, Moody-Thomas S - Prev Chronic Dis (2014)

Anticipated and actual timeline of activities. Abbreviation: IRB, institutional review board.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4042712&req=5

Figure 1: Anticipated and actual timeline of activities. Abbreviation: IRB, institutional review board.
Mentions: Protocol for survey distribution. System-wide layoffs by the HCSD in February 2012 presented another unanticipated delay. Although terminated employees were not present physically, they were not officially removed from the HCSD Department of Human Resources’ (HR) employee management system (which populates WILMA). Beginning survey administration before HR could reconcile its management system would result in issuing a greater number of surveys than the number of clinicians employed, thereby skewing the data. The DoSD suggested that the survey not begin until the hospital’s e-mail system was recalibrated in April 2012. Because of these delays, the survey was not distributed until May 2012. Figure 1 compares the anticipated and actual timeline of events. Additionally, the original protocol included e-mailing a survey notification letter, invitation letter, and 3 reminder letters. Because of complaints received from physicians at 1 facility, the third reminder letter was not e-mailed at the request of the CMO.

Bottom Line: Louisiana State University Health System, one of the largest safety-net public hospital systems in the United States, consists of 10 facilities in population centers across the state of Louisiana.Use of the hospital's internal e-mail system and distribution of an online survey were effective means to engage clinicians.Partnering with stakeholders and using existing resources within the health care system are essential to successful implementation of a system-wide survey of clinician practices and beliefs regarding treatment of tobacco use.

View Article: PubMed Central - PubMed

Affiliation: 2020 Gravier St, 3rd Fl, New Orleans, LA 70112. Telephone: 504-568-5742. E-mail: mceles@lsuhsc.edu.

ABSTRACT

Background: Tobacco is a major cause of preventable illness and death. However, clinician use of an evidence-based guideline for treatment of tobacco use is low. This case study describes the process for conducting a pre-intervention assessment of clinician practices and beliefs regarding treatment of tobacco use.

Community context: Louisiana State University Health System, one of the largest safety-net public hospital systems in the United States, consists of 10 facilities in population centers across the state of Louisiana. The system serves a large proportion of the state's underinsured and uninsured, low-income, and racial/ethnic minority populations, groups that have high rates of tobacco use.

Methods: Activities included 1) partnering with hospital administrators to generate support for conducting a clinician assessment, 2) identifying and adapting a survey tool to assess clinicians' practices and beliefs regarding treatment of tobacco use, 3) developing a survey protocol and obtaining approval from the institutional review board, and 4) administering the survey electronically, using the hospital's e-mail system.

Outcome: Existing partnerships and system resources aided survey administration. Use of the hospital's internal e-mail system and distribution of an online survey were effective means to engage clinicians. Following notification, 43.6% of 4,508 clinicians opened their e-mail containing the invitation letter with a Web link to the survey; of these, 83.1% (1,634) completed the survey.

Interpretation: Partnering with stakeholders and using existing resources within the health care system are essential to successful implementation of a system-wide survey of clinician practices and beliefs regarding treatment of tobacco use.

Show MeSH
Related in: MedlinePlus