Using the Electronic Health Record to Connect Primary Care Patients to Evidence-based Telephonic Tob
Thursday, June 12, 2014
Posted by: Natalia Gromov
Medicine. Online First March 2014.
Using the Electronic
Health Record to Connect Primary Care Patients to Evidence-based Telephonic
Tobacco Quitline Services: A Closed-loop Demonstration Project.
Robert T. Adsit,
Bradley M. Fox, MD, Thanos Tsiolis, Carolyn Ogland, MD, FAAP, Michelle
Simerson, CMA, Linda M. Vind, BS, Sean M. Bell, MBA, Amy D. Skora, BS, Timothy
B. Baker, PhD, Michael C. Fiore, MD, MPH, MBA,
The purpose of this case study is to develop and evaluate a secure, closed-loop
EHR referral system linking patients visiting healthcare clinics with a state
tobacco quitline. A regional health system, EHR vendor, tobacco cessation
telephone quitline vendor, and university research center collaborated to
modify a health system’s EHR to create an eReferral system. Modifications
included the following: clinic workflow adjustments, EHR prompts, and return of
treatment delivery information from the quitline to the patient’s EHR. A
markedly higher percentage of adult tobacco users were referred to the quitline
using eReferral than using the previous paper fax referral (14 vs. 0.3 %). The
eReferral system increased the referral of tobacco users to quitline treatment.
This case study suggests the feasibility and effectiveness of a secure,
closed-loop EHR-based eReferral system.