Skip to main content

Table 3 (KU): hospital counselor treatment delivery as measured by checklist and direct observation (N = 108)

From: Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART)

Warm handoff (N = 57 observations)

% performed appropriately

 Let patient know survey is over and now you will be moving into the treatment portion of the intervention.

98

 Describe warm hand-off process

79

 Explain to patient you will now call the quit line then hand them the phone

100

 Explain they will talk to two people: first registration and second they will be transferred to the quit coach

98

 Explain the registration person will ask some questions that might seem redundant (like we have already asked)

79

 Let them know you will check back in on them after the call

100

 Perform call, using appropriate language

100

 Leave room, notify patient’s nurse or floor staff patient is talking to quit line, discuss medications for withdrawal if appropriate.

97

Fax Referral (N = 51 observations)

 

 Let patient know survey is over and now you will be moving into the counseling/ treatment portion of the intervention

98

 Conduct assessment of smoking history readiness to quit

96

 Briefly touch on benefits and barriers to quitting as appropriate

100

 Provide accurate medication information, use elicit, provide, elicit

94

 Build plan to quit/stay quit using the booklet (as needed)

94

 Ask if patient requests cessation medication script on discharge

98

 Summarize key topics, goals, and next steps

94

Description of Fax Referral Process

 

 Someone will call at the number you provided soon after discharge

96

 Explain they will talk to registration first and answer questions before talking to a counselor

75

 Avoid telling patient they don’t have to take all calls

98

 Discuss plans to obtain medications post discharge: 1. Discuss patient interest in post discharge medications. 2. Tell them we will request a prescription from medical staff if appropriate. 3. Discuss how to obtain medication

96

 Follow up with medical staff about inpatient and discharge medications

90