Tobacco dependence is a chronic, relapsing condition that often needs repeated help. Proven treatments — counseling and FDA-approved medicines — work, but are underused. At least 70% of people who smoke see a doctor every year, patients expect to be asked about tobacco, and even brief advice from a clinician raises quit rates; more intensive help does more.
What the package is
The Tobacco Cessation Change Package (TCCP), created by CDC for the Million Hearts initiative, is a quality improvement tool for clinicians in outpatient, inpatient and behavioral health settings, and the public health professionals who work with them. It lists process improvements that make quit support part of the everyday clinical workflow.
The package's five focus areas. CDC / Million Hearts.
How to use it
- Assemble a team — physicians, pharmacists, nurses, medical assistants, social workers, care managers, quality improvement and IT staff, administrators.
- Assess which of the focus areas most need improvement in your health system; learn from others who have done it.
- Choose strategies from the package that address those needs.
- Test small — run a "small test of change" before adopting it more widely.
Don't try everything at once: not every intervention fits every setting.
How it's built
| Part | What it is |
|---|---|
| Change concepts | general ideas for changing a process |
| Change ideas | specific strategies that can be quickly tested on a small scale |
| Tools and resources | evidence- or practice-based materials to adopt or adapt for each idea |
The package is not a clinical guide to treating tobacco dependence; it complements Million Hearts' Tobacco Cessation Intervention Protocol and its clinician action guide on identifying and treating patients who use tobacco. A five-minute tutorial video introduces it.
Sources
Based on "Tobacco Cessation Change Package," Million Hearts, U.S. Department of Health and Human Services; a work of the United States government in the public domain. The package was written by CDC staff with partners from the University of Wisconsin and others, drawing on the 2008 Public Health Service guideline Treating Tobacco Use and Dependence. Sample social media posts, the guide's cover and a stock photograph are not reproduced.
Licence: CC0 1.0 (public domain) · Adapted from millionhearts.hhs.gov
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