Premium
Brief Report: The effect of implementing a tobacco treatment service on adherence to evidence‐based practice in an inpatient state‐owned psychiatric hospital
Author(s) -
Okoli Chizimuzo T. C.,
AlMrayat Yazan D.,
Stead Barbara
Publication year - 2018
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/ajad.12733
Subject(s) - medicaid , medicine , tobacco use , psychiatry , compliance (psychology) , retrospective cohort study , family medicine , emergency medicine , environmental health , psychology , health care , population , social psychology , economics , economic growth
Background and Objectives The Centers for Medicare and Medicaid Services (CMS) requires reporting of specific tobacco treatment (TT) measures. We examined compliance to these measures before and after initiation of a specialized TT service in a state‐psychiatric hospital. Methods Using a retrospective analysis, patient records ( N = 3669) were examined, using one‐way ANOVAs, for changes in rates of tobacco use screening and treatment between September–December 2015 (pre‐implementation of CMS requirements), and January–April, May–August, and September–December 2016 (post‐implementation of the CMS requirements). Results We found significant increases, between Sep–Dec 2015 and Sep–Dec 2016, in the rates of tobacco use screening (93.4–95.3%, F [3, 12] = 7.39, p = .005), offering TT counseling (68.1–76.5%, F [1] = 18.59, p = .001) and medications (71.7–76.5%, F [1] = 5.86, p = .032). Conclusions and Significance Our findings can provide guidance to enhance compliance with TT measures in psychiatric settings. (Am J Addict 2018;27:368–371)