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TRAC System Model
These two illustrations model the key points of
the TRAC System for office-based tobacco interventions as described by
Jack Hollis, Ph.D., of Kaiser Permanente Northwest and as adapted for
a clinical setting in Arizona.
T R A C
Tobacco Reduction, Assessment,
and Care System
Clinic Flow Outline
Office-Based Smoking Cessation Counseling System
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Clinic Assistant
Identify
tobacco status of every patient.
Alert providers about all current tobacco users and recent quitters.
Initiate documentation process. |
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Provider
Deliver appropriate
brief message.
Refer contemplators and recent quitters for nurse assistance. Complete
documenation.. |
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Smoking
Cessation Interventionist / Nurse
Offer 3 to 5 minute cessation
assistance (use videos, manuals, referrals). Arrange phone follow-up
if quit date is set. Identify local, state, national resources to support PHS recommendations. Complete documentation. |
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Health
Education
Complete follow-up calls
to those who set quit date. |
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Quality
Assurance
Monitor smoking cessation intervention system.
Provide feedback to clinic staff |
T R A C
Tobacco Reduction, Assessment,
and Care System
Variations for ADHS-TEPP Local Projects (Community Providers)
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Medical
Assistant
Identify tobacco status
of every patient as part of vital signs. Alert tobacco users that
provider will discuss quitting. Alert provider about all current tobacco users and recent quitters. |
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Provider
Deliver appropriate brief
intervention message.
Refer contemplators to nursing for assistance.
Give literature to precontemplators.
Document action taken. |
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Staff Certified in Basic Tobacco Cessation
Skills
Offer 3 to 5 minute
cessation assistance (use videos, manuals, referrals). Refer to
ADHS-TEPP Local Projects/Arizona Smokers' Helpline (ASH).
Arrange phone follow-up if quit date is set. Outsource local, state, nationa resources.
Document action taken. |
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Treatment
Specialist / ADHS-TEPP Local Project / ASH
Provide extended and/or
intensive services.
Refer to Health Maintenance Organization (HMO) intensive services.
Arrange phone follow-up if quit date is set.
Document action taken. |
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Quality
Assurance
Monitor smoking cessation
system.
Provide feedback to clinic staff. |
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