Creating a Tobacco Use Registry
A tobacco use registry is a master list of all patients with evidence of active tobacco use in their EHR. A registry can automatically pull data from patient records (e.g., social history, CPT codes, diagnoses) to identify patients who may be using tobacco.
Although a tobacco use registry is not required, it can be useful in implementing and evaluating comprehensive tobacco treatment programs. A registry can trigger tobacco intervention. It has the advantage of not relying on a single indicator of tobacco use or a single workflow.
A tobacco use registry also facilitates proactive outreach efforts by maintaining an up-to-date roster of patients to engage in tobacco treatment. The same registry can prompt outreach in many forms (e.g., text messages sent with appointment reminders, mailings, EHR portal messages, EHR-prompted outreach at the point of care, telephone outreach).
EHR Vendor |
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Cerner | C3I Build Guide for Smoking Cessation Electronic Health Record Functionalities and Workflows for the Oncology Setting (pp. 12-13)
HealthIT.gov Cerner EHR Guide (p. 3) Registry dashboard screenshot (p. 15) |
Epic | C3I Build Guide for Smoking Cessation Electronic Health Record Functionalities and Workflows for the Oncology Setting (pp. 6-12)
Registry dashboard screenshot (p. 14) |
NextGen | NextGen Healthcare 2015 Million Hearts Guide (pp. 2-6)
Registry dashboard screenshot (p. 15) |
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Tip
Running regular reports on your tobacco registry can identify who needs treatment, who receives treatment, and who changes tobacco use status over time.