Table 1

Agency for Health Care Policy and Research guideline recommendations for healthcare administrators, purchasers and insurers

•  Implement a tobacco user identification system in every clinic.
•  Provide education, resources, and feedback to promote provider intervention.
•  Dedicate staff to provide smoking cessation treatment identified as effective in the guideline, and assess the delivery of this treatment in staff performance evaluations.
•  Promote hospital policies that support and provide smoking cessation services.
•  Include smoking cessation treatment identified as effective in the guideline as paid services for all subscribers of health insurance packages.
•  Reimburse fee-for-service clinicians for delivery of effective smoking cessation treatments, and include these interventions among the defined duties of salaried clinicians.