Practice adherence with AHCPR smoking cessation clinical practice guidelines as perceived by program overseers (%) (n = 88)
| All | Some | Few | None | Don't know | Missing | |
| Use of 4As | ||||||
| Screen (ask) for tobacco use at first visit | 57 | 36 | 1 | 0 | 3 | 2 |
| Ask about smoking at every visit | 18 | 53 | 9 | 11 | 7 | 1 |
| Strongly advise smokers to quit | 46 | 49 | 1 | 0 | 3 | 1 |
| Briefly counsel (assist) the patient in quitting | 21 | 50 | 15 | 1 | 12 | 1 |
| Arrange for follow-up support | 15 | 50 | 24 | 3 | 7 | 1 |
| Use of office systems | ||||||
| Modify patient intake forms so that smoking status in requested | 48 | 25 | 3 | 1 | 11 | 11 |
| Use a chart stamp or sticker to identify smokers | 9 | 25 | 16 | 19 | 21 | 10 |
| Modify the forms so that tobacco use is a vital sign | 18 | 27 | 11 | 11 | 22 | 10 |
| Identify a smoking cessation coordinator in their practice | 13 | 13 | 35 | 19 | 10 | 10 |
| Record a nicotine dependence code | 2 | 11 | 22 | 27 | 27 | 10 |