Table 2.

Application of the Consolidated Framework for Implementation Research Process Domain to Tobacco Treatment Program Implementation at NCI-Designated Cancer Centers in the Cancer Center Cessation Initiative

Planning Strategies
Develop an evidence based tobacco treatment program.
 Counseling
 Quitline referrals
 Cessation medications
 Text-based programs
 Web resources
Acquire space
Hire staff
Define the new clinical workflow.
 Patient or clinician manual (phone or fax-based) referrals
 Optional EHR-based referrals
 Automatic EHR-based referrals
Train clinicians and staff in implementing the new clinical workflow.
Train clinicians and staff in implementing the tobacco treatment program.
Engaging Strategies
Secure administrative, clinical and IT leadership buy-in and support.
Executing Strategies
Work with IT to modify the EHR to identify and refer current smokers to treatment.
Pilot and implement the new clinical workflow.
Pilot and implement the new tobacco treatment program.