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Aim: By December 31, 2024, ≥25% of tobacco smoker patients of HFH Detroit vascular surgery will receive 2 out of 3 smoking cessation interventions: 1) Physician delivered advice 2) Nicotine Replacement Therapy 3) Referral to smoking counseling services. Plan/Current State: In 2022 the most common smoking cessation practice was through physician delivering advice to stop smoking. However, physician advice alone will not count towards the Smoking Cessation Vascular Surgery goals for 2023 which is multipronged. Per Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) Vascular Surgery Report, as of 2022 Q4, Henry Ford Hospital Detroit’s smoking cessation interventions 2 out of 3 provided were at 17.60%. This was below the current goal of ≥25%. Out of 83% vascular surgery patients who ever smoke, 34.7% are current smokers. Physician delivered advice to stop smoking is at 45.6% with 25.8% refusal. Nicotine replacement therapy prescription is at 16.2% with 9.1% refusal. A total of 10.3% were referred to Counseling Services with 0% refusal. Without a doubt, vascular surgeons play a significant role in vascular patients’ education about smoking cessation, nicotine replacement therapy and referral to smoking cessation program. HFH Vascular surgery team will work on a goal of decreasing vascular patients risk factors by one through smoking cessation. Thereby decreasing the likelihood of claudication, amputation, stroke, abdominal aortic aneurysm and failure of vascular reconstruction. This project includes the following elective cases: Carotid Artery Stent, Carotid Endarterectomy, Endovascular Aneurysm Repair, Open Abdominal Aneurysm Repair and Open Bypass Surgeries. The department involve are Vascular Surgery and IR Neuro. Cardiology was added in 2024 due to CAS performed by one provider.

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Henry Ford Health


Detroit, Michigan


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Project #36: Increasing 2 out of 3 Smoking Cessation Interventions for Vascular Surgery Patients



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