How it all began
Since the early 1990s, the University of Ottawa Heart Institute (UOHI) has been offering smoking cessation services to its patients through an outpatient program called the Quit Smoking Program (QSP). This program is available to smokers in the Ottawa area and can be accessed through clinician-or self-referral. UOHI smoking cessation experts recognized the need as well as the opportunity to support hospital inpatients with their nicotine addiction and, in 2002, the OMSC was developed.
Due to the growing interest, demand, and program adaptability, the OMSC has broadened its reach to numerous inpatient, outpatient, and primary care settings totaling over 180 sites across Canada.
To learn more about the OMSC program, check out our OMSC 2011/2012 Highlight Document.
What is the OMSC?
The OMSC is an institutional program that systematically identifies, provides treatment, and offers follow-up to all smokers seen in clinical practice.
The OMSC clinical protocol has five main components:
Smoking status of all patients is aquired.
Smoking status is noted on patient's record.
Brief counseling and strategies for withdrawal management and quit attempts are offered to all patients who smoke.
First-line smoking cessation medications are offered to all patients who smoke.
Automated follow-up support for 6 months and/or link to primary care or community programs is offered.
Why does our program work?
It has been found that 70% of smokers want to make a quit attempt in the next six months following their consultation.
Receiving support from a healthcare practitioner has been shown to increase a patient’s motivation to stop smoking. Smokers who try to quit with the help of best practice counseling, cessation medications, and follow-up, experience double or triple the success rate with quitting long term.
Quit Smoking Automated Follow-up Program
The follow-up program is a fundamental component of the OMSC. Studies have shown that patient follow-up post discharge or clinic visit have greatly impacted a patient’s success with quitting smoking. This program sends brief automated calls inquiring about the patient’s smoking status. If it is noted that the patient is in need of further support and assistance, a live follow-up call from a Quit Smoking Specialist will take place.
Implementing the OMSC in a healthcare setting
A key component to the success of the OMSC is best attributed to its personnel, which includes expert Outreach Facilitators. Our facilitators work directly with participating sites to adapt their clinical practices to implement the 10 best practices for effective tobacco dependence treatment using a detailed implementation Workplan.
Phases of the Ottawa Model's implementation plan
- Program Introduction and Buy-in
- Pre-Implementation Evaluation
- Institutional Tobacco Control Protocol Development
- Physician, Nurse and other Health Professional Training
- Program Launch
- Post-Implementation Evaluation and Quality Improvement
How effective is the OMSC?
Implementation of the OMSC has led to an absolute 11.1% improvement (from 18.3% to 29.4%) in long-term cessation rates among its hospitalized patients.
This graph depicts an evaluation of the first 9 hospitals who implemented the OMSC.
Since 2006, the OMSC Network has reached over 120,000 smokers.
Becoming a partner with the OMSC
There are over 180 sites currently part of the OMSC’s Canadian network. Please visit our website regularly for opportunities to implement the OMSC.
Become involved today! At any time, you can take advantage of the following OMSC network opportunities:
- Join our email distribution list, facebook and twitter accounts to be notified of any upcoming smoking cessation events and resource updates.
- Register for the upcoming 7th Annual Ottawa Conference: State of the Art Clinical Approaches to Smoking Cessation being held January 23-24, 2015
- Keep up to date on the latest smoking cessation research