An assessment of user acceptance and satisfaction with the tobacco use cessation automated clinical practice guideline.
OBJECTIVE
To describe user acceptance of and satisfaction with the Tobacco Use Cessation (TUC) Automated Clinical Practice Guideline (ACPG) at the Henry Ford Health System.


METHODS
A previous investigation assessed compliance with the 5 As (ask, advise, assess, assist, and arrange) of the TUC ACPG across 3 study arms. This article describes user satisfaction with the TUC ACPG after implementation.


METHODS
In all study arms, providers completed a survey before participating in a focus group.


RESULTS
All providers in the TUC arm indicated that they "almost always" asked their patients about tobacco use. Providers in the TUC arm were generally satisfied with the features of the TUC ACPG, particularly the ease of electronically referring a patient to the Smoking Intervention Program. Barriers to use included time constraints, lack of staff, and the desire to "opt out" of the program for patients in specific situations (eg, patients with terminal illnesses).


CONCLUSIONS
Because ACPGs are incorporated into electronic medical records, it is important to obtain provider input before implementation, to supply technology that is user friendly and fits into the work flow of the clinic, and to afford physicians the autonomy to opt out of the guideline in specific clinical circumstances.
Szpunar
Susan M
SM
Henry Ford Health System, Detroit, MI, USA. susan.szpunar@stjohn.org [corrected]
Williams
Patricia D
PD
Dagroso
Deborah
D
Enberg
Robert N
RN
Chesney
James D
JD
D001291:Attitude of Health Personnel; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D017144:Focus Groups; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006801:Humans; D008824:Michigan; D017410:Practice Guidelines as Topic; D020340:Tobacco Use Cessation / Q000379:methods / Q000706:statistics & numerical data*