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  1. Affentranger, Ashley DNP, APN, AGPCNP-BC
  2. Mulkey, David DNP, RN, CPHQ, CCRN-K, CHSE


Background: Tobacco use is the leading cause of preventable death due to cardiovascular disease.


Local problem: Tobacco cessation counseling (TCC) is varied among providers, leading to suboptimal willingness to make a quit attempt.


Methods: We used a quality improvement framework to pilot the 5 A's for TCC from April 2021 to August 2021 in our outpatient cardiology clinic.


Interventions: Providers implemented TCC using the 5 A's intervention. Patient follow-up phone calls were conducted 30 days after receiving TCC.


Results: Of 629 patient encounters, the mean TCC rate increased by 27.5%, and the mean reported cessation rates improved by 3.9%. Variation among providers decreased for TCC rates when they used the 5 A's intervention.


Conclusions: The 5 A's intervention standardized TCC efforts. Using the 5 A's led to an increase in patients who reported smoking cessation 30 days after TCC was received.