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Tobacco cessation resources for providers

Legacy Health has made addressing tobacco a top priority to improve the health of patients, employees, and the communities we serve. For smokers, tobacco cessation is the single most important thing we can do to improve their health outcomes.

Smoking cessation guidelines and resources

The Oregon Health Plan now requires patients to quit smoking for 30 days prior to elective surgery, and for six months for certain types of elective procedures. While these guidelines are specific to OHP patients, the resources are useful for all patients and providers regarding smoking cessation.

Through the Legacy Health Tobacco Cessation and Prevention Program, we’ve assembled all the resources providers need to comply with this requirement. Below are links to all the different resources:

Nicotine replacement and treating withdrawal

Legacy Health offers several procedures for assessing patients' tobacco use and treating nicotine withdrawal.

  • The first is an evidence-based update in how to appropriately dose nicotine replacement therapy, which can be used for both inpatients and outpatients, and is summarized in this document: 
    Dose-appropriate nicotine replacement treatment
  • The second is a new protocol which allows nurses to take a larger role in treating nicotine withdrawal for hospitalized patients. This Nicotine Withdrawal Prevention Protocol (NicWiPP) is a pilot project at Legacy Emanuel Medical Center. The key points of this inpatient protocol are summarized in this training material:
    Nicotine Withdrawal Prevention Protocol (NicWiPP) Provider Education


Resources for your patients

One of the best resources for helping patients to quit is the state level tobacco quit line. We are fortunate to have excellent tobacco quit lines available to our patients in both Oregon and Washington which can be reached using the same toll-free number (1-800-QUIT-NOW). You can learn more by going online to their websites:


For patients you see who are smokers, you can divide them into two easy groups; those who are interested in quitting, and those who are not. We know that it helps to give tailored messages to every smoker, and since the quit line is an excellent resource, here are two brief handouts that you can print out and give to your patients:

Referring a patient

Another easy way to connect your patient with an expert tobacco cessation counselor is to fax a referral to the quit line and they will call your patient for you. All you need to do is fax a referral to the quit line, here are resources:


The quit line is free (supported by the tobacco tax) and is this particular quit line has been proven effective in several randomized clinical trials.

Questions and more information

If you are interested in learning more about helping your patient’s quit, please contact the Legacy Health Tobacco Cessation and Prevention Program at tobaccofree@lhs.org.