In 2020, the American College of Preventive Medicine (ACPM), under a cooperative agreement with the Centers for Disease Control and Prevention (CDC), facilitated a series of convenings with representatives from more than 15 medical societies, associations and universities to discuss how to effectively accelerate the integration of tobacco use and dependence interventions into the clinical setting.

Discussions focused on articulating goals, outcomes and strategies for driving change in three key domains:

  • Medical Education — including undergraduate, graduate and continuing medical education

  • Health Systems Change — including clinical practice guidelines, quality improvement initiatives, use of technologies such as Electronic Health Records (EHR) and public health-health care partnerships

  • Policy — including reimbursement, insurance coverage, scope of practice and environmental policies

The current state of the effective and widespread integration of smoking cessation interventions in clinical health care settings — from emergency rooms to primary care clinics to dentist offices — reveals both successes to build on and opportunities for improvement. Articulating a vision and a definition of success in advancing the integration of tobacco cessation interventions in clinical health care settings is critical to moving beyond the current state in a way that maximizes the potential for collective impact and collaboration across the ecosystem of health care, medical education and policy.