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Clinical Practice Guidelines: 2A and 1R

Why 2As and 1R?

The alternative protocol to the gold standard 5As (Ask, Advise, Assess, Assist, Arrange).

The U.S. Public Health Service Clinical Practice Guideline, Treating Tobacco Use and Dependence 2008 Update calls for systems level tobacco intervention efforts using the 5As. However, working the 5As into the practice’s current workflow may be overwhelming, particularly if providers are not connected to the State's Helpline resources. As Meaningful Use rolls out, QuitWorks-NH via the NH Tobacco Prevention and Control Program (TPCP), can provide training and technical assistance for practices integrating tobacco treatment into electronic medical records (EMR) using the 2A (Ask and Assist) and R (Refer to QuitWorks-NH) so that providers have a resource to refer patients that want to quit.

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New Hampshire Department of Health and Human Services
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