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Tobacco Systems Change

Boosting your efforts to address tobacco use and dependence with practical offerings for health care systems change.

Tri-County Health Care Tackles Process Change Together

A multidisciplinary team at Tri-County Health Care in Wadena is working with ICSI to focus on tobacco systems change. Doing process mapping together resulted in several "aha" moments, including ways their EHR can support the tobacco work in various departments.

"It was eye opening to conduct process mapping together as a team," commented Jose Alba, director of ambulatory services, and Medley Shamp, lead care coordinator. "This experience gave us permission to ask each other questions. As we do more process or workflow mapping, we will become more comfortable with this work and challenge our thinking. This is changing our culture."

Motivational Interviewing Videos & More

The American Indian Cancer Foundation (AICAF) has assembled a number of resources to support providers serving American Indian populations in tobacco cessation efforts. These include a series of three videos focused on clinical motivational interviewing for smoking cessation: "Smoking as a Normative Behavior," "Smoking and Diabetes," and "Making a Quit Plan." View the videos. AICAF is partnering with ICSI through this Tobacco Health Systems Change effort to strengthen its work with clinics and providers. Learn more on the AICAF website.

From the Field

Mille Lacs Band of Ojibwe: A Case Study

The Mille Lacs Band of Ojibwe (MLBO) received a two-year grant award* from ClearWay MinnesotaSM to implement health systems changes that would improve MLBO's ability to address commercial tobacco use among their community members and integrate referrals to the Smoking Cessation Program into the medical clinics. MLBO's key strategies for this work were to:

  • Establish a cross-disciplinary tobacco team
  • Embed commercial tobacco dependence treatment into the clinical standard of care
  • Conduct community and health system outreach

Read the MLBO case study for noteworthy successes, challenges, and lessons learned.

* In 2014, ClearWay MinnesotaSM funded three organizations for two years to help them improve their ability to assess and address tobacco use with their patients. An external evaluator conducted a process evaluation, and Clearway MinnesotaSM worked with grantees to develop individual case studies that tell their stories. See the other case studies here.

Tools & Resources

These resources are curated from what others have found to be useful.



ICSI is partnering with ClearWay MinnesotaSM to increase the capacity of health systems to assess and address tobacco use. Our organizations are working together on this capacity building initiative to provide resources and tools to help health systems routinely intervene with their patients that use tobacco. Please contact ICSI's Tani Hemmila at (952) 814-8299 for additional information. Join our list to stay informed.

Updated 06/26/17