Ohio hospitals will be designated “Ohio Quit Sites” after completing the following:

1. Hospital staff attends the entire Get in Line with the Tobacco Treatment Clinical Practice Guidelines training and completes the training evaluation tools.
    

2. The hospital identifies an “Ohio Quit Site” contact person who is willing to oversee the letter of agreement, help inform hospital staff about the referral process, and assist with evaluating success of the Quit Site.
    

3. The hospital signs a letter of agreement that indicates its intent to become an “Ohio Quit Site” with the intention of making systemic changes to integrate tobacco control into daily protocols. Hospitals will commit to implementing the main components of the Treating Tobacco Use and Dependence Clinical Practice Guideline and make and track the number of its fax referrals to Ohio Tobacco Quit Line.
   
   The main components of the Treating Tobacco Use and Dependence Clinical Practice Guideline are often referred to as 3As & R and consist of identifying tobacco users, having clinicians provide a brief intervention advising of the benefits of not using tobacco and referring those ready to quit to cessation services.

   3As & R

   Ask every patient about tobacco use
   Advise tobacco users to quit
   Assess readiness to quit
   Refer those ready to quit in the next 30 days to the Ohio Tobacco Quit Line or another appropriate community resource
    

4. Hospitals describe in their letter of agreement how they will utilize a $1,000 Quit Site incentive to implement the 3 As & R (i.e. for staff training, patient materials, etc.)*

*Hospitals that complete numbers 1 through 4 by June 23 will be eligible for $1,000 to assist in becoming an Ohio Quit Site.