center of excellence for health systems improvement

About the Center of Excellence for Health Systems Improvement

The Health Systems Improvement for a Tobacco-Free New York Project, funded by the New York State Department of Health Bureau of Tobacco Control, supports the Center of Excellence for a Health Systems Improvement for a Tobacco-Free New York (COE for HSI) as well as 10 Regional Contractors.

The goal of the COE for HSI is to promote within health systems the routine assessment and evidence-based treatment of tobacco use at every clinical encounter. In service to this aim, the COE for HSI serves as a resource to the 10 Regional Contractors in their efforts to implement changes within healthcare systems, with an emphasize on those systems serving populations (e.g., low-income populations) for which smoking rates have not declined in recent years, and works on the Statewide-level to promote a policy environment that favors the increased availability and coverage of evidence-based treatments.

This vision of the COE for HSI is guided by the Public Health Service-sponsored Clinical Practice Guidelines on Tobacco Use and Dependence, which emphasize the use of "System Strategies" to achieve tobacco cessation goals. These Systems Strategies include:

  • Implementing tobacco user screening systems
  • Establishing networks that provide education, resources, and quality improvement feedback that promotes provider intervention for tobacco dependence
  • Dedicating a tobacco dependence treatment coordinator to ensure provision of evidence-based treatment
  • Ensuring evidence-based tobacco dependence treatments are universally-covered benefits by health plans

The COE for HSI builds on CAI's almost-15 years' experience in developing trainings, capacity-building assistance, and specialized resources for tobacco control and smoking cessation programs, and the organization's growing niche in the emerging field of health systems strengthening and improvement.

For more information about the COE for HSI, please contact the Project Director.

This website was developed with funding provided by the New York State Department of Health Bureau of Tobacco Control to CAI. Its contents are solely the responsibility of CAI and do not necessarily represent the official views of the New York State Department of Health.