| Program Director | Program Coordinator | Dental Assistant | Receptionist |

Dentist: Program Director

• Convene office team to solicit support for the program and to determine office plan of action... with input from all team members.
• Determine the program coordinator... office team decides who would be best person.
• Establish new job responsibilities.
• Negotiate time-oriented goals for other team members.
• Counsel patients concerning oral ill-effects of tobacco use and benefits of quitting; help patient develop a cessation plan.
• Recommend nicotine replacement products, Zyban, or a combination when appropriate.
• Monitor program progress.
• Establish follow-up meetings.
• Evaluate personnel time and commitment; reassign responsibilities if needed.
• Introduce new team members to program-related responsibilities; delegate training to appropriate personnel, when necessary.

Dental Hygienist: Program Coordinator

• Initially, assess tobacco using patient's interest in program.
• Provide personalized oral health information, if appropriate.
• Determine patient's motivation for quitting.
• Based on patient information, provide quit strategies.
• Inform patient of follow-up procedures.
• Record tobacco use status and counseling interactions on patient chart and separate forms.
• Compile, update, and maintain information on community-based quit smoking programs.
• Coordinate staff members' efforts to ensure program/practice compatibility.

Dental Assistant

• Order supplies, such as pamphlets, progress cards, and tobacco history questionnaires.
• Monitor pamphlets/forms and reorder as necessary.
• Record success information for monthly team meetings.
• Assist receptionist, as needed, making follow-up calls concerning quit dates and progress achieved.
• Encourage patients who are going through the quitting process.

Receptionist

• Update medical history with current tobacco use status.
• Place smoking/nonsmoking sticker on chart.
• Attach tobacco history and counseling forms on chart before visit.
• Note quit date in appointment book and separate progress records.
• Telephone patient just before and soon after quit date.
• Establish appropriate follow-up calls, letters, and appointments.
• Replace smoking sticker with nonsmoking sticker when success achieved.