About Us

The Ohio Smoke-Free Families (SFF) Quality Improvement (QI) Project is an initiative created in response to the high rate of tobacco use in Ohio by women of childbearing age. The project aims to improve model fidelity in the implementation of the 5 A’s counseling intervention with women of childbearing age.

In order to achieve the project aims, The Ohio Colleges of Medicine Government Resource Center (GRC) utilizes QI science methodology to provide clinicians and other trained personnel effective strategies, tools, and interventions to adopt and implement the 5 A’s brief counseling intervention. Additionally, the SFF project team works with sites to identify potential barriers to providing the 5A’s and supports action toward removing those barriers.


The goal of SFF is to improve women’s health and birth outcomes by reducing the prevalence of tobacco use in women of childbearing age before, during, and after pregnancy.


To reach this goal, three QI learning collaboratives have been implemented in a total of 99 Ohio sites in a variety of settings, including Reproductive Health Wellness Program (RHWP), Ohio Infant Mortality Reduction Initiative (OIMRI), Women Infant and Children (WIC), Help Me Grow (HMG), and Federally Qualified Health Center (FQHC) sites.

Our Objectives


Short-Term Objectives

  • Increase the QI skillset of health professionals at participating sites.
  • Increase provider knowledge of the 5A’s brief counseling intervention.
  • Increase provider adherence to the 5A’s model.
  • Improve provider/client communication regarding tobacco use.
  • Increase client understanding of the effects of prenatal smoking.
  • Increase client access to resources to assist in smoking cessation.

Long-Term Objectives

  • Sustain the use of the 5A’s resources at participating sites.
  • Expand the use of the 5A’s resources to additional sites in Ohio.
  • Reduce prenatal smoking rates in Ohio.
  • Improve maternal health and birth outcomes in Ohio.

Throughout this site, healthcare professionals and programmatic staff will find resources designed to support them in implementing or improving tobacco cessation services within their organization. Resources for providers is available on the Provider Resources  page. Consumer Resources can be accessed on the Help to Quit page.