COVID-19 Updates

Visit UC San Diego's Coronavirus portal for the latest information for the campus community.

Step 3: Assess Organizational Readiness to Address Tobacco

The ATTOC Environmental Scan includes a walk-around the campus, interviews with staff and patients, and a review of the clinical charts for evidence of documentation about tobacco use, addiction, and treatment. This evaluation creates a baseline assessment of the core goal areas for the ATTOC intervention: patient, staff, and environment. The findings help assess organizational readiness and also provide important information for the ATTOC Change Plan (ATTOC Step 4).

  • The patient-level assessment evaluates what clinical services are offered, how they are documented, and what referral information is provided;
  • The staff-level assessment evaluates what tobacco addiction treatment services are available for staff, the level of prior training, whether staff are Tobacco Treatment Specialists, and staff attitudes towards this initiative; and
  • The environmental assessment evaluates the indoor and outdoor spaces of the agency for evidence of tobacco use, as well as health promotion literature to support and encourage recovery from tobacco addiction


At the end of the assessment, the ATTOC consultants determine the level of organizational readiness at your agency and determine the implications of this information for your change and communication plans. Written Feedback is provided for sites to use in their Change Plan. A self-evaluation is possible and can also be helpful.



Task 1. Assess organizational strengths and weaknesses in adopting change.

Your agency’s past experiences in implementing change are a valuable source of information that can help you complete on-target planning as you address tobacco addiction. ATTOC consultants will seek information about the history of any changes that your agency has made so that they can assess the organizational strengths and weaknesses that may come into play during the transition. For example:
  • What are the changes that have been made lately in your agency?
  • Has your agency been successful in adopting any new ideas in treatment programs?
  • What factors helped your agency succeed in other similar change efforts?
  • What factors have hindered your ability to implement changes?
  • As an organization, at what stage does your agency typically adopt innovations?

Task 2. Assess agency strengths and vulnerabilities in addressing nicotine dependency.

It is important for you and the ATTOC team to understand the baseline from which you are currently addressing tobacco addiction, including any past experiences that may suggest barriers, resources, or incentives that will affect the likelihood of success. The scan covers the key areas that will affect the organization’s readiness to change:
  1. Environmental tobacco control effects,
  2. Patient assessment and treatment, and
  3. Staff competencies, smoking, and attitude.

Task 3. Hold a series of on-site meetings with the ATTOC consultants.

he ATTOC consultants will hold a series of meetings to assess and discuss the readiness for change. They will shed light on how your agency’s readiness to change compares with that of other agencies they have assisted, including the implications of these similarities or differences for your Change Plan and Communication Plan. These meetings also provide an opportunity to communicate the new plans.