We are a collaborative of tobacco control programs working to facilitate sustainable changes in health care systems within our states and nationally in order to reduce tobacco use and prevalence.

Working as a community of practice, we seek to effect change by:

• Sharing knowledge and practices widely about how state tobacco control programs support system changes in health care,
  
  
• Documenting emerging and promising practices at the state level to build the evidence base for national health systems change, and
  
  
• In collaboration with national partners, identifying and serving as chief advocate for changes needed in policies and practice at the national level that serve as barriers to effective change at the state level.

Members of the Multi-State Collaborative: Arizona, Colorado, Iowa, Louisiana, Maine, Massachusetts, Minnesota, New Hampshire, New York, New York City, North Carolina, Ohio, Oklahoma, Rhode Island, Vermont, Virginia, Washington, Wisconsin. Partner organizations: Centers for Disease Control and Prevention, Office on Smoking and Health; National Tobacco Cessation Collaborative; North American Quitline Consortium; Partners for Prevention/ACTTION; American Lung Association