The investigators are implementing a stepwise approach to cessation with a public health
focus to improve health outcomes for the investigators' pediatric patients. The investigators
are focusing on addressing caregiver smoking as a modifiable risk factor during time of
child's hospitalization as a window of opportunity to provide counseling and education to
families on secondhand and third hand smoke exposure as well as information on NRT products
to heighten caregiver contemplation for quitting. One of the central goals of the
investigators' project is to increase immediate access to Nicotine Replacement Therapy (NRT)
resources for families during hospitalization which pediatric providers could potentially
dose and prescribe to caregivers who are screened positive for smoking. Long-term cessation
care is provided by referrals to both the MD Quitline and the John Hopkins Tobacco Treatment
Clinic. Both are provided to allow participants options that the participants would find
preferable from an insurance and provider perspective.