Clinic Inclusion Criteria:  In Oregon On the OCHIN Epic EHR for >= 1 year Willing to be randomized to the intervention or comparison condition Willing to recruit a provider to serve as a clinic champion (to share monthly performance audit and feedback at all-staff meetings, determine desired content of booster sessions with clinic team members, and complete a survey at the completion of the intervention period) and a clinic manager to coordinate training and booster sessions  Patient Inclusion Criteria:  Adult patients (>= 18 years of age) Identified as current smokers during >= 1 ambulatory visit to one of the eligible study clinics over the 24-month study period