Introduction:
Thai Tobacco-Free Healthcare Setting Standards (TTFHS) were issued by the Thai Physicians Alliance Against Tobacco (TPAT) to enhance hospitals and healthcare settings to integrate the prevention and control of tobacco use in their work system and patient care process.

Objectives:
To assess conformity to TTFHS and quit rates of public hospitals in Thailand.

Methods:
This is a descriptive cross-sectional study using secondary data. Hospital profiles, self-assessment reports of hospitals and the site visit reports of surveyor teams of TPAT were analyzed. This study included 10 hospitals that TPAT visited during September to October 2019.

Results:
In all, 2 regional hospitals, 6 general hospitals and 2 community hospitals were visited in all regions of Thailand. These hospitals had 30-1,050 beds. All hospitals declared and had written policies on the prevention and control of tobacco use, established tobacco consumption screening process in their routine work system and had tobacco cessation clinics. Some hospitals had strong partnership /networking with the non-health sector and community. Conformity to 8 TTFHS standards which consist of leadership and commitment, two-way communication and public relation for policy enforcement, human resource development, comprehensive tobacco treatment service system, tobacco treatment supportive management, tobacco-free environment, community involvement and results and annual analysis (level, trend and comparison), was rated fair to good. Good compliance to standards were found in 2 regional hospitals and 2 general hospitals. Most hospitals had low scores on routine performance and innovation. The average quit rate for patients who received therapeutic service was 25.9%; the quit rate was highest among stroke patients and lowest in psychiatric patients.

Conclusion(s):
Regional hospitals performed better than community hospitals. The average quit rate was 25.9%. Appropriate strategies and strategic partners at all levels are needed to increase hospital achievement.