Many hospitals recognize the value in projecting a healthy image in their community, and adopting a tobacco-free or smoke-free hospital campus policy is one way to demonstrate this commitment to health. Over the last several years, hospitals have increasingly adopted these tobacco-free or smoke-free policies as part of a nationwide trend. Correspondingly, a number of toolkits and resources have been developed and disseminated to assist healthcare organizations with establishing and implementing these policies. Once a tobacco-free or smoke-free policy has been adopted, however, there are fewer resources available to support organizations as they seek to maintain and enforce their policies.