Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 9.2.000

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 12 months AND who received tobacco cessation intervention if identified as a tobacco user

Three rates are reported: 
a. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 12 months 
b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention  
c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 12 months AND who received tobacco cessation intervention if identified as a tobacco user

Copyright 2020 PCPI(R) Foundation. All Rights Reserved.

The Measure is not a clinical guideline, does not establish a standard of medical care, and has not been tested for all potential applications. 

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The PCPI encourages use of the Measure by other health care professionals, where appropriate.

THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.

Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, the PCPI and its members and former members of the AMA-PCPI disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT[R]) or other coding contained in the specifications. 

CPT(R) contained in the Measure specifications is copyright 2004-2019 American Medical Association. LOINC(R) is copyright 2004-2019 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2019 International Health Terminology Standards Development Organisation. ICD-10 is copyright 2019 World Health Organization. All Rights Reserved.

Due to technical limitations, registered trademarks are indicated by (R) or [R].

This measure is intended to promote adult tobacco screening and tobacco cessation interventions for those who use tobacco products. There is good evidence that tobacco screening and brief cessation intervention (including counseling and/or pharmacotherapy) is successful in helping tobacco users quit. Tobacco users who are able to stop using tobacco lower their risk for heart disease, lung disease, and stroke.

The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)-approved pharmacotherapy for cessation to adults who use tobacco (Grade A Recommendation) (U.S. Preventive Services Task Force, 2015).

The USPSTF recommends that clinicians ask all pregnant women about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant women who use tobacco (Grade A Recommendation) (U.S. Preventive Services Task Force, 2015).

The USPSTF concludes that the current evidence is insufficient to recommend electronic nicotine delivery systems for tobacco cessation in adults, including pregnant women. The USPSTF recommends that clinicians direct patients who smoke tobacco to other cessation interventions with established effectiveness and safety (previously stated) (Grade I Statement) (U.S. Preventive Services Task Force, 2015).

Higher score indicates better quality

Siu, A. L.; U.S. Preventive Services Task Force. (2015). Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 163(8), 622-634. doi:10.7326/M15-2023

Tobacco Use - Includes any type of tobacco
Tobacco Cessation Intervention - Includes brief counseling (3 minutes or less), and/or pharmacotherapy -- Note: Concepts aligned with brief counseling (e.g., minimal and intensive advice/counseling interventions conducted both in person and over the phone) are included in the value set for the numerator. Other concepts such as written self-help materials (e.g., brochures, pamphlets) and complementary/alternative therapies are not included in the value set and do not qualify for the numerator. Brief counseling also may be of longer duration or be performed more frequently, as evidence shows there is a dose-response relationship between the intensity of counseling provided (either length or frequency) and tobacco cessation rates (U.S. Preventive Services Task Force, 2015).

The requirement of two or more visits is to establish that the eligible professional or eligible clinician has an existing relationship with the patient for certain types of encounters. 

To satisfy the intent of this measure, a patient must have at least one tobacco use screening during the 12-month period. If a patient has multiple tobacco use screenings during the 12-month period, only the most recent screening, which has a documented status of tobacco user or tobacco non-user, will be used to satisfy the measure requirements.

If a patient uses any type of tobacco (i.e., smokes or uses smokeless tobacco), the expectation is that they should receive tobacco cessation intervention: either counseling and/or pharmacotherapy.

As noted above in a recommendation statement from the USPSTF, the current evidence is insufficient to recommend electronic nicotine delivery systems (ENDS) including electronic cigarettes for tobacco cessation. Additionally, ENDS are not currently classified as tobacco in the recent evidence review to support the update of the USPSTF recommendation given that the devices do not burn or use tobacco leaves. In light of the current lack of evidence, the measure does not currently capture e-cigarette usage as either tobacco use or a cessation aid.

If tobacco use status of a patient is unknown, the patient does not meet the screening component required to be counted in the numerator and should be considered a measure failure. Instances where tobacco use status of "unknown" is recorded include: 1) the patient was not screened; or 2) the patient was screened and the patient (or caregiver) was unable to provide a definitive answer. If the patient does not meet the screening component of the numerator but has an allowable medical exception, then the patient should be removed from the denominator of the measure and reported as a valid exception.

In order to promote a team-based approach to patient care, the tobacco cessation intervention can be performed by another healthcare provider; therefore, the tobacco use screening and tobacco cessation intervention do not need to be performed by the same provider or clinician.   

The medical reason exception may be applied to either the screening data element OR to any of the applicable tobacco cessation intervention data elements (counseling and/or pharmacotherapy) included in the measure. 

If a patient has a diagnosis of limited life expectancy, that patient has a valid denominator exception for not being screened for tobacco use or for not receiving tobacco use cessation intervention (counseling and/or pharmacotherapy) if identified as a tobacco user.

This measure contains three reporting rates which aim to identify patients who were screened for tobacco use (rate/population 1), patients who were identified as tobacco users and who received tobacco cessation intervention (rate/population 2), and a comprehensive look at the overall performance on tobacco screening and cessation intervention (rate/population 3). By separating this measure into various reporting rates, the eligible professional or eligible clinician will be able to better ascertain where gaps in performance exist, and identify opportunities for improvement. The overall rate (rate/population 3) can be utilized to compare performance to published versions of this measure prior to the 2018 performance year, when the measure had a single performance rate. For accountability reporting in the CMS MIPS program, the rate for population 2 is used for performance.
 
The denominator of population criteria 2 is a subset of the resulting numerator for population criteria 1, as population criteria 2 is limited to assessing if patients identified as tobacco users received an appropriate tobacco cessation intervention. For all patients, population criteria 1 and 3 are applicable, but population criteria 2 will only be applicable for those patients who are identified as tobacco users. Therefore, data for every patient that meets the initial population criteria will only be submitted for population 1 and 3, whereas data submitted for population 2 will be for a subset of patients who meet the initial population criteria, as the denominator has been further limited to those who were identified as tobacco users.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.5.  Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.

All patients aged 18 years and older seen for at least two visits or at least one preventive visit during the measurement period

Population 1:
Equals Initial Population

Population 2: 
Equals Initial Population who were screened for tobacco use and identified as a tobacco user

Population 3: 
Equals Initial Population

Population 1: 
Patients who were screened for tobacco use at least once within 12 months 
 
Population 2: 
Patients who received tobacco cessation intervention

Population 3:
Patients who were screened for tobacco use at least once within 12 months AND who received tobacco cessation intervention if identified as a tobacco user

Population 1: 
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)
 
Population 2:
Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g., limited life expectancy, other medical reason)

Population 3:
Documentation of medical reason(s) for not screening for tobacco use OR for not providing tobacco cessation intervention for patients identified as tobacco users (e.g., limited life expectancy, other medical reason)

For every patient evaluated by this measure also identify payer, race, ethnicity and sex

Population Criteria 1

Initial Population

exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
    where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
)
  and ( Count("Office Based Visit During Measurement Period")>= 2
      or exists "Preventive Visit During Measurement Period"
  )

- Denominator
  - "Initial Population"
- Denominator Exclusions
  - None

Numerator

"Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null
  or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null

- Numerator Exclusions
  - None

Denominator Exceptions

exists "Medical Reason for Not Screening for Tobacco Use"
  or "Has Limited Life Expectancy"

- Stratification
  - None

Population Criteria 2

Initial Population

exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
    where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
)
  and ( Count("Office Based Visit During Measurement Period")>= 2
      or exists "Preventive Visit During Measurement Period"
  )

Denominator

"Initial Population"
  and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null

- Denominator Exclusions
  - None

Numerator

exists "Tobacco Cessation Counseling Given"
  or exists "Tobacco Cessation Pharmacotherapy Ordered"
  or exists "Active Pharmacotherapy for Tobacco Cessation"

- Numerator Exclusions
  - None

Denominator Exceptions

exists "Medical Reason for Not Counseling Tobacco User"
  or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"
  or "Has Limited Life Expectancy"

- Stratification
  - None

Population Criteria 3

Initial Population

exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
    where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
)
  and ( Count("Office Based Visit During Measurement Period")>= 2
      or exists "Preventive Visit During Measurement Period"
  )

- Denominator
  - "Initial Population"
- Denominator Exclusions
  - None

Numerator

"Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null
  or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null
      and ( exists "Tobacco Cessation Counseling Given"
          or exists "Tobacco Cessation Pharmacotherapy Ordered"
          or exists "Active Pharmacotherapy for Tobacco Cessation"
      )
  )

- Numerator Exclusions
  - None

Denominator Exceptions

exists "Medical Reason for Not Screening for Tobacco Use"
  or exists "Medical Reason for Not Counseling Tobacco User"
  or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"
  or "Has Limited Life Expectancy"

- Stratification
  - None

Active Pharmacotherapy for Tobacco Cessation

["Medication, Active": "Tobacco Use Cessation Pharmacotherapy"] TakingCessationPharmacotherapy
  where TakingCessationPharmacotherapy.relevantPeriod overlaps after "Measurement Period"

Denominator 1
- - "Initial Population"

Denominator 2

"Initial Population"
  and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null

Denominator 3
- - "Initial Population"

Denominator Exceptions 1

exists "Medical Reason for Not Screening for Tobacco Use"
  or "Has Limited Life Expectancy"

Denominator Exceptions 2

exists "Medical Reason for Not Counseling Tobacco User"
  or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"
  or "Has Limited Life Expectancy"

Denominator Exceptions 3

exists "Medical Reason for Not Screening for Tobacco Use"
  or exists "Medical Reason for Not Counseling Tobacco User"
  or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"
  or "Has Limited Life Expectancy"

Has Limited Life Expectancy

exists ( ["Diagnosis": "Limited Life Expectancy"] LimitedLifeExpectancy
    where LimitedLifeExpectancy.prevalencePeriod overlaps after "Measurement Period"
)

Initial Population

exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
    where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
)
  and ( Count("Office Based Visit During Measurement Period")>= 2
      or exists "Preventive Visit During Measurement Period"
  )

Medical Reason for Not Counseling Tobacco User

["Intervention, Not Performed": "Tobacco Use Cessation Counseling"] NoTobaccoCessationCounseling
  where NoTobaccoCessationCounseling.authorDatetime during "Measurement Period"
    and NoTobaccoCessationCounseling.negationRationale in "Medical Reason"

Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy

["Medication, Not Ordered": "Tobacco Use Cessation Pharmacotherapy"] NoCessationPharmacotherapyOrdered
  where NoCessationPharmacotherapyOrdered.authorDatetime during "Measurement Period"
    and NoCessationPharmacotherapyOrdered.negationRationale in "Medical Reason"

Medical Reason for Not Screening for Tobacco Use

["Assessment, Not Performed": "Tobacco Use Screening"] NoTobaccoUseScreening
  where NoTobaccoUseScreening.authorDatetime during "Measurement Period"
    and NoTobaccoUseScreening.negationRationale in "Medical Reason"

Most Recent Tobacco Use Screening Indicates Tobacco Non User

( Last(["Assessment, Performed": "Tobacco Use Screening"] TobaccoUseScreening
    where TobaccoUseScreening.relevantDatetime during "Measurement Period"
    sort by relevantDatetime
)) MostRecentTobaccoUseScreening
  where MostRecentTobaccoUseScreening.result in "Tobacco Non-User"

Most Recent Tobacco Use Screening Indicates Tobacco User

( Last(["Assessment, Performed": "Tobacco Use Screening"] TobaccoUseScreening
    where TobaccoUseScreening.relevantDatetime during "Measurement Period"
    sort by relevantDatetime
)) MostRecentTobaccoUseScreening
  where MostRecentTobaccoUseScreening.result in "Tobacco User"

Numerator 1

"Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null
  or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null

Numerator 2

exists "Tobacco Cessation Counseling Given"
  or exists "Tobacco Cessation Pharmacotherapy Ordered"
  or exists "Active Pharmacotherapy for Tobacco Cessation"

Numerator 3

"Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null
  or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null
      and ( exists "Tobacco Cessation Counseling Given"
          or exists "Tobacco Cessation Pharmacotherapy Ordered"
          or exists "Active Pharmacotherapy for Tobacco Cessation"
      )
  )

Office Based Visit During Measurement Period

( ["Encounter, Performed": "Health behavior intervention, individual, face-to-face; initial 30 minutes"]
  union ["Encounter, Performed": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"]
  union ["Encounter, Performed": "Home Healthcare Services"]
  union ["Encounter, Performed": "Occupational Therapy Evaluation"]
  union ["Encounter, Performed": "Office Visit"]
  union ["Encounter, Performed": "Ophthalmological Services"]
  union ["Encounter, Performed": "Physical Therapy Evaluation"]
  union ["Encounter, Performed": "Psych Visit - Diagnostic Evaluation"]
  union ["Encounter, Performed": "Psych Visit - Psychotherapy"]
  union ["Encounter, Performed": "Psychoanalysis"]
  union ["Encounter, Performed": "Speech and Hearing Evaluation"] ) OfficeBasedEncounter
  where OfficeBasedEncounter.relevantPeriod during "Measurement Period"

Preventive Visit During Measurement Period

( ["Encounter, Performed": "Annual Wellness Visit"]
  union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"]
  union ["Encounter, Performed": "Preventive Care Services - Group Counseling"]
  union ["Encounter, Performed": "Preventive Care Services - Other"]
  union ["Encounter, Performed": "Preventive Care Services-Individual Counseling"]
  union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] ) PreventiveEncounter
  where PreventiveEncounter.relevantPeriod during "Measurement Period"

SDE Ethnicity

["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

["Patient Characteristic Payer": "Payer"]

SDE Race
- - ["Patient Characteristic Race": "Race"]

SDE Sex

["Patient Characteristic Sex": "ONC Administrative Sex"]

Tobacco Cessation Counseling Given

["Intervention, Performed": "Tobacco Use Cessation Counseling"] TobaccoCessationCounseling
  where TobaccoCessationCounseling.relevantDatetime during "Measurement Period"

Tobacco Cessation Pharmacotherapy Ordered

["Medication, Order": "Tobacco Use Cessation Pharmacotherapy"] CessationPharmacotherapyOrdered
  where CessationPharmacotherapyOrdered.authorDatetime during "Measurement Period"

Global.CalendarAgeInYearsAt(BirthDateTime DateTime, AsOf DateTime)
- - years between ToDate(BirthDateTime)and ToDate(AsOf)

Global.ToDate(Value DateTime)

DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)

Terminology

code "Birth date" ("LOINC Code (21112-8)")
code "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)" ("CPT Code (96156)")
code "Health behavior intervention, individual, face-to-face; initial 30 minutes" ("CPT Code (96158)")
valueset "Annual Wellness Visit" (2.16.840.1.113883.3.526.3.1240)
valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
valueset "Home Healthcare Services" (2.16.840.1.113883.3.464.1003.101.12.1016)
valueset "Limited Life Expectancy" (2.16.840.1.113883.3.526.3.1259)
valueset "Medical Reason" (2.16.840.1.113883.3.526.3.1007)
valueset "Occupational Therapy Evaluation" (2.16.840.1.113883.3.526.3.1011)
valueset "Office Visit" (2.16.840.1.113883.3.464.1003.101.12.1001)
valueset "ONC Administrative Sex" (2.16.840.1.113762.1.4.1)
valueset "Ophthalmological Services" (2.16.840.1.113883.3.526.3.1285)
valueset "Payer" (2.16.840.1.114222.4.11.3591)
valueset "Physical Therapy Evaluation" (2.16.840.1.113883.3.526.3.1022)
valueset "Preventive Care Services - Established Office Visit, 18 and Up" (2.16.840.1.113883.3.464.1003.101.12.1025)
valueset "Preventive Care Services - Group Counseling" (2.16.840.1.113883.3.464.1003.101.12.1027)
valueset "Preventive Care Services - Other" (2.16.840.1.113883.3.464.1003.101.12.1030)
valueset "Preventive Care Services-Individual Counseling" (2.16.840.1.113883.3.464.1003.101.12.1026)
valueset "Preventive Care Services-Initial Office Visit, 18 and Up" (2.16.840.1.113883.3.464.1003.101.12.1023)
valueset "Psych Visit - Diagnostic Evaluation" (2.16.840.1.113883.3.526.3.1492)
valueset "Psych Visit - Psychotherapy" (2.16.840.1.113883.3.526.3.1496)
valueset "Psychoanalysis" (2.16.840.1.113883.3.526.3.1141)
valueset "Race" (2.16.840.1.114222.4.11.836)
valueset "Speech and Hearing Evaluation" (2.16.840.1.113883.3.526.3.1530)
valueset "Tobacco Non-User" (2.16.840.1.113883.3.526.3.1189)
valueset "Tobacco Use Cessation Counseling" (2.16.840.1.113883.3.526.3.509)
valueset "Tobacco Use Cessation Pharmacotherapy" (2.16.840.1.113883.3.526.3.1190)
valueset "Tobacco Use Screening" (2.16.840.1.113883.3.526.3.1278)
valueset "Tobacco User" (2.16.840.1.113883.3.526.3.1170)

Data Criteria (QDM Data Elements)

"Assessment, Not Performed: Tobacco Use Screening" using "Tobacco Use Screening (2.16.840.1.113883.3.526.3.1278)"
"Assessment, Performed: Tobacco Use Screening" using "Tobacco Use Screening (2.16.840.1.113883.3.526.3.1278)"
"Diagnosis: Limited Life Expectancy" using "Limited Life Expectancy (2.16.840.1.113883.3.526.3.1259)"
"Encounter, Performed: Annual Wellness Visit" using "Annual Wellness Visit (2.16.840.1.113883.3.526.3.1240)"
"Encounter, Performed: Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)" using "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) (CPT Code 96156)"
"Encounter, Performed: Health behavior intervention, individual, face-to-face; initial 30 minutes" using "Health behavior intervention, individual, face-to-face; initial 30 minutes (CPT Code 96158)"
"Encounter, Performed: Home Healthcare Services" using "Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016)"
"Encounter, Performed: Occupational Therapy Evaluation" using "Occupational Therapy Evaluation (2.16.840.1.113883.3.526.3.1011)"
"Encounter, Performed: Office Visit" using "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)"
"Encounter, Performed: Ophthalmological Services" using "Ophthalmological Services (2.16.840.1.113883.3.526.3.1285)"
"Encounter, Performed: Physical Therapy Evaluation" using "Physical Therapy Evaluation (2.16.840.1.113883.3.526.3.1022)"
"Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up" using "Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025)"
"Encounter, Performed: Preventive Care Services - Group Counseling" using "Preventive Care Services - Group Counseling (2.16.840.1.113883.3.464.1003.101.12.1027)"
"Encounter, Performed: Preventive Care Services - Other" using "Preventive Care Services - Other (2.16.840.1.113883.3.464.1003.101.12.1030)"
"Encounter, Performed: Preventive Care Services-Individual Counseling" using "Preventive Care Services-Individual Counseling (2.16.840.1.113883.3.464.1003.101.12.1026)"
"Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up" using "Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023)"
"Encounter, Performed: Psych Visit - Diagnostic Evaluation" using "Psych Visit - Diagnostic Evaluation (2.16.840.1.113883.3.526.3.1492)"
"Encounter, Performed: Psych Visit - Psychotherapy" using "Psych Visit - Psychotherapy (2.16.840.1.113883.3.526.3.1496)"
"Encounter, Performed: Psychoanalysis" using "Psychoanalysis (2.16.840.1.113883.3.526.3.1141)"
"Encounter, Performed: Speech and Hearing Evaluation" using "Speech and Hearing Evaluation (2.16.840.1.113883.3.526.3.1530)"
"Intervention, Not Performed: Tobacco Use Cessation Counseling" using "Tobacco Use Cessation Counseling (2.16.840.1.113883.3.526.3.509)"
"Intervention, Performed: Tobacco Use Cessation Counseling" using "Tobacco Use Cessation Counseling (2.16.840.1.113883.3.526.3.509)"
"Medication, Active: Tobacco Use Cessation Pharmacotherapy" using "Tobacco Use Cessation Pharmacotherapy (2.16.840.1.113883.3.526.3.1190)"
"Medication, Not Ordered: Tobacco Use Cessation Pharmacotherapy" using "Tobacco Use Cessation Pharmacotherapy (2.16.840.1.113883.3.526.3.1190)"
"Medication, Order: Tobacco Use Cessation Pharmacotherapy" using "Tobacco Use Cessation Pharmacotherapy (2.16.840.1.113883.3.526.3.1190)"
"Patient Characteristic Birthdate: Birth date" using "Birth date (LOINC Code 21112-8)"
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
"Patient Characteristic Payer: Payer" using "Payer (2.16.840.1.114222.4.11.3591)"
"Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex (2.16.840.1.113762.1.4.1)"

Supplemental Data Elements

SDE Ethnicity

["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

["Patient Characteristic Payer": "Payer"]

SDE Race
- - ["Patient Characteristic Race": "Race"]

SDE Sex

["Patient Characteristic Sex": "ONC Administrative Sex"]

Risk Adjustment Variables

None

Measure Set

None

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Table of Contents

Population Criteria

Definitions

Functions

Terminology

Data Criteria (QDM Data Elements)

Supplemental Data Elements

Risk Adjustment Variables