Specifications Manual for Joint Commission National Quality Measures (v2021A1)
Posted: 9/25/2020
Home » Tobacco Use Treatment Practical Counseling

Release Notes:
Data Element
Version 2021A1

Name:Tobacco Use Treatment Practical Counseling
Collected For: TOB-2
Definition:Practical counseling requires a one-on-one interaction with the patient to address at a minimum the following three components: recognizing danger situations, developing coping skills, and providing basic information about quitting.
Question:Did the patient receive all of the components of practical counseling prior to discharge?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1    The patient received all components of practical counseling during the hospital stay.

2    The patient refused/declined practical counseling during the hospital stay.

3    Practical counseling was not offered to the patient during the hospital stay or Unable to Determine (UTD) if tobacco use treatment was provided from medical record documentation

Notes for Abstraction:
  • A referral to the Quitline may be considered a component of practical counseling (providing basic information about quitting), however, handing the patient a phone number to call for the quit line will not meet the intent of practical counseling. There must be interaction between the patient and the caregiver.
  • A pamphlet with basic information about quitting, recognizing danger situations and how to develop coping skills may be given to the patient; however, the caregiver must still document what was discussed with the patient from the pamphlet. Giving the patient a pamphlet alone does not constitute practical counseling which requires a one-on-one interaction with the patient.
  • Danger situations covered in practical counseling might include alcohol use during the first month after quitting, being around smoke and/or other smokers, or times/situations when the patient routinely smoked (in the car, on break at work, with coffee, after a meal, upon waking up, social events, etc.)Triggers and/or roadblocks are the same as danger situations.
  • Coping skills covered in practical counseling might include learning new ways to manage stress, exercising, relaxation breathing, changing routines and distraction techniques to prevent tobacco use.
  • Basic information on quitting covered in practical counseling might include the benefits of quitting tobacco, how to quit techniques and available resources to support quitting.
  • If there is no documentation that practical counseling was given to the patient, select value '3'
  • Select value "3" (UTD) if the documentation provided is not explicit enough to determine if the counseling provided contained all components or if the counseling meets the intent of the measure.
Suggested Data Sources:
  • Respiratory therapy notes
  • Nursing notes
  • Medication administration record (MAR)
  • Physician progress notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Referral to Quitline
  • None

Tobacco Use Treatment Practical Counseling
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Specifications Manual for Joint Commission National Quality Measures (v2021A1)
Discharges 01-01-21 (1Q21) through 06-30-21 (2Q21)

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