Specifications Manual for Joint Commission National Quality Measures (v2023A1)
Posted: 10/17/2022

Home » Tobacco Treatment Measures (TOB)

Release Notes:
Measure Information Form
Version 2023A1


Tobacco Treatment Measures (TOB)

Set Measures

Set Measure ID Measure Short Name
TOB-2 Tobacco Use Treatment Provided or Offered
TOB-3 Tobacco Use Treatment Provided or Offered at Discharge

General Data Elements

Element Name Collected For
Admission Date All Records,
Birthdate All Records,
Discharge Date All Records, Not collected for HBIPS-2 and HBIPS-3
Health Care Organization Identifier All Records,
Hispanic Ethnicity All Records,
ICD-10-CM Other Diagnosis Codes All Records, Optional for HBIPS-2, HBIPS-3
ICD-10-CM Principal Diagnosis Code All Records, Optional for HBIPS-2, HBIPS-3
ICD-10-PCS Other Procedure Codes All Records, Optional for All HBIPS Records
ICD-10-PCS Other Procedure Dates All Records, Optional for All HBIPS Records
ICD-10-PCS Principal Procedure Code All Records, Optional for All HBIPS Records
ICD-10-PCS Principal Procedure Date All Records, Optional for All HBIPS Records
Measure Category Assignment All Records, Calculation, Used in calculation of the Joint Commission's aggregate data.
Payment Source All Records, Optional for HBIPS-2 and HBIPS-3
Race All Records,
Sex All Records,

Algorithm Output Data Elements

Element Name Collected For
Measure Category Assignment All Records, Calculation

Measure Set Specific Data Elements

Element Name Collected For
Comfort Measures Only TOB-2, TOB-3
Discharge Disposition TOB-3
Prescription for Tobacco Cessation Medication TOB-3
Reason for No Tobacco Cessation Medication During the Hospital Stay TOB-2
Reason for No Tobacco Cessation Medication at Discharge TOB-3
Referral for Outpatient Tobacco Cessation Counseling TOB-3
Tobacco Use Status TOB-2, TOB-3
Tobacco Use Treatment FDA-Approved Cessation Medication TOB-2
Tobacco Use Treatment Practical Counseling TOB-2


  Document Name  
Acknowledgement  
Appendix A  
Appendix C  
Appendix D - Glossary of Terms  
Appendix E - Overview of Measure Information Form and Flowchart Formats  
Appendix G - Resources  
Appendix H - Miscellaneous Tables  
Cover Page for the Joint Commission Manual  
Data Dictionary  
Global Initial Patient Population  
Introduction to the Manual  
Joint Commission Clinical Data Processing Flow  
Joint Commission National Quality Measures Data Processing  
Missing and Invalid Data  
Sampling  
Table of Contents  
Using the The Joint Commission's National Measure Specifications Manual  

Tobacco Treatment (TOB) Initial Patient Population

Please refer to the GlobalInitialPatientPopulation for the TOB Initial Patient Population Processing definition and Flow.

Sample Size Requirements

Please refer to the GlobalInitialPatientPopulation for the sampling requirements for the Tobacco Treatment (TOB) Measures.


Measure Information Form TOB
CPT® only copyright 2022 American Medical Association. All rights reserved.
Specifications Manual for Joint Commission National Quality Measures (v2023A1)
Discharges 01-01-23 (1Q23) through 06-30-23 (2Q23)

LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)

CPT® only copyright 2022 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

You, your employees and agents are authorized to use CPT® only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. You acknowledge that the American Medical Association (“AMA”) holds all copyright, trademark and other rights in CPT®.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT® for resale and/or license, transferring copies of CPT® to any party not bound by this Agreement, creating any modified or derivative work of CPT®, or making any commercial use of CPT®. License to use CPT® for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt.

U.S. Government Rights This product includes CPT® which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. The American Medical Association does not agree to license CPT® to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. The American Medical Association reserves all rights to approve any license with any Federal agency.

Disclaimer of Warranties and Liabilities. CPT® is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT®, and the (AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “accept”.

^