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Release Notes:
Data Element
Version 2010A1

Data Element Name: Adult Smoking Counseling-Stroke
Collected For: ,
Definition:Documentation in the medical record that smoking cessation advice or counseling was given to the patient or caregiver during this hospital stay for patients 18 years of age and older.
Suggested Data Collection Question:Was the adult patient or caregiver given smoking cessation advice or counseling during the hospital stay?
Allowable Values:

Y     (Yes, patient received smoking cessation advice/counseling during hospital stay)

N    (No, smoking cessation advice/counseling was not given OR unable to determine from medical record documentation)

NC    (No, smoking cessation advice/counseling was not given. A documented reason exists for not performing counseling)

Notes for Abstraction:
  • If the patient refused smoking cessation advice or counseling during this hospital stay, select “Y”
  • If the patient has a history of cigarette smoking within the year prior to arrival date but the patient does not currently smoke, he or she should be advised to continue not smoking. For these patients, if this advice/counseling was not done, select “N”.
  • If the patient is prescribed Wellbutrin/bupropion, it should not be assumed that this is a smoking cessation aid unless specifically noted as such. It is sometimes used as an antidepressant unrelated to smoking.
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Respiratory therapy notes
  • Nursing notes
  • Progress notes
  • Discharge summary
  • Medication administration record (MAR)
  • Discharge instruction sheet
  • Teaching sheet

Excluded Data Sources:
Any documentation dated/timed after discharge, except discharge summary and operative/procedure/diagnosis test reports (from procedure done during hospital stay).

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Cigarette smoking cessation advice/counseling
  • Direct discussion with patient or caregiver about stopping smoking (e.g., “advised patient to stop smoking”)
  • Prescription of smoking cessation aid (e.g., Habitrol, NicoDerm, Nicorette, Nicotrol, Prostep, Zyban) during hospital stay or at discharge
  • Prescription of Wellbutrin/bupropion during hospital stay or at discharge aid or alternative FDA-approved smoking cessation medication if prescribed as smoking cessation
  • Referral to smoking cessation class/program
  • Smoking cessation brochures/handouts/video
Any of the above interventions directed at the patient’s caregiver if the patient is unable to comprehend qualify as smoking cessation counseling.

  • None

Adult Smoking Counseling-Stroke
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)