Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Tobacco Use Status |
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| Collected For: | TAM-01, TAM-02, TAM-03, TAM-04, |
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| Definition: | Documentation of the adult patient's tobacco use status within the past 30 days prior to the day of hospital arrival. Tobacco use includes all forms of tobacco including cigarettes, smokeless tobacco products, pipe, and cigars. A tobacco use screen should identify the type of tobacco product used, the volume used, and the timeframe of use. |
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| Suggested Data Collection Question: | What is the patients tobacco use status? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1-4 |
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| Allowable Values: |
1 The patient has smoked cigarettes on average in a volume of more than five cigarettes per day during the past 30 days.
2 The patient has smoked cigarettes on average in a volume of five or less cigarettes per day during the past 30 days
3 The patient has used smokeless tobacco products in the past 30 days
4 The patient has smoked a pipe or cigars daily in the past 30 days
5 The patient has not used any forms of tobacco in the past 30 days
6 The patient refused the tobacco use screen
7 The patient was not screened for tobacco use during this hospitalization
8 Unable to determine the patient's tobacco use status from record documentation
9 The patient has smoked cigarettes on average in a volume of more than five cigarettes per day during the past 30 days and has used smokeless tobacco products in the past 30 days
10 The patient has smoked cigarettes on average in a volume of more than five cigarettes per day during the past 30 days, has used smokeless tobacco products in the past 30 days, and has smoked a pipe or cigars daily in the past 30 days
11 The patient has smoked cigarettes on average in a volume of five or less cigarettes per day during the past 30 days and has used smokeless tobacco products in the past 30 days
12 The patient has smoked cigarettes on average in a volume of five or less cigarettes per day during the past 30 days and has smoked a pipe or cigars daily in the past 30 days, and has used smokeless tobacco prodcuts in the past 30 days. |
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| Notes for Abstraction: |
- If there is definitive documentation that the patient either currently uses tobacco produces or is an ex-user that quit less than 30 days prior to arrival, select the appropriate allowable value for the type of product used, regardless of whether or not there is conflicting documentation.
- For the History and Physical (H&P) source, use only the H&P report for the current admission. The H&P may be a dictated report, a handwritten report on an H&P form, or a separate entry labeled as the H&P in the progress notes.
- Classify a form as a nursing admission assessment if the content is typical of nursing admission assessments (e.g., med/surg/social history, current meds, allergies, physical assessment) AND the form is completed/reviewed by a nurse or labeled as a “nursing form”.
- Disregard documentation of tobacco use history if the current tobacco use status or timeframe that patient quit is not defined (e.g.”20 pk/yr smoking history”, “History of tobacco abuse”).
- Do not include documentation of smoking history referenced as a “risk factor” (e.g., “risk factor:tobacco,” “risk factor: smoking,” “risk factor: smoker”), where current tobacco use status is indeterminable.
- If the patient is only using chew plus pipe or cigars, select value 4 if the volume of cigar/pipe use is daily, otherwise select value 3.
- No value should be recorded more than once. If values, 5, 6, 7, or 8 are selected, they can not be selected in combination with any other allowable value.
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| Suggested Data Sources: |
- Emergency department record
- History and physical
- Nursing admission assessment
- Nursing admission notes
- Physician progress notes
- Respiratory therapy notes
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Smokeless Tobacco * Chewing (spit) Tobacco
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- Illegal drug use only (e.g., marijuana)?
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Tobacco Use Status
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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