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Release Notes:
Data Element
Version 2010A1

Data Element Name: Reason for No Tobacco Cessation Medication
Collected For: TAM-02, TAM-03,
Definition:Reasons for not administering an FDA-approved tobacco cessation medication during the patientís hospital stay or prescribing one at discharge.
  • Allergy to all of the FDA-approved tobacco cessation medications
  • Drug interaction (for all of the FDA-approved medications) with other drugs the patient is currently taking
  • Other reasons documented by physician, advanced practice nurse(APN), physician assistant (PA), or pharmacist

FDA-approved tobacco cessation medications can be reviewed in Appendix B, table 12.1

Suggested Data Collection Question:Is there documentation of a reason for not administering or prescribing one of the FDA-approved tobacco cessation medications?
Format:
Length:1
Type:Alphanumeric
Occurs:1-2
Allowable Values:

Select all that apply

1    There are reasons documentated for not administering FDA-approved cessation medications during the hospital stay

2    There is no documentation of reasons for not administering FDA-approved cessation medications during the hospital stay

3    There are reasons documented for not prescribing FDA-approved cessation medications at discharge

4    There is no documentation of reasons for not prescribing FDA-approved cessation medications at discharge

5    UTD, unable to determine from medical record documentation

Notes for Abstraction:
  • Reasons for not administering or prescribing FDA-approved tobacco cessation medications must be documented by a physician/APN/PA or pharmacist.
  • An allergy or adverse reaction to one of the FDA-approved cessation medications would not be a reason for not administering another of the cessation medications.
  • In determining whether there is a reason documented by physican/APN/PA or pharmacist for not administering or prescribing tobacco cessation medications, the reason must be explicitly documented
  • When conflicting information is documented in the medical record, select the appropriate value for the indicated reasons present for not administering or prescribing the tobacco cessation medications.
  • Values 1 & 2 are appropriate for TAM-2 selection and should not be selected for TAM-3
  • Values 3 & 4 are appropriate for TAM-3 selection and should not be selected for TAM-2
  • Values 1 & 2 cannot be selected together
  • Values 3 & 4 cannot be selected together
  • Value 5 cannot be selected with any other value
  • No value can be selected more than once
Suggested Data Sources:
  • Anesthesia record
  • Consultation notes
  • Emergency department record
  • History and physical
  • Nursing notes
  • Progress notes
  • Physician orders
  • Discharge summary
  • Medication administration record (MAR)
  • Transfer Form
  • Additional Notes:
    Guidelines for Abstraction:
    Inclusion Exclusion
    Allergy or sensitivity
    • Medication allergy using a negative modifier or qualifier (questionable, risk of, suspect, etc.)

    Reason for No Tobacco Cessation Medication
    Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
    Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)