DataElem0318 - Manual - Performance Measurement Network

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Release Notes:
Data Element
Version 2010A1

Data Element Name:

Reason for No Tobacco Cessation Medication

Collected For:

Definition:

Reasons for not administering an FDA-approved tobacco cessation medication during the patient’s 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:

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)