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Release Notes:
Data Element
Version 2010A1

Data Element Name: Referral for Outpatient Tobacco Cessation Counseling
Collected For: TAM-03,
Definition:Documentation that a referral was made at discharge for ongoing evidenceĖbased counseling with clinicians (physician or non-physician such as nurse, psychologist, counselor). Outpatient counseling may include proactive telephone counseling, group counseling, individual counseling and/or e-health and internet interventions. A counseling referral may be defined as an appointment made by the healthcare provider or hospital either through telephone contact, fax or e-mail. For quit line referrals, the healthcare provider or hospital can either fax or e-mail a quit line referral or assist the patient in directly calling the quit line prior to discharge.
Suggested Data Collection Question:Did the patient receive a referral for Out-patient Tobacco Cessation Counseling?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1    The patient received the referral to outpatient tobacco cessation counseling treatment

2    The patient refused the referral for outpatient tobacco cessation counseling treatment

3    A referral for outpatient tobacco cessation counseling treatment was not offered at discharge

4    UTD, unable to be determined from medical record documentation

Notes for Abstraction:
  • If the patient is given a referral to a Quitline, defined as telephone counseling in which at least some of the contact is initiated by the Quitline counselor to deliver tobacco use interventions, including call-back counseling, select value 1
  • If the patient is provided with contact information for e-health or internet smoking cessation programs which tailor program content to the tobacco userís needs (collect information from the tobacco user and use algorithms to tailor feedback or recommendations, permitting the user to select from various features including extensive information on quitting, tobacco dependence, and related topics) select value 1
  • If the patient is provided with self-help materials that are not tailored to the patientís needs and do not provide a structured program, select value 3
  • Select value for if it cannot be determined if a referral for out-patient cessation counseling was made or if it is unclear if the absence of the referral was due to a patient refusal or it simply was not offered.
Suggested Data Sources:
  • Discharge summary
  • Transfer sheet
  • Discharge Instruction Sheet
  • Nursing Discharge Notes
  • Physician Order Sheet
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Group counseling
  • Individual counseling
  • Quitline
  • E-health
  • Internet structured programs
  • Self-help interventions (brochures, videotapes, audiotapes, reactive hotlines/help lines)

Referral for Outpatient Tobacco Cessation Counseling
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)