Home » Tobacco Use Treatment Practical Counseling
Print this page

Release Notes:
Data Element
Version 2010A1

Data Element Name: Tobacco Use Treatment Practical Counseling
Collected For: TAM-02,
Definition:The components of practical counseling require interaction with the patient to address the following: recognizing danger situations, developing coping skills, and providing basic information about quitting.
Suggested Data Collection Question:What components of tobacco use treatment were provided to the patient prior to discharge?
Allowable Values:

1    The patient received all components of practical counseling prior to discharge

2    The patient refused/declined practical counseling

3    Practical counseling was not offered to the patient during the hospital stay

4    Unable to determine (UTD) if tobacco use treatment was provided from medical record documentation

Notes for Abstraction:
  • A referral to the Quitline may be considered a component of practical counseling (providing basic information about quitting), however handing the patient a phone number to call for the quit line will not meet the intent of practical counseling, there must be interaction between the patient and the caregiver.
  • If there is no documentation that practical counseling was given to the patient, select allowable value 5
  • Only select allowable value 7 (UTD) if the documentation provided is not explicit enough to determine if the counseling provided contained all components or if the counseling meets the intent of the measure.
  • If the CPT codes are documented in the medical record assume that all the components of tobacco use practical conseling are met and default to allowable value 1.
Suggested Data Sources:
  • Respiratory therapy notes
  • Nursing notes
  • Medication administration record (MAR)
  • Physician progress notes
  • Additional Notes:
    Guidelines for Abstraction:
    Inclusion Exclusion
    • Referal to Quitline
    • For Counseling
      • Severe cognitive impairment

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