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Release Notes:
Data Element
Version 2010B

Data Element Name: Reason for No Tobacco Cessation Medication During the Hospital Stay
Collected For: TAM-02,
Definition:Reasons for not administering an FDA-approved tobacco cessation medication during the patientís hospital stay.
  • 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 one of the FDA-approved tobacco cessation medications during the hospital stay?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

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    UTD, unable to determine from medical record documentation

Notes for Abstraction:
  • Reasons for not administering 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 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 the tobacco cessation medications.
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 During the Hospital Stay
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)