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Release Notes:
Data Element
Version 2010B

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 3
  • Only select allowable value 4 (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. CPT codes for screening and practical counseling are available in Appendix A Table 12.5.
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 (2010B)
    Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)