Release Notes:
Data Element
Version 2010B
| Data Element Name: | Tobacco Use Treatment |
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| Collected For: | |
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| Definition: | Tobacco use treatment administered during the hospital stay includes practical counseling and the administration of FDA-approved tobacco cessation medications. The components of practical counseling requires interaction with the patient to address the following: recognizing danger situations, developing coping skills, and providing basic information about quitting. It may be possible to receive reimbursement for tobacco cessation counseling through the use of CPT codes.
- 99406 – Intermediate visit of between 3 and 10 minutes
- 99407 – Intensive visit lasting longer than 30 minutes
These codes are for face-to face counseling by a physician or other qualified health care professional
The FDA-approved tobacco cessation medications may be referenced in Appendix B on Table 12.1. |
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| Suggested Data Collection Question: | What components of tobacco use treatment were provided to the patient prior to discharge? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1-7 |
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| Allowable Values: |
Check all that apply
1 The patient received all components of practical counseling prior to discharge
2 The patient refused/declined practical counseling
3 The patient received one of the FDA-approved tobacco cessation medications during the hospital stay
4 The patient refused/declined the FDA-approved tobacco cessation medications during the hospital stay
5 Practical counseling was not offered to the patient during the hospital stay
6 FDA-approved tobacco cessation medications were not offered to the patient during the hospital stay
7 Unable to determine (UTD) if tobacco use treatment was provided from medical record documentation |
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| 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
- If there is no documentation that one of the FDA-approved tobacco cessation medications were administered to the pateint during the stay, select allowable value 6.
- If the CPT codes are documented in the medical record, assume that all the components of practical counseling are met.
- 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.
- No value should be recorded more than once. If value7 is selected, it can not be selected in combination with any other allowable value.
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| Suggested Data Sources: |
- Respiratory therapy notes
- Nursing notes
- Medication administration record (MAR)
- Physician progress notes
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Referral to Quitline
- Refer to Appendix B Table 12.1 for the list of FDA-approved tobacco cessation medications
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- For Counseling
- Severe cognitive impairment
- For Medication
- Smokeless tobacco users (chewing (spit) tobacco)
- Pregnant smokers
- Light smokers (5 or less cigarettes per day)
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Tobacco Use Treatment
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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