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Release Notes:
Data Element
Version 2010B

Data Element Name: Tobacco Use Treatment
Collected For:
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.

Suggested Data Collection Question:What components of tobacco use treatment were provided to the patient prior to discharge?
Format:
Length:1
Type:Alphanumeric
Occurs:1-7
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

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.
Suggested Data Sources:
  • Respiratory therapy notes
  • Nursing notes
  • Medication administration record (MAR)
  • Physician progress notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Referral to Quitline
  • Refer to Appendix B Table 12.1 for the list of FDA-approved tobacco cessation medications
  • For Counseling
    • Severe cognitive impairment
  • For Medication
    • Smokeless tobacco users (chewing (spit) tobacco)
    • Pregnant smokers
    • Light smokers (5 or less cigarettes per day)

Tobacco Use Treatment
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)