Release Notes:
Data Element
Version 2010B
| Data Element Name: | Reason for No Tobacco Cessation Medication at Discharge |
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| Collected For: | TAM-03, |
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| Definition: | Reasons for not administering an FDA-approved tobacco cessation medication at discharge.
- 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 |
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| Suggested Data Collection Question: | Is there documentation of a reason for not prescribing one of the FDA-approved tobacco cessation medications at discharge? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
1 There are reasons documented for not prescribing FDA-approved cessation medications at discharge
2 There is no documentation of reasons for not prescribing FDA-approved cessation medications at discharge
3 UTD, unable to determine from medical record documentation |
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| Notes for Abstraction: |
- Reasons for not administering or prescribing 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 prescribing another of the cessation medications.
- In determining whether there is a reason documented by physican/APN/PA or pharmacist for not prescribing 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 prescribing the tobacco cessation medications.
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| 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
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion | |
Allergy or sensitivity
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- Medication allergy using a negative modifier or qualifier (questionable, risk of, suspect, etc.)
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Reason for No Tobacco Cessation Medication at Discharge
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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