The Reports Tab > Meaningful Use CQM Reports > Stage 1 Reports 2011–2013 > Preventative Care and Screening Measure Pair: Tobacco Use Assessment and Tobacco Cessation Intervention (NQF 0028)
Preventative Care and Screening Measure Pair: Tobacco Use Assessment and Tobacco Cessation Intervention (NQF 0028)
This report measures the percentage of patients ages 18 years and older who have been seen for at least two office visits and who were queried about tobacco use one or more times within 24 months. The report is divided into two separate calculations:
Calculation A. Percentage of patients aged 18 years or older who have been seen for at least two office visits, and who were queried about tobacco use one or more times within 24 months.
Calculation B. Percentage of patients aged 18 years and older who have been seen for at least two office visits, who are identified as tobacco users within the past 24 months, and who have received cessation intervention.
Patient Population for both calculations: The initial patient population for both of these measures includes all patients who are at least 18 years or older.
Exclusions: No exclusions apply to this measure.
Calculation A
The system uses the following steps to arrive at the percentage for Calculation A:
1
Patients with at least two office visits or at least one preventative medicine encounter. Determine the total number of patients who have had one or both of the following:
Two or more encounters during the measurement period.
One or more preventative medicine encounter.
2
Patients identified as users or non-users of tobacco. Determine the total number of patients who have been identified as users or non-users of tobacco products. Patients must have a smoking status identified during, or no more than 24 months before, the encounter.
Note: You can capture a patient’s smoking status in the Social History. For more information on adding a patient’s social history, see Manage a Patient’s History.
3
Divide the value in step 2 above by the value in step 1 above. The result is then multiplied by 100 to achieve the percentage.
Calculation B
The system uses the following steps to arrive at the percentage for Calculation B:
1
Patients who are active users of tobacco and who have had at least two office visits or at least one preventative medicine encounter during the measurement period. Determine the number of patients who are active users of tobacco products for up to 24 months prior to the encounter and who have had one or both of the following:
Two or more encounters during the measurement period.
One or more preventative medicine encounter during the measurement period.
2
Patients who are advised to quit using tobacco during or before the encounter. Determine the total number of patients who meet the requirements of step 1 above and have documentation of one of the following within the past 24 months:
Advised to quit and given counseling.
Advised to quit and given medication.
3
Divide the value in step 2 above by the value in step 1 above. The result is then multiplied by 100 to achieve the percentage.

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