The measure is reported as an overall rate which includes all hospitalized patients 18 years of age an older to whom tobacco use treatment was provided, or offered and refused, at the time of hospital discharge, and a second rate, a subset of the first, which includes only those patients who received tobacco use treatment at discharge. Treatment at discharge includes a referral to outpatient counseling and a prescription for one of the FDA-approved tobacco cessation medications.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
TOB-3: The number of patients who received or refused evidence-based outpatient counseling AND received or refused a prescription for FDA-approved cessation medication at discharge
TOB-3a: The number of patients who were referred to evidence-based outpatient counseling AND received a prescription for FDA-approved cessation medication at discharge.
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1.15 Denominator
The number of hospitalized inpatients 18 years of age and older identified as current tobacco users
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Exclusions
There are 12 exclusions to the measure:
Patients less than 18 years of age
Patients who are cognitively impaired
Patients who are not current tobacco users
Patients who refused or were not screened for tobacco use status during the hospital stay (as tobacco status cannot be known)
Patients who have a length of stay less than or equal to one day or greater than 120 days
Patients who expired
Patients who left against medical advice
Patients discharged to another hospital
Patients discharged to another health care facility
Patients discharged to home for hospice care
Patients who do not reside in the United States
Patients with Comfort Measures Only documented
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Behavioral Health and Substance Use Fall Cycle 2018Initial EndorsementLast UpdatedRemoval Date
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StewardThe Joint CommissionSteward Organization POC EmailSteward Organization Copyright
The Specifications Manual for National Hospital Inpatient Quality Measures (Specifications Manual) is the result of the collaborative efforts of the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission to publish a uniform set of national hospital quality measures. A primary objective of this collaborative effort is to promote and enhance the utility of these measures for all hospitals.
No royalty or use fee is required for copying or reprinting this manual, but the following are required as a condition of usage: 1) disclosure that the Specifications Manual is periodically updated, and that the version being copied or reprinted may not be up-to-date when used unless the copier or printer has verified the version to be up-to-date and affirms that, and 2) users participating in the QIO supported initiatives, the Hospital Inpatient Quality Reporting Program, and Joint Commission accreditation; including performance measures systems; are required to update their software and associated documentation based on the published manual production timelines.
Example Acknowledgement: The Specifications Manual for National Hospital Inpatient Quality Measures [Version xx, Month, Year] is the collaborative work of the Centers for Medicare & Medicaid Services and The Joint Commission. The Specifications Manual is periodically updated by the Centers for Medicare & Medicaid Services and The Joint Commission. Users of the Specifications Manual for National Hospital Inpatient Quality Measures must update their software and associated documentation based on the published manual production timelines.
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Risk Adjustment
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