*NQF 0027 (Additional): Smoking and Tobacco Use Cessation, Medical Assistance

Measure:  NQF 0027 (Additional Measure)

Measure Title:  Smoking and Tobacco Use Cessation, Medical assistance: a. Advising Smokers and Tobacco Users to Quit, b. Discussing Smoking and Tobacco Use Cessation Medications, c. Discussing Smoking and Tobacco Use Cessation Strategies

Measure Description:  The percentage of patients 18 years of age and older who were current smokers or tobacco users, who were seen by a practitioner during the measurement year and who received advice to quit smoking or tobacco use  or whose practitioner recommended or discussed smoking or tobacco use cessation medications, methods or strategies.

*Note:

At this time, we do not suggest that SOAPware users select this particular quality measure. We are in the process of adjusting the work flow and reporting in order to be more consistent with the reporting requirements.

Quality Measure Documentation Workflow

In order for the Clinical Quality Measure report to generate, the following must be documented in the relevant patient's chart:

1.  The patient must be age 18 years old or older at the start of the reporting period and have at least one face to face encounter with the provider during the reporting period.

2.  Patient must have documentation that they are a current smoker or tobacco user .  This can be documented one of two ways:

(a)  Use the shortcut code "TobQM".  This will insert the pick list header, "Tobacco Use QM", which will provide a list of criteria from which to document.  The CPT code 1034F or 1035F must display in the encounter Plan field or Summary Interventions field in order to document that the patient is a tobacco user.

Note: 1000F, 1000F-8P and 1036F will not increase the denominator.

OR

(b) Patient must have one of the following diagnosis items entered in the Summary Active Problems or encounter Assessment field: 305.1 or 305.10.

4.  In addition, the patient must have documentation that they received advice to quit smoking or tobacco use or recommended or discussed smoking or tobacco use cessation medications, methods or strategies.  To document this, use the shortcut code "TobQM" and select one of the following CPT codes to display in the encounter Plan field or Summary Interventions field: G8402, S9075, S4995, G0376, S9453, G0375, G9016, 99406, 99407.

Note:  G8403 and G8094 will not increase the numerator.

*   If the above is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient, who was a current smoker or tobacco user, received advice to quit smoking or tobacco use or whose practitioner recommended or discussed smoking or tobacco use cessation medications, methods, or strategies.

Measure Calculation Details

Numerator Calculation:

The numerator for this measure is calculated based on the following:

1.  The number of patients in the denominator that also have one of the following CPT code recorded in the encounter Plan field or Summary Interventions field: G8402, S9075, S4995, G0376, S9453, G0375, G9016, 99406 or 99407.  Note:  G8403 and G8094 will not increase the numerator.

Denominator Calculation:

The denominator for this measure is calculated based on the following:

1.  The number of patients that are age 18 years old or older at the start of the reporting period and have at least one face to face encounter with the provider during the reporting period;

2.  And has a diagnosis entered in the Summary Active Problems or encounter Assessment field using one of the following ICD9 codes: 305.1 or 305.10 OR has one of the following CPT codes recorded in the encounter Plan field or Summary Interventions field: 1034F or 1035F.  Note:  1000F, 1000F-8P and 1036F will not increase the denominator.

Report Clinical Quality Measures to CMS/States

All of the items listed in the above steps need to be documented as structured data (as detailed above) in order to allow the user to capture the numerator, denominator and percentage for this quality measure.

For information on how to export the numerator, denominator and percentage for each Clinical Quality Measure, click here.

For more information on reporting clinical quality measures, click here.