NQF 0028a (Core): Preventative Care and Screening Measure Pair: a. Tobacco Use Assessment

Measure:  NQF 0028a (Core Measurement)

Measure Title:  Preventative Care and Screening Measure Pair: a. Tobacco Use Assessment

Measure Description:  Percentage of patients aged 18 years or older who have been seen for at least 2 office visits, who were queried about tobacco use one or more times within 24 months.

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 at least 18 years old or older at the start of the reporting period and have at least two face-to-face encounters with the provider during the reporting period.

2.  Documentation of tobacco use in the Summary Tobacco field OR the encounter Plan field must include any one of the CPT codes listed below:

(1000F, 1034F, G8455, 1035F, G8456, 1036F, G8457.  *Note: 1000F-8P will not increase the numerator).

a.  Inserting the shortcut code, "TOBmu" in the Summary Tobacco Field will insert three pick lists including the pick list for "Tobacco use" that will provide a list of criteria from which to document the above CPT codes.

b.  Inserting the shortcut code, "PQRItob" in the encounter Plan Field will insert the pick list, "Tobacco use QM" that will provide a list of criteria from which to document the above CPT codes.

* If the above is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient has been seen for at least 2 office visits and queried about tobacco use one or more times within 24 months.

Measurement Calculation Details

Numerator Calculation:

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

1.  The number of patients in the denominator who have documentation of tobacco use in the Summary Tobacco field or SOAP Note Plan field using one of the following codes: 1000F, 1034F, G8455, 1035F, G8456, 1036F, G8457.  (Note: 1000F-8P will not increase the numerator).

Denominator Calculation:

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

1.  The number of patients that were at least 18 by the start of the reporting period and have had at least two face-to-face encounters with the physician during the reporting period.

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.