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Medical Assistance with Smoking and Tobacco Cessation

he three components of this measure assess different facets of providing medical assistance with smoking and tobacco use cessation:
Advising Smokers and Tobacco Users to Quit: A rolling average represents the percentage of patients 18 years of age and older who are current smokers or tobacco users and who received advice to quit during the measurement year.
Discussing Cessation Medications: A rolling average represents the percentage of patients 18 years of age and older who are current smokers or tobacco users and who discussed or were recommended cessation medications during the measurement year.
Discussing Cessation Strategies: A rolling average represents the percentage of patients 18 years of age and older who are current smokers or tobacco users and who discussed or were provided cessation methods or strategies during the measurement year.

Date Reviewed: July 21, 2018

Measure Info

NQF 0027NQF Endorsed
Measure Type: 
Process
Measure Steward: 
National Committee for Quality Assurance
Clinical Topic Area: 
Prevention and Wellness
Substance Use

Care Setting: 
Outpatient
Data Source: 
Instrument-Based Data

ACP does not support NQF measure #0027: “Medical Assistance with Smoking and Tobacco Cessation.” This measure represents an important clinical concept and it is appropriately specified to assess performance at the health-plan-level of analysis; however, the numerator specifications are outdated and should include electronic cigarettes in the tobacco use definition. Furthermore, while this measure is appropriately specified to assess performance at the health-plan level of analysis, it is not appropriately specified to assess performance of individual clinicians. Smoking rates vary by state and the denominator population may be too low in some individual/group practices to produce a stable performance estimate.