Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user.
ACP supports QPP measure 402: "Tobacco Use and Help with Quitting among Adolescents" because Reduction of tobacco use slows the progression of respiratory disease and is a key element in the management of pulmonary disease, tobacco use is a modifiable risk factor and clinical evidence suggests that patient counseling and re-counseling by physicians increase attempts to quit, and the measure aligns with clinical recommendations of the ACP/ACCP/ ATS/ERS*and the United States Preventive Services Task Force on tobacco use and offer cessation interventions. While we support the measure, as currently specified, the denominator population is unclear. The developer should consider separating the measure into two distinct measures: 1) tobacco use screening measure and 2) tobacco cessation measure for patients who screened positive on measure 1.
*American College of Physicians (ACP)/American College of Chest Physicians (ACCP), American Thoracic Society (ATS)/European Respiratory Society (ERS)