CMS 138 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

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CMS138v5 (2017)

CMS138v6 (2018)

CMS138v7 (2019)

Description:  Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. Three rates are reported:

• Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months
• Percentage of patients aged 18 years and older who were screened for tobacco use and identified as a tobacco user who received tobacco cessation intervention
• Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Initial Patient Population:  All patients aged 18 years and older seen for at least two visits or at least one preventive visit during the measurement period.

Denominator:  

Denominator 1: Equals Initial Population

Denominator 2: Equals Initial Population who were screened for tobacco use and identified as a tobacco user

Denominator 3: Equals Initial Population

Numerator: 

Population 1: Patients who were screened for tobacco use at least once within 24 months

Population 2: Patients who received tobacco cessation intervention

Population 3: Patients who were screened for tobacco use at least once within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Inverse Measure:  No

Clinical Instructions

Using the Social History section of the encounter, ensure smoking status is documented and additional details are noted with the respective status (i.e., current smoker, former smoker, etc.). Cessation counseling or medications should be noted, when applicable, in order to populate the numerator appropriately.

• While documenting the Visit Encounter, open the Social History section.
• Assess Smoking Status: (select one)
  • Current every day smoker
  • Current some day smoker
  • Former smoker
  • Never smoker
  • Heavy tobacco smoker
  • Light tobacco smoker
  • Smoker, current status unknown
  • Unknown if ever smoked
• Based on the selected smoking status, additional fields/choices may need addressed (e.g., Age Started, Age Quit, Cessation Counseling, etc.). Answer accordingly.

Evidence

Initial Patient Population

Denominator

Numerator

Denominator Exception

Source(s)

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