Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
MIPS High Priority Measure:
Eligible for Quality Programs:
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user.
Numerator: Patients who were screened for tobacco use at least once within 24 months before the end of the measurement period AND who received tobacco cessation intervention if identified as a tobacco user.
Denominator: All patients aged 18 years and older seen for at least one preventive visit (defined as a chart note with one of the following encounter types: Office Visit, Home Visit, Nurse Visit, or Nursing Home Visit) during the measurement period.
Denominator Exclusions: None
Denominator Exceptions: Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason).
Practice Fusion Suggested Workflow
Practice Fusion suggests the following workflow to help ensure that you are able to meet the requirements of this measure within the Practice Fusion EHR.
- Ensure that all patients age 18 and older have a smoking status recorded in the Social History section of his or her chart at least once within the 24 months before the end of the current measurement period.
- Review the status to determine whether the patient is identified as a tobacco user. The smoking statuses used to identify if a patient is a tobacco user are indicated in Table 1.
- If the patient’s smoking status indicates they are a tobacco user, document a tobacco cessation intervention using the suggested workflows detailed in Table 2.
Table 1: Smoking Statuses to Determine Tobacco Users
Table 2: Practice Fusion Suggested Workflows for Tobacco Cessation Interventions
Practice Fusion Suggested Workflows
Note: if the patient already has an active instance (i.e. no stop date) of an appropriate tobacco use cessation medication already recorded in their chart, this will also count towards the measure numerator.
Graphic 1: Example of data elements for recording Screenings/Interventions/Assessments
To access a complete list of appropriate tobacco use cessation medication therapy, visit the United States Health Information Knowledgebase (USHIK). This site is produced by the Agency for Healthcare Research and Quality (AHRQ) in partnership with CMS and the National Library of Medicine (NLM). A free Unified Medical Language System® (UMLS) license, available from NLM, is required to access USHIK.
Additional Measure Information
This 2016 measure version has been updated from the previous 2015 version specifications, incorporating the following change:
Added guidance regarding the omission of electronic nicotine delivery systems (ENDS) from this measure due to insufficient evidence.
Updated guidance related to denominator exception applicability; clarified the medical reason exception is unchanged, but the limited life expectancy applicability has been updated.
Expanded the applicability of the “Limited Life Expectancy” denominator exception to apply to either of the numerator quality actions (screening or cessation intervention). If a patient has a diagnosis of “Limited Life Expectancy,” it is an allowable exception.
Added “Home Healthcare Services” as applicable encounters.
To be recognized for the denominator exception, the patient must have the appropriate medical reason recorded in his or her chart, as detailed in the suggested workflow in Table 3 below.
To access a complete list of applicable tobacco use screenings, visit the United States Health Information Knowledgebase (USHIK).
For the purposes of this measure, “Tobacco Use” includes any type of tobacco and “Tobacco Cessation Intervention” includes brief counseling (3 minutes or less) and/or pharmacotherapy. If a patient uses any type of tobacco (i.e., smokes or uses smokeless tobacco), the expectation is that they should receive tobacco cessation intervention.
Table 3. Practice Fusion Suggested Workflow for CMS 138v5 Denominator Exceptions
Denominator Exception Criteria
Practice Fusion Suggested Workflow
Medical Reason not done
- For the CMS specifications for this measure, please click here.
- To learn more about the MIPS quality category reporting requirements for 2017, please click here.
- For additional information about quality measures, you may also visit the CMS Quality Payment Programs website and Practice Fusion’s Quality Payment Program Center.