Measure: CMS138
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Measure Versions
| eMeasure Code | Measure Year | Full Version Number | Title |
|---|---|---|---|
| CMS138v12 | 2024 | 12.0.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v11 | 2023 | 11 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v10 | 2022 | 10.0.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v9 | 2021 | 9.2.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v8 | 2020 | 8.1.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v7 | 2019 | 7.1.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v6 | 2018 | 6.1.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
| CMS138v5 | 2017 | 5.0.000 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
Description
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within the measurement period AND who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period if identified as a tobacco user.Guidance
Patient Group Definitions
| Group | Description | Instructions Links |
|---|---|---|
| Initial Population | All patients aged 18 years and older seen for at least two visits or at least one preventive visit during the measurement period | Webchart Instructions |
| Denominator | Population 1: Equals Initial Population Population 2: Equals Initial Population who were screened for tobacco use during the measurement period and identified as a tobacco user Population 3: Equals Initial Population | Webchart Instructions |
| Denominator Exclusions | Exclude patients who are in hospice care for any part of the measurement period | Webchart Instructions |
| Numerator | Population 1: Patients who were screened for tobacco use at least once during the measurement period Population 2: Patients who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period Population 3: Patients who were screened for tobacco use at least once during the measurement period AND who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period if identified as a tobacco user | Webchart Instructions |
| Numerator Exclusions | Not Applicable | Webchart Instructions |
| Denominator Exceptions | None |
Details
| Full eMeasure Code | eMeasure Identifier | Measure Year | Version | NQF # | GUID |
|---|---|---|---|---|---|
| CMS138v11 | 138 | 2023 | 11 | 0028 | e35791df-5b25-41bb-b260-673337bc44a8 |
| Steward | Developer | Endorsed By |
|---|---|---|
| National Committee for Quality Assurance | National Committee for Quality Assurance | National Quality Forum |
| Scoring Method | Measure Type | Stratification | Risk Adjustment |
|---|---|---|---|
| Proportion | Process | None | None |
Rate Aggregation
None
Improvement Notation
Higher score indicates better qualityRationale
Clinical Recommendation Statement
Definition
Transmission Format
Applicable Value Sets
| Category | Value Set | OID |
|---|---|---|
| Assessment, Performed | Tobacco Use Screening | 2.16.840.1.113883.3.526.3.1278 |
| Encounter, Performed | Annual Wellness Visit | 2.16.840.1.113883.3.526.3.1240 |
| Encounter, Performed | Encounter Inpatient | 2.16.840.1.113883.3.666.5.307 |
| Encounter, Performed | Home Healthcare Services | 2.16.840.1.113883.3.464.1003.101.12.1016 |
| Encounter, Performed | Hospice Encounter | 2.16.840.1.113883.3.464.1003.1003 |
| Encounter, Performed | Nutrition Services | 2.16.840.1.113883.3.464.1003.1006 |
| Encounter, Performed | Occupational Therapy Evaluation | 2.16.840.1.113883.3.526.3.1011 |
| Encounter, Performed | Office Visit | 2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed | Online Assessments | 2.16.840.1.113883.3.464.1003.101.12.1089 |
| Encounter, Performed | Ophthalmological Services | 2.16.840.1.113883.3.526.3.1285 |
| Encounter, Performed | Physical Therapy Evaluation | 2.16.840.1.113883.3.526.3.1022 |
| Encounter, Performed | Preventive Care Services - Established Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1025 |
| Encounter, Performed | Preventive Care Services - Group Counseling | 2.16.840.1.113883.3.464.1003.101.12.1027 |
| Encounter, Performed | Preventive Care Services-Individual Counseling | 2.16.840.1.113883.3.464.1003.101.12.1026 |
| Encounter, Performed | Preventive Care Services-Initial Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1023 |
| Encounter, Performed | Psych Visit - Diagnostic Evaluation | 2.16.840.1.113883.3.526.3.1492 |
| Encounter, Performed | Psych Visit - Psychotherapy | 2.16.840.1.113883.3.526.3.1496 |
| Encounter, Performed | Psychoanalysis | 2.16.840.1.113883.3.526.3.1141 |
| Encounter, Performed | Speech and Hearing Evaluation | 2.16.840.1.113883.3.526.3.1530 |
| Encounter, Performed | Telephone Visits | 2.16.840.1.113883.3.464.1003.101.12.1080 |
| Intervention, Order | Hospice Care Ambulatory | 2.16.840.1.113883.3.526.3.1584 |
| Intervention, Performed | Hospice Care Ambulatory | 2.16.840.1.113883.3.526.3.1584 |
| Intervention, Performed | Tobacco Use Cessation Counseling | 2.16.840.1.113883.3.526.3.509 |
| Medication, Active | Tobacco Use Cessation Pharmacotherapy | 2.16.840.1.113883.3.526.3.1190 |
| Medication, Order | Tobacco Use Cessation Pharmacotherapy | 2.16.840.1.113883.3.526.3.1190 |
| Patient Characteristic Ethnicity | Ethnicity | 2.16.840.1.114222.4.11.837 |
| Patient Characteristic Payer | Payer | 2.16.840.1.114222.4.11.3591 |
| Patient Characteristic Race | Race | 2.16.840.1.114222.4.11.836 |
| Patient Characteristic Sex | ONC Administrative Sex | 2.16.840.1.113762.1.4.1 |