Brief Description of Measure: CMS138: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Percentage of patients aged 12 years and older who were screened for tobacco use one or more times 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. Three rates are reported: a. Percentage of patients aged 12 years and older who were screened for tobacco use one or more times during the measurement period b. Percentage of patients aged 12 years and older who were identified as a tobacco user during the measurement period who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period c. Percentage of patients aged 12 years and older who were screened for tobacco use one or more times 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 Description of Issue: The measure developer is considering the addition of “Preventive Care, Established Office Visit, 0 to 17” (2.16.840.1.113883.3.464.1003.101.12.1024) and “Preventive Care Services, Initial Office Visit, 0 to 17” (2.16.840.1.113883.3.464.1003.101.12.1022) as eligible initial population/denominator encounters to account for the lowered age range in the previous version of the measure.

Proposed Solution: Before: define “Preventive Visit During Measurement Period”: ( [“Encounter, Performed”: “Annual Wellness Visit”]   union [“Encounter, Performed”: “Preventive Care Services Established Office Visit, 18 and Up”]   union [“Encounter, Performed”: “Preventive Care Services Group Counseling”]   union [“Encounter, Performed”: “Unlisted preventive medicine service”]   union [“Encounter, Performed”: “Preventive Care Services Individual Counseling”]   union [“Encounter, Performed”: “Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure”]   union [“Encounter, Performed”: “Nutrition Services”]   union [“Encounter, Performed”: “Preventive Care Services Initial Office Visit, 18 and Up”] ) PreventiveEncounter   where PreventiveEncounter.relevantPeriod during day of “Measurement Period” After: Add value sets: “Preventive Care, Established Office Visit, 0 to 17” (2.16.840.1.113883.3.464.1003.101.12.1024) “Preventive Care Services, Initial Office Visit, 0 to 17” (2.16.840.1.113883.3.464.1003.101.12.1022) define “Preventive Visit During Measurement Period”:   […]     union [“Encounter, Performed”: “Preventive Care, Established Office Visit, 0 to 17”]     union [“Encounter, Performed”: “Preventive Care Services, Initial Office Visit, 0 to 17”] ) PreventiveEncounter     where PreventiveEncounter.relevantPeriod during day of “Measurement Period” Rationale for Change: The addition of these eligible encounters aligns with the measure intent and age range from the previously published version of the measure.