[CQM-5552] PREV-10 (NQF 0028): Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Created: 09/01/22  Updated: 02/28/24  Resolved: 09/19/22

Status: Closed
Project: eCQM Issue Tracker
Component/s: None

Type: EC eCQMs - Eligible Clinicians Priority: Moderate
Reporter: Tulay (Inactive) Assignee: Mathematica EC eCQM Team (Inactive)
Resolution: Answered Votes: 0
Labels: None

Attachments: PNG File Tabocco Screening.png    
Contact Name: Tulay Orhon
Contact Email: torhon@mfa.gwu.edu
Contact Phone: 312-623-9647
Solution: Thank you for your inquiry for the eCQM measure CMS138v11, Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. We assume that this inquiry is about the performance period 2023 specification. The measure currently does not distinguish between the different types of tobacco smoking, however, a documentation of the screening using any of the codes in the “Tobacco Use Screening” value set is required to meet the screening criteria. Specifically, this measure requires a tobacco screening via QDM datatype "Assessment, Performed" along with the value set "Tobacco Use Screening", and requires a result using the QDM attribute "result". The "result" attribute must be identified as either "Tobacco Non-User" or "Tobacco User" in order to meet measure criteria. If this terminology is not natively supported by your EHR, you may map clinically equivalent services to the codes contained in the above mentioned value sets. Please note, if mapping does occur, you should maintain documentation in case of a CMS audit.
Solution Posted On:
2023 Performance Period EC eCQMs:
CMS0138v11

 Description   

If we have documentation of the patient as "never smoked" or "former smoker" but does not have smokeless screening completed, will this patient still meet the tobacco screening measure? Or should the patient be screened both for smoking and smokeless to meet the measure? 

Please see the attached example. If we do not have smokeless information but pt's smoking information documented, we want to make sure we can count this patient as "met" for this measure. 

Thank you,

Tulay 

 



 Comments   
Comment by Mathematica EC eCQM Team (Inactive) [ 09/16/22 ]

We apologize for the delay in providing a response for your question. We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your continued patience.

Comment by Mathematica EC eCQM Team (Inactive) [ 09/09/22 ]

We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience.

Comment by Mathematica EC eCQM Team (Inactive) [ 09/01/22 ]

Thank you for submitting your question. We will review your ticket and provide a response as soon as possible.

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