MIPS # 226 Tobacco Screening and Cessation

MEASURE DESCRIPTION

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

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

Tobacco Cessation Intervention - Includes brief counseling (3 minutes or less), and/or pharmacotherapy

 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

Exclusion/Exceptions

Patients in hospice care for any part of the measurement period.

 Scoring

Up to 10 points

 RESOURCES

2024 CMS eCQM 226 Specifications

Tobacco Job Aid 2024.pdf
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