Measure titleSmoking and Tobacco Use and Cessation and Treatment AssistanceMeasure IDSCD_DRP
Description

The percentage of patients 18–75 years of age with diabetes who were screened for smoking/tobacco use during the measurement period and received cessation counseling or treatment during the measurement period or in the six months prior to the measurement period if identified as a current smoker/tobacco user.

Measurement period.
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Clinical recommendation statement

American Diabetes Association (2022)

  • Advise all patients not to use cigarettes and other tobacco products or e-cigarettes. Level of evidence: A
  • After identification of tobacco or e-cigarette use, include smoking cessation counseling and other forms of treatment as a routine component of diabetes care. Level of evidence: A
  • Address smoking cessation as part of diabetes education programs for those in need. Level of evidence: B

Joslin Diabetes Center (2020)

  • Screen:

    • Assess patient’s use of tobacco and e-cigarettes at initial and follow-up visit.
  • Treatment:

    • Discuss rationale for and strongly recommend smoking cessation. Grade of Recommendation: 1A

    • Review options available to assist in smoking cessation, including medications and cessation programs. Grade of Recommendation: 1B

Citations

American Diabetes Association Professional Practice Committee. 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes—2022. Diabetes Care 2022;45(1), 60–82, https://doi.org/10.2337/dc22-S005

Joslin Diabetes Center. (2020). Joslin Diabetes Center’s Clinical Guidelines for Management of Adults with Diabetes. Joslin Diabetes Center. https://joslin-prod.s3.amazonaws.com/www.joslin.org/assets/2020-08/clinicalguidelinesformanagementofadultswithdiabetes.pdf

Characteristics
ScoringProportion.
TypeProcess.
Stratification
None.
Risk adjustmentNone.
Improvement notationA higher rate indicates better performance.
Guidance

[TBD]

Definitions
Initial population

Initial population 1

Patients 18-75 years of age by the end of the measurement period who had a visit during the measurement period, and a diagnosis of diabetes that is ongoing or starts during the first six months of the measurement period.

Initial population 2

Same as the initial population 1.

Exclusions

Exclusions 1

  • Patients in hospice or using hospice services any time during the measurement period.
  • Patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.
  • Patients 66 age and older by the end of the measurement period, with frailty and advanced illness.
  • Patients receiving palliative care during the measurement period.

Exclusions 2

Same as exclusions 1.

Denominator

Denominator 1

The initial population, minus exclusions.

Denominator 2

Patients from the initial population, minus exclusions, who were screened for smoking/tobacco use during the measurement period and identified as a tobacco user.

Numerator

Numerator 1

Patients who were screened for smoking/tobacco use during the measurement period.

Numerator 2

Patients who received tobacco cessation counseling or treatment during the measurement period or in the six months prior to the measurement period.

Data criteria (element level)

Table of Contents

  1. Definitions
  2. Functions

Definitions

Functions