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## Complete Summary

#### TITLE

Chronic obstructive pulmonary disease (COPD): percentage of patients
with COPD whose physician inquired about smoking cessation (if patient a
smoker) at every visit.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Chronic obstructive
pulmonary disease. Bloomington (MN): Institute for Clinical Systems
Improvement (ICSI); 2007 Jan. 65 p. \[125 references\]

### Measure Domain

#### PRIMARY MEASURE DOMAIN

Process

The validity of measures depends on how they are built. By examining the
key building blocks of a measure, you can assess its validity for your
purpose. For more information, visit the [Measure
Validity](http://www.qualitymeasures.ahrq.gov/resources/measure_domains.aspx)
page.

#### SECONDARY MEASURE DOMAIN

Does not apply to this measure

### Brief Abstract

#### DESCRIPTION

This measure is used to assess the percentage of patients with chronic
obstructive pulmonary disease (COPD) whose physician inquired about
smoking cessation (if patient a smoker) at every visit.

#### RATIONALE

The priority aim addressed by this measure is to increase the number of
patients with chronic obstructive pulmonary disease (COPD) who receive
information on the options for tobacco cessation and information on the
risks of continued smoking.

#### PRIMARY CLINICAL COMPONENT

Chronic obstructive pulmonary disease (COPD); smoking cessation

#### DENOMINATOR DESCRIPTION

Patients with a diagnosis of chronic bronchitis: (491.8, 491.20, or
491.21) or asthma with chronic obstructive pulmonary disease (COPD)
(493.2) or chronic emphysema (491.20) who have an indication in their
charts that they are users of tobacco who present for a clinic visit
within the reporting month

#### NUMERATOR DESCRIPTION

Number of patients with any indication in the chart that the physician
asked about a change in smoking status and/or readiness to quit

### Evidence Supporting the Measure

#### EVIDENCE SUPPORTING THE CRITERION OF QUALITY

-   A clinical practice guideline or other peer-reviewed synthesis of
    the clinical evidence

#### NATIONAL GUIDELINE CLEARINGHOUSE LINK

-   [Chronic obstructive pulmonary
    disease.](http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10621)

### Evidence Supporting Need for the Measure

#### NEED FOR THE MEASURE

Unspecified

### State of Use of the Measure

#### STATE OF USE

Current routine use

#### CURRENT USE

Internal quality improvement

### Application of Measure in its Current Use

#### CARE SETTING

Physician Group Practices/Clinics

#### PROFESSIONALS RESPONSIBLE FOR HEALTH CARE

Physicians

#### LOWEST LEVEL OF HEALTH CARE DELIVERY ADDRESSED

Group Clinical Practices

#### TARGET POPULATION AGE

Unspecified

#### TARGET POPULATION GENDER

Either male or female

#### STRATIFICATION BY VULNERABLE POPULATIONS

Unspecified

### Characteristics of the Primary Clinical Component

#### INCIDENCE/PREVALENCE

Unspecified

#### ASSOCIATION WITH VULNERABLE POPULATIONS

Unspecified

#### BURDEN OF ILLNESS

Unspecified

#### UTILIZATION

Unspecified

#### COSTS

Unspecified

### Institute of Medicine National Healthcare Quality Report Categories

#### IOM CARE NEED

Getting Better

#### IOM DOMAIN

Effectiveness

### Data Collection for the Measure

#### CASE FINDING

Users of care only

#### DESCRIPTION OF CASE FINDING

Patients with chronic obstructive pulmonary disease (COPD) who have any
indication on their charts that they are users of tobacco who presented
to the clinic within a designated time period

Identify patients with a clinic visit in the reporting month who meet
the inclusion criteria. Data may be collected by medical record review.

Randomly selected cases may be reviewed monthly.

#### DENOMINATOR SAMPLING FRAME

Patients associated with provider

#### DENOMINATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Patients with a diagnosis of chronic bronchitis: (491.8, 491.20, or
491.21) or asthma with chronic obstructive pulmonary disease (COPD)
(493.2) or chronic emphysema (491.20) who have an indication in their
charts that they are users of tobacco who present for a clinic visit
within the reporting month

**Exclusions**\
Unspecified

#### RELATIONSHIP OF DENOMINATOR TO NUMERATOR

All cases in the denominator are equally eligible to appear in the
numerator

#### DENOMINATOR (INDEX) EVENT 

Clinical Condition\
Encounter\
Patient Characteristic

#### DENOMINATOR TIME WINDOW

Time window is a single point in time

#### NUMERATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Number of patients with any indication in the chart that the physician
asked about a change in smoking status and/or readiness to quit

**Exclusions**\
Unspecified

#### MEASURE RESULTS UNDER CONTROL OF HEALTH CARE PROFESSIONALS, ORGANIZATIONS AND/OR POLICYMAKERS

The measure results are somewhat or substantially under the control of
the health care professionals, organizations and/or policymakers to whom
the measure applies.

#### NUMERATOR TIME WINDOW

Encounter or point in time

#### DATA SOURCE

Administrative data\
Medical record

#### LEVEL OF DETERMINATION OF QUALITY

Individual Case

#### PRE-EXISTING INSTRUMENT USED

Unspecified

### Computation of the Measure

#### SCORING

Rate

#### INTERPRETATION OF SCORE

Better quality is associated with a higher score

#### ALLOWANCE FOR PATIENT FACTORS

Unspecified

#### STANDARD OF COMPARISON

Internal time comparison

### Evaluation of Measure Properties

#### EXTENT OF MEASURE TESTING

Unspecified

### Identifying Information

#### ORIGINAL TITLE

Percentage of patients with COPD whose physician inquired about smoking
cessation (if patient a smoker) at every visit.

#### MEASURE COLLECTION

[Chronic Obstructive Pulmonary Disease
Measures](http://www.qualitymeasures.ahrq.gov/Browse/DisplayOrganization.aspx?org_id=26&doc=4754)

#### DEVELOPER

Institute for Clinical Systems Improvement

#### ADAPTATION

Measure was not adapted from another source.

#### RELEASE DATE

2003 Dec

#### REVISION DATE

2007 Jan

#### MEASURE STATUS

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems
Improvement (ICSI). Chronic obstructive pulmonary disease. Bloomington
(MN): Institute for Clinical Systems Improvement (ICSI); 2005 Dec. 66 p.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Chronic obstructive
pulmonary disease. Bloomington (MN): Institute for Clinical Systems
Improvement (ICSI); 2007 Jan. 65 p. \[125 references\]

#### MEASURE AVAILABILITY

The individual measure, \"Percentage of patients with COPD whose
physician inquired about smoking cessation (if patient a smoker) at
every visit,\" is published in \"Health Care Guideline: Chronic
Obstructive Pulmonary Disease.\" This document is available from the
[Institute for Clinical Systems Improvement (ICSI) Web
site](http://www.icsi.org/guidelines_and_more/guidelines__order_sets___protocols/).

For more information, contact ICSI at, 8009 34th Avenue South, Suite
1200, Bloomington, MN 55425; phone: 952-814-7060; fax: 952-858-9675; Web
site: [www.icsi.org](http://www.icsi.org/); e-mail: <icsi.info@icsi.org>

#### NQMC STATUS

This NQMC summary was completed by ECRI on July 14, 2004. The summary
was updated by ECRI on February 25, 2005, January 25, 2006, and again on
April 4, 2007.

#### COPYRIGHT STATEMENT

This NQMC summary (abstracted Institute for Clinical Systems Improvement
\[ICSI\] Measure) is based on the original measure, which is subject to
the measure developer\'s copyright restrictions.

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© 2008 National Quality Measures Clearinghouse

Date Modified: 11/3/2008