Measure Number MEASURE NAME OPERATIONAL DEFINITION TARGET NUMERATOR DENOMINATOR 1 Screening Tool Use Number of times the SFF screening tool is used by participating providers at well visits birth to 1 year of age 90% of caregivers presenting to the office will be screened for smoking in the home setting. ALL tools completed during the month Number of well visits, birth to 1 year of age, attended for participating provider 2 All caregivers who received smoking cessation resources If a smoker (primary caregiver or other(s)) in the home is identified at the well-visit appointment - the provider will discuss and provide (advise and assist) smoking cessation resources. *This measure collectively captures percent of ANY smoker in the home and the provision of smoking cessation resources 90% of all caregivers, primary caregivers and others in the home, that screen positive for smoking in the home will receive resources from the provider Tools that have: “Yes” selected both for MD discussed smoking AND caregiver smoking packet “Yes” selected both for MD discussed other(s) living in the home AND other(s) living in the home resources packet given --OR-- BOTH of the above Tools where “Yes” is selected for Question 10 Tools where “Yes” is selected for Question 11 Tools with BOTH above
2a Other household members who received resources for cessation If smokers, other than the primary caregiver, are identified in the home as smokers (question 11), the provider will discuss and provide smoking cessation resources to the caregiver attending the well visit * Percent of presenting caregivers who received cessation resources for “other household smoking caregivers’ 90% of caregivers attending the well visit will receive resources from the provider to provide to other smokers in the home Tools that have the provider advising and assisting: selected for MD discussed living in the home AND selected for other(s) living in the home resources packet given where “Yes” is selected for Question 11 2b Presenting caregivers who received resources for cessation If a primary caregiver screens positive for smoking in question 10, the provider will discuss and provide smoking cessation resources. * Percent of presenting, smoking caregivers who received cessation resources 90% of primary caregivers who screen positive for smoking, will receive resources from the provider Tools that have the provider advising and assisting: “Yes” selected both for MD discussed smoking “Yes” selected for caregiver smoking packet given Tools where “Yes” is selected for Question 10
3 Use of 5As with smoking caregivers If a primary caregiver screens positive for smoking in question 10, the provider will utilize the 5As smoking cessation plan – provider will advise, assist by providing cessation resources and arrange a Quitline referral (if caregiver indicates readiness and willingness) * Percent of presenting smoking caregivers who receive the 5A’s Intervention 90% of caregivers who screen positive for smoking in the home setting will have received the 5As plan to quit smoking Tools that have the provider, advising, assisting, arranging: “Yes” selected for MD discussed smoking “Yes” selected for caregiver smoking packet given AND “Yes” or “No- Declined” selected for MD faxed referral to Quitline All of the above need to be satisfied in order to selected “Yes” to Were all 5A steps completed during this visit Tools where “Yes” is selected for Question 10 --AND-- Tools where Question 15 has a response greater than zero to cigarettes, cigars/blacks & milds and/or pens/hookah in the last 7 days 4 Referrals to Ohio QUIT LINE for Presenting Caregiver When the primary smoking caregiver that is ready to quit smoking (rating on Question 21of 2+), is asked if the PROVIDER can fax a referral to the Ohio Quit Line. The > 90% of caregivers who are ready to quit smoking will be asked about a referral to Tools that have the provider, advising, assisting, arranging: “Yes” selected for MD discussed smoking Tools where “Yes” is selected for Question 10 --AND-- Tools where Question 15 has a response greater than zero to cigarettes,
caregiver may accept or decline the providers request. * Percent of caregivers who accept offer of a referral to the Ohio Quit Line the Ohio Quit Line “Yes” selected for caregiver smoking packet given AND “Yes” selected for MD faxed referral to Quitline cigars/blacks & milds and/or pens/hookah in the last 7 days Tools where Question 17 has responses of 2 or higher 5 Safe Sleep Resources Provided For those caregivers who indicated an unsafe sleep habit (baby either sleeps with an adult in a bed or on a couch, somewhere other than a crib, sleeps on their side or belly and/or with things in their crib, like crib bumpers, toys or blankets), a provider has discussed and given safe sleep resources > 90% of caregivers who responded with unsafe practices will receive safe sleep resources with provider discussion Tools that have the provider: Selecting “Yes” MD discussed safe sleep (all options of location, position, and objects in the crib must be selected) Selecting “Yes” to safe sleep resource packet given Tool where “Yes” is selected for question 8