Percentage of patients aged 18 and older who were screened for tobacco use one or more times within 24 months and who received cessation counseling intervention if defined as a tobacco user.

Denominator (Universe) (Columns A and B)

  • Patients aged 18 years and older seen for at least two medical visits in the measurement period or at least one preventive medical visit during the measurement period

Note: For 2018 program year, include patients who were born on or before December 31, 1999.

Numerator (Column C)

  • Patients who were screened for tobacco use at least once within 24 months before the end of the measurement period and
  • Who received tobacco cessation intervention if identified as a tobacco user

Note: Include in the numerator patients with a negative screening and those with a positive screening who had cessation intervention if a tobacco user.


  • Documentation of medical reason(s) for not screening for tobacco use or for not providing tobacco cessation intervention (e.g., limited life expectancy, other medical reason)