DenominatorPatients ages 5-64 who were seen during measurement year who were documented tobacco users and identified as having persistent asthma

Persistent Asthma pts meet one of the following over the measurement year and the year prior.
---1 ED visit with primary dx of asthma within 24 months
---1 acute inpatient encounter with primary dx of asthma within 24 months
---4 outpatient encounters with primary dx of asthma and at least two asthma medication dispensing events within 24 months
---at least 4 medication dispensing events within 24 months (PPRNet 2019) 


NumeratorReceived cessation counseling on or after the latest tobacco screening  within 24 months. (MSSP 2019)
Exclusion/ExceptionDocumentation of medical reason(s) for not screening for tobacco use OR for not providing tobacco cessation intervention for patients identified as tobacco users (eg, limited life expectancy, other medical reason)