DenominatorPatients 18 years of age and older who were documented as tobacco users and who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, OR who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period (MSSP 2018)
NumeratorReceived cessation counseling on or after the latest tobacco screening  within 24 months. (MSSP 2019)
Exclusion/Exception• Documentation 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)
• Patients whose hospice care overlaps the measurement period.