Denominator	Patients aged 18 and older seen in 12 months who had an active diagnosis of COPD who were documented as tobacco users in most recent tobacco screening.
Numerator	Received cessation counseling or cessation medication within 24 months. (MSSP 2019)
Exclusion/Exception	• Patients with hospice care in 12 months • 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