DenominatorPatients aged 18 and older seen during the measure year who had an active diagnosis of COPD who were documented as tobacco users in most recent tobacco screening.
NumeratorReceived cessation counseling on or after the latest tobacco screening  within 24 months. (MSSP 2019)
Exclusion/Exception• Patients whose hospice care overlaps the measurement period.
• 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