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Stage 2 Core Measure 5

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Objective: Record smoking status for patients 13 years old or older.
Measure: More than 80 percent of all unique patients 13 years old or older seen by the EP during the EHR reporting period have smoking status recorded as structured data.
Exclusion: Any EP who sees no patients 13 years old or older.

CMS Specification Sheet

TennCare Notes
This objective aligns exactly with Core Measure 9 in Stage 1, with the measure advancing the threshold from 50 percent to 80 percent.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(j)(5)(ii) see objective, measure and exclusion above

Standards and Certification Final Rule

§ 170.314(a)(11) Smoking status. Enable a user to electronically record, change, and access the smoking status of a patient in accordance with the standard specified at § 170.207(h).
Depending on the type of certification issued to the EHR technology, it will also have been certified to the certification criterion adopted at 45 CFR 170.314 (g)(1), (g)(2), or both, in order to assist in the calculation of this meaningful use measure.

§ 170.207(h) Smoking Status. Smoking status must be coded in one of the following SNOMED CT® codes:
(1) Current every day smoker. 449868002
(2) Current some day smoker. 428041000124106
(3) Former smoker. 8517006
(4) Never smoker. 266919005
(5) Smoker, current status unknown. 77176002
(6) Unknown if ever smoked. 266927001
(7) Heavy tobacco smoker. 428071000124103
(8) Light tobacco smoker. 428061000124105