Adult smoking cessation advice/counseling

What It Means
The percentage of adult (18 or older) patients with pneumonia who smoke and were given advice and/or counseling on how to stop smoking while they were in the hospital.

Why It Is Important
We know that smoking is responsible for one out of every five deaths in the United States. Patients who receive even brief advice about quitting smoking are more likely to quit than those who receive no advice or counseling.

Numerator Definition
Pneumonia patients who smoke cigarettes and who receive smoking cessation advice or counseling during the hospital stay.

Denominator Definition
Pneumonia patients 18 years of age and older with a history of smoking cigarettes anytime during the year prior to hospital arrival.

Denominator Excluded Populations

  • Patients receiving Comfort Measures Only
  • Patients who expired in the hospital
  • Patients who left against medical advice (AMA)
  • Patients discharged to hospice
  • Patients who transferred to a federal hospital
  • Patients transferred to another short term general hospital for inpatient care
  • Patients less than 18 years of age
  • Patients who had no chest x-ray or CT scan that indicated abnormal findings within 24 hours prior to hospital arrival or anytime during this hospitalization
  • Patients with Cystic Fibrosis (Appendix A, Table 3.4)
  • Patients involved in clinical trials
  • Patients who have a Length of Stay >120 days

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