TU-9.2 Increase tobacco screening in hospital ambulatory care settings

National Data Source
National Hospital Ambulatory Medical Care Survey (NHAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
Baseline (Year)
60.2 (2007)
Target-Setting Method
10 percent improvement
Number of visits among persons age 18 years and older where patient is classified as either not a current tobacco user or as a current tobacco user.
Number of visits among persons age 18 years and older (classified as not current tobacco users, current tobacco users, and unknown).
Data Collection Frequency
Comparable Healthy People 2010 Objective
Not applicable


Methodology Notes

“Tobacco use” is identified as a sub-heading of “Patient Information” on the National Hospital Ambulatory Medical Care Survey, Outpatient Department Patient Record Form. Tobacco use can be classified as not current, current, or unknown.

Caveats and Limitations
Unweighted non-response rates for the patients use of tobacco are high (over 30%). Information on patients use of tobacco could be missing from the form either because the doctor didn’t know, the doctor didn’t record, or if the abstracter could not find the information. Because of the high amount of missing information the estimates from these data may serve as a lower bound on the possible value.
Description of Changes Since the Healthy People 2020 Launch

The measure for the objective has been revised. At launch, visits for persons ages 12+ were measured; this has since been revised to visits for persons 18+ based on the 2003 US Preventive Task Force conclusion that there was insufficient evidence to recommend for or against the routine screening for tobacco use or interventions to prevent and treat tobacco use and dependence among children or adolescents. As a result of these revisions, the baseline value has been revised from 60.3% to 60.2%, and the target has been revised from 66.3% to 66.2% based on the original target setting method.

References and More Information

  1. Ambulatory Health Care Data: NHAMCS Description. National Center for Health Statistics. 2007. Available at: http://www.cdc.gov/nchs/about/major/ahcd/nhamcsds.htm