TU-10.1 Increase tobacco cessation counseling in office-based ambulatory care settings

National Data Source
National Ambulatory Medical Care Survey (NAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
19.2 (2007)
Target
21.1
Target-Setting Method
10 percent improvement
Numerator
Number of visits among persons age 18 years and over where patient was classified as a current tobacco user and was ordered/provided tobacco use/exposure health education during that visit.
Denominator
Number of visits among persons aged 18 years and older where patient was classified as a current tobacco user.
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable

Comments

Methodology Notes

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

“Health Education” is a heading on the National Ambulatory Medical Care Survey, Patient Record Form. Tobacco counseling is identified as whether health education was ordered or provided for tobacco use/exposure.

Caveats and Limitations
Unweighted non-response rates for the patients use of tobacco are high (over 30%). Information on patients use of tobacco and on whether health education on tobacco use/exposure was ordered or provided 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 for current tobacco users.
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 19.3% to 19.2%, and the target has been revised from 21.2% to 21.1% based on the original target setting method.

References and More Information

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