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TU-10.2 Data Details

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TU-10.2 Increase tobacco cessation counseling in hospital ambulatory care settings

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

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: 
Yes
Measure: 
percent
Baseline (Year): 
22.6 (2007)
Target: 
24.9
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of visits to hospital-based ambulatory care settings by persons aged 18 years and over at which the  patient was classified as a current tobacco user and was ordered/provided tobacco use/exposure health education during that visit

Denominator: 

Number of visits to hospital-based ambulatory care settings by patients aged 18 years and over where the patient was classified as a current tobacco user

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Annual
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.

    “Health Education” is a heading on the National Hospital Ambulatory Medical Care Survey, Outpatient Department 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.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
The measure for the objective was revised in 2011. At launch, visits for persons aged 12 years and over were measured; this was revised to visits for persons aged 18 years and over. The rationale for this revision was 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 this change, the original baseline was revised from 22.5% to 22.6%. The target was adjusted from 24.8% to 24.9% to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. Ambulatory Health Care Data: NHAMCS Description. National Center for Health Statistics. 2007.