Email UpdatesDescription
The intent of the “Tobacco Assessment and Cessation Counseling Documentation Template” is to facilitate the clinical provider's evaluation of tobacco use, counseling regarding tobacco cessation, and documentation of findings and clinical decisions from the evaluation and counseling process.
Artifact Type
Creation Date
Version
1
Unique Identifier
34d04a65-4d4b-5dd8-8632-beef77c9067b
Status
Experimental
True
Artifact Creation and Usage
Steward
Publisher
Contributors
Angela Denietolis, MD, Primary Care Physician James A. Haley Veterans Hospital Tampa VAMC Tampa, FL 33612
Pat Dumas, RN, Clinical Program Director VACO 810 Vermont Ave NW Washington, DL 20420
Manish Merchant, MD, Health Informatician Albany VAMC 113 Holland Ave. Albany, NY 12208
Timothy Dresselhaus, MD, San Diego VAMC - MEDS 3350 La Jolla Village Drive San Diego, CA 92161
Kim Hamlett-Berry, PhD, National Program Director Tobacco and Health: Policy and Programs Mental Health Services 1575 I St., NW Washington, DC 20420
Please contact Mr. Apurva Desai Apurva.desai@va.gov for additional information.
License
IP Attestation The author asserts that this artifact has been developed in compliance with the intellectual property rights attributed to the source material.
Copyrights
Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.
Implementation Details
Technical Files
Documentation Template9.53 KB
Repository Information
Publication Date
Last Review Date
Knowledge Level
Structured code that is interpretable by a computer (includes data elements, value sets, logic)
Purpose and Usage
Usage
- Target User
- Any clinical provider who is able to screen for current tobacco use, including physicians, APNs, PAs, RNs, LPNs, pharmacists, psychologists, social workers, dentists, and substance abuse counselors.
- Patient Age Group
- Population 18 years old or older
- Clinical Venue
- Any clinical setting to include outpatient
- Clinical Venue
- Any clinical setting to include inpatient
- Workflow Setting
- All
Cautions
THE CLINICAL CONTENT IN THIS DOCUMENT IS NOT DIRECTLY SUITABLE FOR CLINICAL USE AS PRESENTED SINCE IT HAS NOT BEEN TESTED IN A CLINICAL ENVIRONMENT. IT HAS NEVER BEEN PILOTED, NEVER 100% REPRESENTS THE INTENT OF THE CLINICAL SUBJECT MATTER EXPERTS, AND MAY CAUSE HARM IF APPLIED AS-IS. THIS WORK IS MADE AVAILABLE WITHOUT ANY WARRANTY WHATSOEVER, AND WITHOUT CLAIMS, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
Supporting Evidence
Source Description
- Derived From
- Primary Care: Tobacco Assessment and Cessation Counseling Clinical Content White Paper
- Associated Resource
- Primary Care: Tobacco Assessment and Cessation Counseling Documentation Template Conceptual Structure Document
- Associated Resource
- Primary Care: Tobacco Assessment and Cessation Counseling Documentation Template KNART Validation Report
- Associated Resource
- Tobacco and Health
- Associated Resource
- For Health Professionals: Tobacco Cessation
- Associated Resource
- Tobacco use treatment PULSE
- Associated Resource
- Tobacco and health SharePoint site
References
See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.
- Fiore MC, Jaén TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Agency for Healthcare Research and Quality. Accessed October 20, 2017
- http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/index.html
- American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Goff 2014
- National Center for Health Promotion and Disease Prevention website.Get Recommended Screening Tests and Immunizations for Men. Accessed August 29, 2017
- https://www.prevention.va.gov/Healthy_Living/Get_Recommended_Screening_Tests_and_Immunizations_for_Men.asp
- National Center for Health Promotion and Disease Prevention website. Get Recommended Screening Tests and Immunizations for Women. Accessed August 29, 2017
- https://www.prevention.va.gov/Healthy_Living/Get_Recommended_Screening_Tests_and_Immunizations_for_Women.asp
- National Center for Health Promotion and Disease Prevention website. Screening for Abdominal Aortic Aneurysm. Published July 15, 2017
- https://www.prevention.va.gov/Preventing_Diseases/Screening_for_Abdominal_Aortic_Aneurysm.asp
- National Center for Health Promotion and Disease Prevention website. Screening for Lung Cancer. Accessed August 29, 2017
- https://www.prevention.va.gov/preventing_diseases/screening_for_lung_cancer.asp
- Healthcare Effectiveness Data and Information Set (HEDIS) 2018 Volume 2: Technical Specification for Health Plans. http://store.ncqa.org/index.php/performance-measurement.html
- http://store.ncqa.org/index.php/performance-measurement.html
- The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Printed with corrections, January 2014
- https://www.surgeongeneral.gov/library/reports/50-years-of-progress/exec-summary.pdf
- Primary Care and Tobacco Cessation Handbook: A Resource for Providers. U.S. Department of Veterans Affairs Public Health website. Published May 2014
- https://www.publichealth.va.gov/smoking/professionals/tools-publications.asp
- Bladder Cancer in Adults: Screening. U.S. Preventive Services Task Force website. Published August 2011
- https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/bladder-cancer-in-adults-screening
- U.S. Preventive Services Task Force website. Chronic Obstructive Pulmonary Disease: Screening. U.S. Preventive Services Task Force. Published April 2016
- https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/chronic-obstructive-pulmonary-disease-screening
- Final Recommendation Statement: Peripheral Arterial Disease (PAD) and CVD in Adults: Risk Assessment with Ankle Brachial Index U.S. Preventive Services Task Force website. Published September 2013
- https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/peripheral-arterial-disease-pad-and-cvd-in-adults-risk-assessment-with-ankle-brachial-index
- Oral Cancer: Screening. U.S. Preventive Services Task Force website. Published November 2013
- https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/oral-cancer-screening1
- Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions. U.S. Preventive Services Task Force website. Published September 2015
- https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
- Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. A Prediction of coronary heart disease using risk factor categories. Circulation. 1998;97(18):1837-1847
- Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, et al. Treating Tobacco Use and Dependence: 2008 Update. U.S. Department of Health and Human Services; 2008.
- https://bphc.hrsa.gov/buckets/treatingtobacco.pdf
Artifact Representation
Testing Experience
Pilot Experience
None