• Specifications manual for national hospital inpatient quality measures, version 2.5b. Centers for Medicare & Medicaid Services (CMS), The Joint Commission; 2008 Oct. various p.

Does not apply to this measure

This measure is used to assess the percent of acute myocardial infarction (AMI) patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during the hospital stay. For the purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

Smoking cessation reduces mortality and morbidity in all populations. Patients who receive even brief smoking-cessation advice from their care providers are more likely to quit. National guidelines strongly recommend smoking cessation counseling for smokers hospitalized with acute myocardial infarction (AMI). Despite this recommendation, smoking cessation counseling is rarely provided in eligible older patients hospitalized with AMI.

Acute myocardial infarction (AMI); smoking cessation advice/counseling

Acute myocardial infarction (AMI) patients with a history of smoking cigarettes anytime during the year prior to hospital arrival (see the related "Denominator Inclusions/Exclusions" field in the Complete Summary)

Acute myocardial infarction (AMI) patients (cigarette smokers) who receive smoking cessation advice or counseling during the hospital stay

Administrative data
Medical record

AMI-4: adult smoking cessation advice/counseling.

Centers for Medicare & Medicaid Services
Joint Commission, The

Centers for Medicare & Medicaid Services/The Joint Commission

All external funding for measure development has been received and used in full compliance with The Joint Commission's Corporate Sponsorship policies, which are available upon written request to The Joint Commission.

Expert panel members have made full disclosure of relevant financial and conflict of interest information in accordance with the Joint Commission's Conflict of Interest policies, copies of which are available upon written request to The Joint Commission.

National Quality Forum

Hospital Compare
Hospital Quality Alliance
National Healthcare Disparities Report (NHDR)
National Healthcare Quality Report (NHQR)

Measure was not adapted from another source.

2000 Aug

2008 Oct

This is the current release of the measure.

This measure updates a previous version: Specifications manual for national hospital quality measures, version 2.3b. Centers for Medicare & Medicaid Services (CMS), The Joint Commission; 2007 Oct. various p.

• Specifications manual for national hospital inpatient quality measures, version 2.5b. Centers for Medicare & Medicaid Services (CMS), The Joint Commission; 2008 Oct. various p.

This NQMC summary was completed by ECRI on February 7, 2003. The information was verified by the measure developer on February 12, 2003. This NQMC summary was updated by ECRI on October 6, 2005 and on April 16, 2007. The information was verified by the measure developer on July 24, 2007. This NQMC summary was updated again by ECRI Institute on October 26, 2007. The Joint Commission informed NQMC that this measure was updated on August 13, 2008 and provided an updated version of the NQMC summary. This NQMC summary was updated accordingly by ECRI Institute on November 11, 2008. The information was verified by the Centers for Medicare & Medicaid Services on Janaury 22, 2009.

The Specifications Manual for National Hospital Inpatient Quality Measures [Version 2.5b, October, 2008] is the collaborative work of the Centers for Medicare & Medicaid Services and The Joint Commission. The Specifications Manual is periodically updated by the Centers for Medicare & Medicaid Services and The Joint Commission. Users of the Specifications Manual for National Hospital Inpatient Quality Measures should periodically verify that the most up-to-date version is being utilized.