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Data Element Detail

Episode of admitted patient care-smoking cessation clinical pathway completed indicator
Identifying and Definitional Attributes
QH 041752 v3
Data Element
Data Element
Draft
19-Sep-2017		Current
30-Jan-2018		Superseded
15-Jul-2019
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Mar-2017
30-Jun-2018
Indicates whether a Smoking Cessation Clinical Pathway has been completed during the episode of admitted patient care for a patient who self-identifies as being a current smoker of tobacco (smoked tobacco in the past 30 days).
Hospital and Health Services (HHS) (both Activity Based Funding (ABF) and block funded facilities), excluding Children's Health Queensland facilities, and including Mater Health Services.
Smoking cessation clinical pathway completed indicator
Smoking pathway completed? (Y/P/N) (HBCIS)
Representational Attributes
Alphabetic
Code
A
1
1
Permissible Values

Permissible_values

CodeDescription
NNo
PPartial
YYes
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Quality Improvement Payment (QIP) incentive payments are offered by the Department of Health to improve the number of public hospital inpatients offered the Smoking Cessation Clinical Pathway. The Smoking Cessation Clinical Pathway form was developed by the Statewide Respiratory Clinical Network and is an evidence based decision support tool to aid health staff in assisting patients to quit smoking tobacco.

Clinicians (e.g. nurses, pharmacists, allied health practitioners, and medical officers) are responsible for completing the Smoking Cessation Clinical Pathway form and ensuring it is filed in the patient's medical record prior to separation.

Clinical coders assess if filed Smoking Cessation Clinical Pathways are deemed complete by reviewing the grey sections on page 1 only. A completed Smoking Cessation Clinical Pathway equates to documented evidence of the following criteria:
- for identified smokers (question 1 = Yes) at least one box must be marked in each grey section (i.e. for each of questions 4, 8 and 11), and
- all four columns in the Signature Log (name, designation, signature and date) must be completed.

Code N No
None of the mandatory items on a Smoking Cessation Clinical Pathway form have been completed for the patient who self-identifies as being a current smoker of tobacco, or no pathway is available within the patient record.

Code P Partial
Some of the mandatory items on a Smoking Cessation Clinical Pathway form have been completed for the patient who self-identifies as being a current smoker of tobacco.

Code Y Yes
The mandatory items and signature log on a Smoking Cessation Clinical Pathway form have been completed for the patient who self-identifies as being a current smoker of tobacco.
Must not be null when Episode of admitted patient care-tobacco smoking status of patient is code 1 (Reported a current smoker within last 30 days).
Must be null when Episode of admitted patient care-tobacco smoking status of patient is code 2 (Reported not a current smoker) or code 9 (No smoking status reported or documented).
Hospital Based Corporate Information System (HBCIS):
- If the Smoking Status and Smoking pathway completed? (Y/P/N) fields are populated and ICD-10-AM code Z72.0 is removed from the list of diagnoses, the two fields are reset to null (blank).
- If the Smoking Status and Smoking pathway completed? (Y/P/N) fields are populated and ICD-10-AM code Z72.0 is removed from the list of diagnoses and ICD-10-AM code Z86.43 remains, the Smoking Status field is auto-populated with the value '2' and the Smoking pathway completed? (Y/P/N) field is reset to null (blank).
The introduction of code 'P' is valid for separations on or after 1 July 2016.
Note: v5.00 of the Smoking Cessation Clinical Pathway form dated 02/2017 must be used for QIP: https://www.health.qld.gov.au/improvement/pathways/docs/smoking-pathway.pdf.
Further information on QIP Smoking Cessation can be found on QHEPS: INTERNAL QH LINK NOT AVAILABLE.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 3
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-smoking cessation clinical pathway completed indicatorQH 041752 Version 2Superseded
Is qualified byData ElementData ElementEpisode of admitted patient care-tobacco smoking status of patientQH 041751 Version 3Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 3
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Mar-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1ConditionalSuperseded01-Mar-201730-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Source and Reference Attributes
QIP; Smoking; Smoking cessation;