Recipe Name:

QIM 2 – Smoking Status

Rationale:

In Australia, smoking continues to be the behavioural risk factor responsible for the highest levels of preventable disease and premature death. Recording systems that document tobacco use almost double the rate at which clinicians intervene with smokers leading to higher rates of smoking cessation.

Target:

Proportion of regular clients who are aged 15 years and over and whose smoking status has been recorded within the previous 12 months as one of the following:

•current smoker;

•ex-smoker or;

•never smoked

Where a regular client’s tobacco smoking status does not have an assessment date assigned within the Clinical Information System (CIS), tobacco smoking status the CIS should be treated as current (i.e. as having been updated within the previous 12 months).

This question should be asked annually until age 30 then the current status is assumed.

CAT Starting Point:

  1. CAT Open - CAT4 view (all reports) loaded
  2. Population Extract Loaded and Extract Pane “Hidden”
    1. Filter Pane open and under the ‘General’ tab ‘Active Patients’ (3x <2 years) selected



Please note that there are limitation to the PAT CAT user interface in replicating this PIP QI measure. Due to the definition of this QIM patients who are aged over 30 need to have at least one smoking assessment recorded since turning 30, which can't be done using the available filters. This can (but doesn't necessarily) lead to slightly more patients being found by these recipe steps than showing in the PIP QI report.

For example someone aged 30 who had their last smoking assessment done at age 28  will be rejected by the PIP QI calculation but will be counted by the age>30 and smoking assessment done step shown below.



CAT4 starting point

 

Part One - patients aged 15-29 with yearly smoking assessments

RECIPE Steps Filters:

 

Then select the 12 month date range result filter, to only show results that were entered in the last 12 months:


Part Two - patients aged 30+ with yearly smoking assessments

RECIPE Steps Filters:

In the “General” Tab, enter Start Age = 30

 

Report Steps

This will show you the selected population (15 - 29 yr old with a yearly smoking assessment or 30+ year old with a smoking assessment done).

This report, when switched to 'Show Percentage', will show you the smoking status of your selected patient group and will allow you to measure improvement over time by comparing your reports.

As the date of a smoking assessment only changes when the assessment is modified or additional information is entered, the results for the 15 - 29 year old patients will most likely show a large number of patients without smoking assessments. Please remember that anyone in that age group with a smoking assessment done more than 12 months ago will be counted as 'nothing recorded'. Double-clicking on the 'nothing recorded' part of the graph will show a list of all those patients with the date of the last assessment listed in the 'Smoking column'.



 


To Export Patient List to Microsoft Excel:

1.  Click on the “Export Icon” at the top of the Patient Reidentification window.

2.  Click on “Excel”

3.   Choose a file name and a location to save to (eg. Create a folder C:/ClinicalAudit/CAT Patient FollowUp)

4.  Click “Save”

 

The steps above will produce a list of patients with contact details in MS Excel which can then be used to:

1.   Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records

2.  Phone patients to update their record

3.  Produce a mail merge to recall patients for follow up