Smoking Status and Cessation Counseling:

One of the requirements for ICANotes to become a certied EHR is that it address the issue of tobacco use.

The first requirement is that the Patient's smoking status be determined. That can be done during an Initial or Complete exam in the Medical History using the shrub button "Health and Behavior" and then the secondary Shrub Button, "Tobacco."  Note that the third column buttons that are then revealed allow you to both record the patient's tobacco use or history and indicate if any cessation counseling has been done at that time.

In Progress Notes the patient's smoking status can be indicated using a new section in the Behavior part of the program, accessible from the Behavior button on the lower part of column 1 in Progress Note Part 1.

During Progress Note creation,  cessation counseling efforts can be documented using a new section of the Psychotherapy, Patient Focused on... layout. It can be accessed using the Psychotherapy button in Progress Note Part 1, near the top of column 2. Then, continue to "Today Patient Focused on..."

What percentage of your patient's that were queried about tobacco use and what percentage of those that were using were counseled regarding cessation are numbers that will help you achieve meaningful use.  If you want to know these percentages the ICANotes program will calculate them for you.  In the reports menu select Clinical Quality Measures.  On that page select the third item to calculate tobacco use assessment and tobacco cessation interventions.

The ICANotes Team