In late 2008, The Joint Commission received funding from the Partnership for Prevention and the Substance Abuse and Mental Health Services Administration (SAMHSA) of the Department of Health and Human Services, to develop, specify, and test standardized performance measures addressing tobacco and alcohol screening and cessation counseling. Working with a Technical Advisory Panel 8 performance measures (4 for Tobacco Treatment, and 4 for Substance Use) were suggested that would address all hospitalized inpatients, irrespective of their diagnosis/clinical condition known as global (population) performance measures. A 6 month pilot test was conducted in 2010.. Following the pilot test, the measures were separated into two distinct measure sets (Tobacco Treatment-TOB, and Substance Use – SUB).
The TOB measure set comprising 4 measures was approved as a core measure set for use in the Joint Commission’s ORYX program, and became available for selection by hospitals to meet their six core measure set accreditation requirement effective January 1, 2012. The measure maintenance process is guided by expertise and advice provided by the TOB Measure Maintenance Technical Advisory Panel. Three measures in the TOB set were endorsed by the National Quality Forum (NQF) on February 18, 2014. The follow-up measure was not endorsed.
The TOB measures can be found in the Specification Manual for National Hospital Inpatient Quality Measures. Submit your questions about the TOB measure specifications to the Performance Measurement Network Q&A Forum.