PQRS 404 - American Society of Anesthesiologists (ASA)

Physician anesthesiologists play an important role in helping people who smoke to quit – especially on the patient’s procedure day. 
Beginning in 2016, anesthesiologists are able to report PQRS #404. To report this measure, anesthesiologists or their proxy will instruct the patient in the days leading up to their elective procedure to abstain from smoking on the day of their procedure. The anesthesiologist would then record if the patient smoked on the day of their procedure.

Although evidence suggests that the longer the duration of abstinence the better, there is also evidence that even brief abstinence (e.g., abstaining from smoking on the morning of surgery) can dramatically reduce both nicotine and carbon monoxide levels and reduce risks for complications such as intraoperative myocardial ischemia.

For information on how to report the measure, please visit the CMS PQRS website and download the measure specification. PQRS #404 is reportable via the ASA Qualified Registry and the ASA QCDR. Please contact the ASA Department of Quality and Regulatory Affairs (QRA) at qra@asahq.org for additional information.


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