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Numerator

Pneumonia patients (cigarette smokers) who receive smoking cessation advice or counseling during the hospital stay

Denominator

Pneumonia patients > 17 years of age with a history of smoking cigarettes any time during the year prior to hospital arrival

Methodology

Hospital Compare sample rates were downloaded from the CMS web site: http://www.medicare.gov/Download/DownloadDB.asp

Hospital population weights were computed based on estimates imputed from the denominators for Hospital Compare readmissions. Hospital referral region (HRR) rates were computed as the weighted average of the hospital sample rates within the HRR using the population weights.

State rates were computed as weighted averages of the hospital sample rates within the state.

References

Hospital Compare process measures documentation posted at http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier4&cid=1203781887871

HRR documentation is posted at http://www.dartmouthatlas.org/downloads/methods/geogappdx.pdf • SSA state and county code documentation is posted at County to CBSA crosswalk file