{"id":44714,"date":"2025-08-01T01:00:51","date_gmt":"2025-08-01T05:00:51","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=44714"},"modified":"2025-09-19T17:05:41","modified_gmt":"2025-09-19T21:05:41","slug":"tobacco-use-screening-and-cessation-intervention-tsc-e","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/","title":{"rendered":"Tobacco Use Screening and Cessation Intervention (TSC-E)"},"content":{"rendered":"<p><span data-contrast=\"auto\">The percentage of persons 12 years of age and older who were screened for commercial tobacco product use at least once during the measurement period, and who received tobacco cessation intervention if identified as a tobacco user. Two rates are reported:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"auto\">Tobacco Use Screening. The percentage of persons who were screened for tobacco use.<\/span><\/li>\n<li><span data-contrast=\"auto\">Cessation Intervention. The percentage of persons who were identified as a tobacco user and who received tobacco cessation intervention.<\/span><\/li>\n<\/ol>\n<h2>Why It Matters<\/h2>\n<p><span data-contrast=\"none\"><strong>Commercial tobacco use is the leading cause of preventable disease, disability, and death in the United States.<\/strong> Tobacco use harms nearly every organ of the body and causes cancer, heart diseases, stroke, lung disease, type 2 diabetes, and other chronic conditions <sup><a href=\"#ref-1\">1<\/a><\/sup>. Cigarette smoking accounts for at least 30% of all cancer deaths, and smokers are twice as likely to die from cancer than nonsmokers <sup><a href=\"#ref-2\">2<\/a><\/sup>. Regardless of age or how long someone has been smoking, smoking cessation reduces the risk of negative health effects, adding as much as 10 years to one\u2019s life expectancy <sup><a href=\"#ref-1\">1<\/a><\/sup> <sup><a href=\"#ref-3\">3<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">In 2020, an estimated 30.8 million (12.5%) of U.S. adults currently smoked cigarettes, defined as smoking \u2265 100 cigarettes during a lifetime and now smoking cigarettes either every day or some days <sup><a href=\"#ref-4\">4<\/a><\/sup>. More than 16 million Americans live with a smoking-related disease. Most tobacco use begins during youth and young adulthood, with nearly one in nine (11.3%) adolescents reporting current use of tobacco products <sup><a href=\"#ref-5\">5<\/a><\/sup>. While nearly 70% of current U.S. adult smokers stated they wanted to quit and over half attempted to quit in the past year, only about 8% were successful in quitting for 6-12 months <sup><a href=\"#ref-6\">6<\/a><\/sup> <sup><a href=\"#ref-7\">7<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Cigarette smoking costs more than $240 billion in healthcare spending, accounting for nearly $185 billion in lost productivity from smoking-related illness and health conditions and $180 billion dollars in lost productivity from smoking-related death <sup><a href=\"#ref-8\">8<\/a><\/sup>. In addition to this, cigarette smoking was linked to an $891 billion cumulative economic loss in 2020 <sup><a href=\"#ref-9\">9<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">All patients should be asked about their tobacco use, whether risk factors for use are present, and encouraged to stop using tobacco <sup><a href=\"#ref-10\">10<\/a><\/sup>. Effective tobacco smoking cessation interventions include behavioral counseling and pharmacotherapy, either individually or in combination, and are successful in helping tobacco users quit. The U.S. Preventive Service Task Force (USPSTF) recommends clinicians to ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.<\/span><\/p>\n<p><span data-contrast=\"none\">The Tobacco Use Screening and Cessation Intervention (TSC-E) measure was based on the USPSTF tobacco screening guidelines and evidence-based literature from the U.S. Department of Health and Human Services and American Academy of Pediatrics concerning interventions and adolescence tobacco use, respectively.<\/span><\/p>\n<h2><span data-teams=\"true\">Historical Results \u2013 National Averages<\/span><\/h2>\n<p><strong>Performance results for this measure are currently unavailable.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of persons 12 years of age and older who were screened for commercial tobacco product use at least once during the measurement period, and who received tobacco cessation intervention if identified as a tobacco user. Two rates are reported:\u00a0\u00a0 Tobacco Use Screening. The percentage of persons who were screened for tobacco use. Cessation [&hellip;]<\/p>\n","protected":false},"author":116,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-44714","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tobacco Use Screening and Cessation Intervention (TSC-E) - NCQA<\/title>\n<meta name=\"description\" content=\"The percentage of persons 12 years of age and older who were screened for commercial tobacco product use at least once during the measurement period, and who received tobacco cessation intervention if identified as a tobacco user.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tobacco Use Screening and Cessation Intervention (TSC-E) - NCQA\" \/>\n<meta property=\"og:description\" content=\"The percentage of persons 12 years of age and older who were screened for commercial tobacco product use at least once during the measurement period, and who received tobacco cessation intervention if identified as a tobacco user.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-19T21:05:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/\",\"url\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/\",\"name\":\"Tobacco Use Screening and Cessation Intervention (TSC-E) - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-08-01T05:00:51+00:00\",\"dateModified\":\"2025-09-19T21:05:41+00:00\",\"description\":\"The percentage of persons 12 years of age and older who were screened for commercial tobacco product use at least once during the measurement period, and who received tobacco cessation intervention if identified as a tobacco user.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/tobacco-use-screening-and-cessation-intervention-tsc-e\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Report Cards\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"State of Health Care Quality Report\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Tobacco Use Screening and Cessation Intervention (TSC-E)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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