Table 1.

Measure definitions of tobacco intervention rates, pre- and post-ELEVATE

	Numerator patient criteria
Measure	Pre-ELEVATE (Allscripts TouchWorks)	Post-ELEVATE (Epic)	Denominator patient criteria
Tobacco use assessment	Any tobacco use or nicotine dependence status (i.e., current-, former-, or never-use or dependence) ever documented in the problem list	Tobacco use status ever documented as value besides NULL, never assessed, or unknown if ever smoked	Completed at least one outpatient oncology clinic encounter
Current smokers	Current tobacco use or nicotine dependence ever documented in the problem list	Ever documented as a current smoker, was ever offered counseling, or was prescribed or documented as using tobacco cessation medication	Assessed for tobacco use
Brief counseling provided	Not available	Ever documented as receiving brief cessation counseling	Current smoker
Cessation counseling offered	Not available	Ever had a documented non-NULL response to an assessment of interest in counseling without regard for documented tobacco use status	Current smoker
Cessation counseling provided or referred	Smoking cessation counseling ever documented in the problem list	Ever had a documented referral to phone-based, SMS text-based, and/or smartphone app-based counseling	Current smoker
Cessation medication prescribed and/or documented	Ever had active smoking cessation medication documented in the EHR in the outpatient setting	Ever had active smoking cessation medication prescribed or docmented in the EHR in the outpatient setting (excluding medications without an end date that were prescribed more than 6 months prior to the start of the timeframe)	Current smoker

EHR electronic health record.