## Patient Population:
 - All patients aged 18 years and older seen for at least two visits OR at least one preventive visit during the measurement period.
## Measure Description:
 - Three rates are reported:
    - Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.
    - Percentage of patients aged 18 years and older who were screened for tobacco use AND identified as a tobacco user who received tobacco cessation intervention.
    - Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user.
## Exclusions:
 - None
## Intervention:
 - Complete tobacco usage Questionnaire.
 - Tobacco cessation counseling using Instruct command.
 - Prescribe cessation medication.