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Back Pain: Shared Decision Making

Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
1.3 Measure Description

Percentage of patients at least 18 years of age and younger than 80 with back pain with whom a physician or other clinician reviewed the range of treatment options, including alternatives to surgery prior to surgery. To demonstrate shared decision making, there must be documentation in the patient record of a discussion between the physician and the patient that includes all of the following.
1) Treatment choices, including alternatives to surgery;
2) Risks and benefits;
3) Evidence of effectiveness

Note: This measure is applicable only for physicians who perform surgery.

        • 1.14 Numerator

          The number of patients who had surgery, with documentation in the medical record that a clinician and the patient discussed treatment options prior to surgery, including alternatives to surgery, risks and benefits and evidence of effectiveness.

        • 1.15 Denominator

          Patients at least 18 years of age and younger than 80 who had surgery for back pain.

        • Exclusions


        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Musculoskeletal Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date