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Back Pain: Initial Visit

CBE ID
0322
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of patients at least 18 years of age and younger than 80 with a diagnosis of back pain who have medical record documentation of all of the following on the date of the initial visit to the physician:
1. Pain assessment
2. Functional status
3. Patient history, including notation of presence or absence of “red flags”
4. Assessment of prior treatment and response, and
5. Employment status

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.9 Care Setting
      1.20 Types of Data Sources
      1.14 Numerator

      Patients with a diagnosis of back pain who have medical record documentation of all of the following on the date of the initial visit to the physician.

      FACTOR 1: PAIN ASSESSMENT
      The number of patients with documentation of assessment of pain on the date of the initial visit with the physician.

      FACTOR 2: FUNCTIONAL STATUS
      The number of patients with documentation of assessment of functional status on the date of the initial visit with the physician.

      FACTOR 3: PATIENT HISTORY
      The number of patients with documentation of a patient history that notes absence or presence of “red flags” as listed below on the date of the initial visit with the physician.

      FACTOR 4: ASSESSMENT OF PRIOR TREATMENT AND RESPONSE
      The number of patients with documentation of assessment of their previous history of back pain treatment and response, if applicable, on the date of the initial visit with the physician.

      FACTOR 5: EMPLOYMENT STATUS
      The number of patients with assessment of employment status on the date of the initial visit with the physician.

      1.15 Denominator

      NCQA Back Pain Recognition Program: Total patient sample from at least 18 years of age and younger than 80.

      PQRI Denominator: Patients 18 through 79 years with a diagnosis of back pain or undergoing back surgery

      Exclusions

      N/A

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Musculoskeletal Endorsement Maintenance Project
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      National Committee for Quality Assurance
      Steward POC email
      measureendorsement@ncqa.org
                Public Comments