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
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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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.
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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
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Exclusions
N/A
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Musculoskeletal Endorsement Maintenance ProjectInitial EndorsementLast UpdatedRemoval Date
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StewardNational Committee for Quality AssuranceSteward Organization POC Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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