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Functional Status Change for Patients with Low Back Impairments

CBE ID
0425
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2025
1.3 Measure Description

This is a patient-reported outcome performance measure (PRO-PM) consisting of an item response theory-based patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years and older with low back impairments. The change in FS is assessed using the Low Back FS PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality. Scores are reported on a 0 to 100 continuous scale with higher scores indicating better FS. The Low Back FS PROM maps to the Mobility and Self-care constructs within the Activities and Participation domain of the International Classification of Functioning, Disability and Health.

        • 1.14 Numerator

          The numerator is based on residual scores (actual change scores - predicted change after risk adjustment) of patients receiving care for Low Back impairments and who completed the Low Back PRO-PM. 
          The numerator, as it applies to the 3 levels, is defined as follows:
          Patient Level: The residual functional status score for the individual patient with a low back impairment.
          Individual Clinician Level: The average of residuals in functional status scores in patients who were treated by a clinician in a 12-month time period for a low back impairment.
          Clinic Level: The average of residuals in functional status scores in patients who were treated by a clinic in a 12-month time period for a low back impairment.

        • 1.15 Denominator

          The target population is all patients 14 years and older with a Low Back impairment who have initiated an episode of care and completed the Low Back FS PROM.

        • Exclusions

          Patients who are not being treated for a Low Back impairment.
          Patients who are less than 14 years of age.

        • OLD 1.12 MAT output not attached
          Attached
          1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Patient Experience and Function Fall Cycle 2019
          Initial Endorsement
          Last Updated
        • Steward
          Focus on Therapeutic Outcomes
          Steward Organization POC Email
          Steward Organization Copyright

          See NQF document

              • Risk Adjustment
                Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off