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.
- Electronic Clinical Quality Measure (eCQM)Level Of AnalysisMAT output not attachedAttachedNumerator
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.DenominatorThe 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.
ExclusionsPatients who are not being treated for a Low Back impairment.
Patients who are less than 14 years of age.All information required to stratify the measure resultsOffAll information required to stratify the measure resultsOff
- Measure StructureClinical Condition Topic AreaNon Condition SpecificTarget PopulationMeasure Selection AttributesNational Quality Strategy PrioritiesEffective Communication and Care Coordination
- Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
- Current or planned use(s)Current Use(s)Planned Use
- Most Recent Endorsement ActivityEndorsed Patient Experience and Function Fall Cycle 2019Initial EndorsementNext Planned Maintenance ReviewFall 2025Endorsement StatusLast Updated
- Do you have a secondary measure developer point of contact?OnMeasure Developer Secondary Point Of Contact EmailMeasure Developer Secondary Point Of Contact Phone NumberThe measure developer is NOT the same as measure stewardOffStewardSteward Organization EmailSteward Organization Copyright
See NQF document
- Detailed Measure SpecificationsNoLogic ModelOffImpact and GapNoFeasibility assessment methodology and resultsNoAddress health equityNoMeasure’s use or intended useNo508 ComplianceOffIf no, attest that all information will be provided in other fields in the submission.Off