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.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis
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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.
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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.
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Exclusions
Patients who are not being treated for a Low Back impairment.
Patients who are less than 14 years of age.
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OLD 1.12 MAT output not attachedAttached
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Most Recent Endorsement ActivityEndorsed Patient Experience and Function Fall Cycle 2019Initial EndorsementLast Updated
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StewardSteward Organization EmailSteward Organization Copyright
See NQF document
Measure Developer Secondary Point Of Contact Email
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
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