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Clinician: Group/Practice

Valid for Measure Submission

Average change in functional status following lumbar spine fusion surgery

  • For patients age 18 and older undergoing lumbar spine fusion surgery, the average change from pre-operative functional status to one year (nine to fifteen months) post-operative functional status using the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool.

    CBE ID
    2643

Back Pain: Advice Against Bed Rest

  • Percentage of patients at least 18 years of age and younger than 80 with a back pain episode of 28 days or more with medical record documentation that a physician advised them against bed rest lasting four days or longer.

    CBE ID
    0313

Back Pain: Advice for Normal Activities

  • Percentage of patients at least 18 years of age and younger than 80 with a back pain episode of 28 days or more with medical record documentation that a physician advised them to maintain or resume normal activities.

    CBE ID
    0314

Back Pain: Appropriate Imaging for Acute Back Pain

  • Percentage of patients at least 18 years of age and younger than 80 with a diagnosis of back pain for whom the physician ordered imaging studies during the six weeks after pain onset, in the absence of “red flags” (overuse measure, lower performance is better).

    CBE ID
    0315

Back Pain: Appropriate Use of Epidural Steroid Injections

  • Percentage of patients at least 18 years of age and younger than 80 with back pain who have received an epidural steroid injection in the absence of radicular pain AND those patients with radicular pain who received an epidural steroid injection without image guidance (i.e. overuse measure, lower performance is better).

    CBE ID
    0309

Back Pain: Initial Visit

  • 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

    CBE ID
    0322