Back Pain: Repeat Imaging Studies
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients at least 18 years of age and younger than 80 with a back pain episode of 28 days or more who received inappropriate repeat imaging studies in the absence of red flags or progressive symptoms (overuse measure, lower performance is better).
Numerator
The number of patients with inappropriate imaging studies
Denominator
Patients at least 18 years of age and younger than 80 with more than one imaging study and patients with only one imaging study and no documentation in medical record of physician asking about prior imaging.
Exclusions
Exclude patients from the denominator with evidence or notation of red flags or worsening/progressive signs in their medical record in the seven-day (one week) period preceding the second imaging study.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Reporting is specific to sub-program