Back Pain: Initial Visit
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 diagnosis of back pain who have medical record documentation about their initial visit.
Numerator
Patients 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. FACTOR 1: PAIN ASSESSMENT The number of patients with documentation of assessment of pain on the date of the initial visit with the physician. FACTOR 2: FUNCTIONAL STATUS The number of patients with documentation of assessment of functional status on the date of the initial visit with the physician. FACTOR 3: PATIENT HISTORY The number of patients with documentation of a patient history that notes absence or presence of "red flags" as listed below on the date of the initial visit with the physician. FACTOR 4: ASSESSMENT OF PRIOR TREATMENT AND RESPONSE The number of patients with documentation of assessment of their previous history of back pain treatment and response, if applicable, on the date of the initial visit with the physician. FACTOR 5: EMPLOYMENT STATUS The number of patients with assessment of employment status on the date of the initial visit with the physician.
Denominator
Patients 18 through 79 years with a diagnosis of back pain or undergoing back surgery
Exclusions
None
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