Back Pain: Initial Visit

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Payment program, public reporting, quality improvement, Regulatory and Accreditation Programs
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Pain

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
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Electronic/paper chart records, Standardised clinical data
Data Collection Methods

Reporting is specific to sub-program

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025