Avoidance of Opiates for Low Back Pain or Migraines

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Traditional Merit-Based Incentive Payment System (MIPS) Qualified Clinical Data Registry Measures for Primary Care
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Medications and Medication Management

Defining Attributes

Definition

Percentage of Patients with Low Back Pain and/or Migraines Who Were Not Prescribed an Opiate

Numerator

Patients who were not prescribed an opiate

Denominator

Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional PLUS Diagnosis of low back pain OR Diagnosis of migraine PLUS Disposition of Discharged

Exclusions

Patients with active cancer, palliative care, end-of-life care, Opiate prescribed for medical reason documented by the Eligible Professional (i.e., suspected or diagnosed herniated disk, fracture, sciatica, radiculopathy)

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

E-CPR (Emergency - Clinical Performance Registry) - Facility discharge data; EHR; Paper medical record; Record review: EHR: Demographics; Medical history; Discharge status; Orders; Diagnostic results; Medications; Procedures; Clinician narrative

ACEP's Clinical Emergency Data Registry (CEDR) - Registry: Registry: CEDR

Advancing Musculoskeletal (MSK) Care and Rehabilitation QCDR - Registry; Other: Registry: Patient360 QCDR Record Review & data from EHR, Other: Patient360 QCDR Record Review & data from EHR

Emergency and Acute Care Clinical Registry (EACCR) in collaboration with Healthmonix - Claims; EHR; Paper medical record; Registry; Other: EHR: Medical history, Registry: EACCR, Other: Claims, EHR, Paper medical record, registry, demographics, medical history, EACCR, Clinical, CPTs, diagnoses, EACCR

The PQR - Administrative claims data; Hybrid; Other: Other: Record Review, Medical Record

Patient360 in Collaboration with ETSU - Claims; EHR; Hybrid; Paper medical record; Record review; Registry: EHR: Record Review & data from EHR, Registry: Patient360 in Collaboration with ETSU

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

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
23 July 2025