Avoidance of Opiates for Low Back Pain or Migraines
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
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