Spinal Surgery: Lumbar Discectomy Laminotomy Outcome (PDF)

Spinal Surgery: Lumbar Discectomy Laminotomy
Outcome Measures Specifications
2016 Report Year
01/01/2014 to 12/31/2014 Dates of Procedure
Summary of Changes
 PROMIS-10 replaced EQ5D-5L as the allowed tool for assessing health related quality
of life. (Note: The 2016 Report Year allows either tool to be used; the 2017 Report
Year will require assessment with the PROMIS-10 exclusively.)
 Removed coding tables and replaced all coding table references with value set
references
Measure
Lumbar Discectomy Laminotomy: Average change in functional status
Description
The average change (preoperative to three months post-operative) in functional status
for patients 18 years of age or older who had a lumbar discectomy laminotomy
procedure
Measurement Period
Procedures occurring on January 1 through December 31, 2014
Eligible Population
Eligible Specialties
Orthopedic Surgery, Neurosurgery
Eligible Providers
Medical Doctor (MD), Doctor of Osteopathy (DO)
Ages
18 years of age or older as of January 1 of the measurement
period
Event
Lumbar discectomy laminotomy procedure (Single Disc-Lami Value
Set) for a diagnosis of disc herniation (Disc Herniation Value Set)
performed by an eligible provider in an eligible specialty during the
measurement period
Denominator
Patients within the eligible population whose functional status was measured by the
Oswestry Disability Index, version 2.1a (ODI, v2.1a) within three months preoperatively
AND at three months (6 to 20 weeks) postoperatively
Numerator
The average change (preoperative to three months post-operative) in functional status
for all patients in the denominator
Required Exclusions
The following exclusions must be applied to the eligible population:
 Patient had any additional spine procedures performed on the same date as the
lumbar discectomy laminotomy
Measure Scoring
Number, 100 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Helpline: 612-746-4522 | E-mail: [email protected] | Data Portal: https://data.mncm.org/login
© MN Community Measurement, 2015. All rights reserved.
Page 1
Spinal Surgery: Lumbar Discectomy Laminotomy
Outcome Measures Specifications
2016 Report Year
01/01/2014 to 12/31/2014 Dates of Procedure
Measure
Lumbar Discectomy Laminotomy: Average change in health related quality of life
Description
The average change (preoperative to three months post-operative) in health related
quality of life for patients 18 years of age or older who had lumbar discectomy
laminotomy procedure
Measurement Period
Procedures occurring on January 1 through December 31, 2014
Eligible Population
Eligible Specialties
Orthopedic Surgery, Neurosurgery
Eligible Providers
Medical Doctor (MD), Doctor of Osteopathy (DO)
Ages
18 years of age or older as of January 1 of the measurement
period
Event
Lumbar discectomy laminotomy procedure (Single Disc-Lami Value
Set) for a diagnosis of disc herniation (Disc Herniation Value Set)
performed by an eligible provider in an eligible specialty during the
measurement period
Denominator
Patients within the eligible population whose health related quality of life was measured
by the EQ5D-5L or PROMIS-10 within three months preoperatively AND at three months
(6 to 20 weeks) postoperatively
Numerator
The average change (preoperative to three months post-operative) in health related
quality of life for all patients in the denominator
Required Exclusions
The following exclusions must be applied to the eligible population:
 Patient had any additional spine procedures performed on the same date as the
lumbar discectomy laminotomy
Measure Scoring
Number, 100 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Measure
Lumbar Discectomy Laminotomy: Average change in back pain
Description
The average change (preoperative to three months post-operative) in back pain for
patients 18 years of age or older who had lumbar discectomy laminotomy procedure
Measurement Period
Procedures occurring on January 1 through December 31, 2014
Eligible Population
Eligible Specialties
Orthopedic Surgery, Neurosurgery
Eligible Providers
Medical Doctor (MD), Doctor of Osteopathy (DO)
Ages
18 years of age or older as of January 1 of the measurement
period
Helpline: 612-746-4522 | E-mail: [email protected] | Data Portal: https://data.mncm.org/login
© MN Community Measurement, 2015. All rights reserved.
Page 2
Spinal Surgery: Lumbar Discectomy Laminotomy
Outcome Measures Specifications
2016 Report Year
01/01/2014 to 12/31/2014 Dates of Procedure
Event
Lumbar discectomy laminotomy procedure (Single Disc-Lami Value
Set) for a diagnosis of disc herniation (Disc Herniation Value Set)
performed by an eligible provider in an eligible specialty during the
measurement period
Denominator
Patients within the eligible population whose back pain was measured by the Visual
Analog Scale (VAS) within three months preoperatively AND at three months (6 to 20
weeks) postoperatively
Numerator
The average change (preoperative to three months post-operative) in back pain for all
patients in the denominator
Required Exclusions
The following exclusions must be applied to the eligible population:
 Patient had any additional spine procedures performed on the same date as the
lumbar discectomy laminotomy
Measure Scoring
Number, 10 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Measure
Lumbar Discectomy Laminotomy: Average change in leg pain
Description
The average change (preoperative to three months post-operative) in leg pain for
patients 18 years of age or older who had lumbar discectomy laminotomy procedure
Measurement Period
Procedures occurring on January 1 through December 31, 2014
Eligible Population
Eligible Specialties
Orthopedic Surgery, Neurosurgery
Eligible Providers
Medical Doctor (MD), Doctor of Osteopathy (DO)
Ages
18 years of age or older as of January 1 of the measurement
period
Event
Lumbar discectomy laminotomy procedure (Single Disc-Lami Value
Set) for a diagnosis of disc herniation (Disc Herniation Value Set)
performed by an eligible provider in an eligible specialty during the
measurement period
Denominator
Patients within the eligible population whose leg pain was measured by the Visual
Analog Scale (VAS) within three months preoperatively AND at three months (6 to 20
weeks) postoperatively
Numerator
The average change (preoperative to three months post-operative) in leg pain for all
patients in the denominator
Helpline: 612-746-4522 | E-mail: [email protected] | Data Portal: https://data.mncm.org/login
© MN Community Measurement, 2015. All rights reserved.
Page 3
Spinal Surgery: Lumbar Discectomy Laminotomy
Outcome Measures Specifications
2016 Report Year
01/01/2014 to 12/31/2014 Dates of Procedure
Required Exclusions
The following exclusions must be applied to the eligible population:
 Patient had any additional spine procedures performed on the same date as the
lumbar discectomy laminotomy
Measure Scoring
Number, 10 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Helpline: 612-746-4522 | E-mail: [email protected] | Data Portal: https://data.mncm.org/login
© MN Community Measurement, 2015. All rights reserved.
Page 4