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
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