Measure Title: Avoidance of Opiate Prescriptions for Low Back Pain or Migraines
Description: Percentage of Patients with Low Back Pain and/or Migraines 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 (Admitted, transferred to another acute care facility (same or higher level of care), eloped, AMA or expired patients are excluded)
Denominator Exclusions: Patients with active cancer or end-of-life care
Denominator Exceptions: Opiate prescribed for medical reason documented by the Eligible Professional (e.g., suspected or diagnosed herniated disk, fracture, sciatica, radiculopathy, kidney stones)
National Quality Forum (NQF) number, if applicable
N/A
Care setting(s)
Ambulatory; Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Ambulatory Care: Urgent Care; Emergency Department and Services; Hospital; Outpatient Services; Hospital Outpatient
Telehealth, if applicable
Yes
Number of performance rates required for measures
1
Traditional vs. inverse measure
Traditional
Proportional, continuous variable, and/or ratio measure indicator
Proportional
Risk adjustment, if applicable
No
Submission pathway
Traditional MIPS, MVP