Spinal Surgery: Lumbar Fusion
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 Fusion: Average change in functional status
Description
The average change (preoperative to one year post-operative) in functional status for
patients 18 years of age or older who had lumbar spine fusion surgery
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 spine fusion surgery (Arthrodesis 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 one year (+/- 3 months) postoperatively
Numerator
The average change (preoperative to one year 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 cancer (Spine Cancer Value Set), fracture (Spine Fracture Value Set) or
infection (Spine Infection Value Set) related to the spine
 Patient had idiopathic or congenital scoliosis (Congenital Scoliosis Value Set)
Measure Scoring
Number, 100 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Measure
Lumbar Fusion: Average change in health related quality of life
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 Fusion
Outcome Measures Specifications
2016 Report Year
01/01/2014 to 12/31/2014 Dates of Procedure
Description
The average change (preoperative to one year post-operative) in health related quality
of life for patients 18 years of age or older who had lumbar spine fusion surgery
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 spine fusion surgery (Arthrodesis 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 one year (+/3 months) postoperatively
Numerator
The average change (preoperative to one year 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 cancer (Spine Cancer Value Set), fracture (Spine Fracture Value Set) or
infection (Spine Infection Value Set) related to the spine
 Patient had idiopathic or congenital scoliosis (Congenital Scoliosis Value Set)
Measure Scoring
Number, 100 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Measure
Lumbar Fusion: Average change in back pain
Description
The average change (preoperative to one year post-operative) in back pain for patients
18 years of age or older who had lumbar spine fusion surgery
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 Fusion
Outcome Measures Specifications
2016 Report Year
01/01/2014 to 12/31/2014 Dates of Procedure
Event
Lumbar spine fusion surgery (Arthrodesis 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 one year (+/- 3 months)
postoperatively
Numerator
The average change (preoperative to one year 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 cancer (Spine Cancer Value Set), fracture (Spine Fracture Value Set) or
infection (Spine Infection Value Set) related to the spine
 Patient had idiopathic or congenital scoliosis (Congenital Scoliosis Value Set)
Measure Scoring
Number, 10 point scale
Interpretation of Score
Higher score indicates better quality
Measure Type
Outcome
Measure
Lumbar Fusion: Average change in leg pain
Description
The average change (preoperative to one year post-operative) in leg pain for patients 18
years of age or older who had lumbar spine fusion surgery
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 spine fusion surgery (Arthrodesis 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 one year (+/- 3 months)
postoperatively
Numerator
The average change (preoperative to one year 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 Fusion
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 cancer (Spine Cancer Value Set), fracture (Spine Fracture Value Set), or
infection (Spine Infection Value Set) related to the spine.
 Patient had idiopathic or congenital scoliosis (Congenital Scoliosis Value Set)
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