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Table D-1: NQF-Endorsed Measures Identified by National Priorities Par

Future Directions for the National Healthcare Quality and Disparities

Table D-1. NQF-Endorsed Measures Identified by National Priorities Partnership to Satisfy the Overuse Priority Area

Measure Description

Low back pain: use of imaging studies. Percentage of patients with new low back pain who received an imaging study (plain X-ray, magnetic resonance imaging, CT scan) conducted on the episode start date or in the 28 days following the episode start date.

Proportion receiving chemotherapy in the last 14 days of life.

Proportion with more than one emergency room visit in the last days of life.

Proportion with more than one hospitalization in the last 30 days of life.

Proportion admitted to the ICU in the last 30 days of life.

Proportion dying from cancer in an acute care setting.

The percentage of patients with a diagnosis of back pain for whom the physician ordered imaging studies during the six weeks after pain onset, in the absence of "red flags" (overuse measure, lower performance is better).

Cesarean rate for low-risk, first-birth women (a.k.a. NTSV [nulliparous, term, singleton, vertex] Cesarean Section rate). Identifies the portion of cesarean births that has the most variation among practitioners, hospitals, regions and states. Unlike other cesarean measures, it focuses attention on the proportion of cesarean births that is affected by elective medical practices such as induction and early labor admission.

Percentage of patients undergoing cervical spine radiographs in trauma who do not have neck pain, distracting pain, neurological deficits, reduced level of consciousness, or intoxication.

Magnetic resonance imaging (MRI) of the lumbar spine for low back pain. This measure estimates the percentage of people who had an MRI of the lumbar spine with a diagnosis of low back pain without claims based on evidence of antecedent conservative therapy. (Studies are limited to the outpatient place of service.)

Source: NQF, 2009b.

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Page last reviewed December 2010
Internet Citation: Table D-1: NQF-Endorsed Measures Identified by National Priorities Par: Future Directions for the National Healthcare Quality and Disparities . December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/iomqrdrreport/futureqrdrapdtab1.html