Most people with low back pain will feel better within a few days or weeks with little or no medical treatment. But people with low back pain often get medical care they don't need, which can do more harm than good. This includes unnecessary imaging tests, such as X-rays, CT scans, and MRIs. The quality scores below show how each doctor's office rated at avoiding unnecessary imaging tests for low back pain.
Learn why some doctor's offices (or medical groups) are not included in the quality scores on this page:
The office doesn't have enough doctors or primary care practitioners. An office or medical group must have at least 3 primary care professionals (doctors, nurse practitioners, or physician assistants) who provide care in order to be included.
The office didn't treat enough patients for the topic on this page. Scores are shown only if an office or medical group has treated at least 30 patients who meet requirements for that topic during the time period for reporting.
If the phrase 'Results not available' appears, it means the office did not have enough patients for one of the topics on the page, but did have enough patients for other topics on the page.
If the phrase 'Results under review' appears, it means that a doctor's office or medical group asked to have their scores be reconsidered by Partner for Quality Care because they believe the score may be inaccurate. The phrase 'Results under review' means the score is still being evaluated.
Imaging tests include X-rays, CT scans, and MRIs. These tests produce detailed pictures of the bones, organs and other body parts.
CT, or CAT, scans use multiple X-rays.
MRIs, or magnetic resonance imaging, use a powerful magnetic field and a computer.
The most common cause of low back pain — strain on muscles and ligaments — doesn't show up on imaging tests. That's why most people with low back pain don't need imaging tests. The tests don't give doctors much information that's useful for diagnosis or treatment.
The quality scores show whether people who visited doctors' offices for low back pain avoided unnecessary imaging tests. The quality scores are based on the percentage of adult patients (ages 18-50) who did not get an imaging test in the 28 days (4 weeks) after they first visited the doctor's office for low back pain. Doctors' offices that avoid unnecessary imaging tests have higher scores.
For this test, what is meant by better, average, and below?
For each doctor's office, the percentage of patients with low back pain who did not get an imaging test is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 86.8%.
'Better' means 93.2% or more of patients didn't get an imaging test
'Average' means between 80.4% and 93.2% of patients didn't get an imaging test
'Below' means 80.4% or fewer of patients didn't get an imaging test
Note: Data is from July 1, 2013 – June 30, 2014. The measurement period varies by measure, but in general, the data come from 2013 and 2014. Kaiser data included in these measures covers January 1, 2013 – December 31, 2013. This is due to a delay in data receipt and processing. It was determined that this round could be substituted because it overlaps the report period by 6 months, and Kaiser rates change minimally between Q Corp data rounds (<1%).
* Federally Qualified Health Center (FQHC): Q Corp scores are based on claims data.
FQHCs use a claims process that may differ from other health plans. Q Corp is working with Oregon FQHCs to address any discrepancies.
Results for doctors' offices and medical groups may be viewed alphabetically or based on score. Unless otherwise specified, results are automatically sorted based on score, from highest to lowest. For Heart Disease and Asthma Medication, the order is based on the actual percentage that was used to place doctors' offices and groups into the categories: "Better," "Average," or "Below." This percentage is not available on the website.
When there are multiple topics on one page (such as mammogram, pap test and chlamydia test for women's health), the sort order is based on the average of the scores ("Better," "Average," or "Below") for each topic rather than the underlying percentage. For the purposes of calculating the sorting order for these topics, a "Better" score is three points, an "Average" score is two points and "Below" is one point. If "Results not available" is the score for one of the topics, that score is excluded for the purposes of sorting.
In situations where clinics or medical groups are tied on the sort order, they are listed alphabetically.