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Accelerator Overview

The Spine Pain: Low Back and Neck Analytics Accelerator supports a disciplined, data-driven approach to evaluation and care, helping to drive and sustain significant improvement in clinical and financial outcomes. Typical implementations focus on ensuring appropriate assessment (especially imaging), initial advice and treatment for acute pain, shared decision-making, and pain management—areas where getting it right is especially meaningful to improve quality and cost.

Background

Organizations typically choose to focus on spine disorders for these reasons:

  • Low back pain and neck pain are common and costly. Together, low back pain and neck pain are one of the most common reasons for physician visits, and account for an estimated $88 billion in healthcare costs annually.
  • Variation in medical practice is significant and contributes to overutilization. Although few patients have a severe underlying condition, the use of narcotics, advanced imaging (MRI and CT), and surgical consultations for routine LBP are common despite several well-established guidelines recommending against their use as first‑line care.
  • Adherence to treatment guidelines can reduce variation, costs, and patient risk. Studies show that adherence to recommendations published in major clinical guidelines can help reduce variation and the use of unnecessary diagnostic and treatment modalities, thereby lowering costs. It can also lower patient risk and improve outcomes.

Benefits and Features

Access an at-a-glance, near real-time view of quality of care and its impact.

The application dashboard visualizes outcome and process metrics in an easy-to-consume, one-page summary. You can see trends and associations as they develop—and take timely action to address issues.

Focus your team on what matters most.

As with all accelerators, the Spine Pain application allows you to set metric definitions in alignment with your organization’s strategy. Outcome metrics typically include health-related quality of life (HRQOL) and functional status, imaging and overall cost-per-case, and patient satisfaction. Typical process metrics include documentation of patient-reported baseline measures and medical necessity for imaging, percentage of eligible patients and clinicians participating in education or shared decision-making, and compliance with care protocols related to pain management. The result? Your team understands the priorities and can help solve problems that stand in the way of improvement.

Do more than monitor: understand.

Detailed analytics provide dynamic data exploration, real-time filtering, and drill-down to patient-level detail. A Comorbidities tab enriches understanding of the patient and the appropriateness of the care they receive. The application also provides export or print capability for the patient list, metric performance, etc. so you can share and follow up.

Compare and contrast.

A Compare tab lets you review patient and care variables—demographics, variation in care, performance in different units, etc.—to determine what’s working and not working to improve outcomes. This feature also allows you to gauge the ROI of improvement work in particular areas: what could you achieve if every unit and provider standardized to match your best performance?

Gain visibility across the continuum of care.

The app can be integrated with other applications—e.g., surgical intervention applications—across multiple service types to track care over time and maintain a view of the whole patient.