Outcome Assessment Guidelines

This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:

This page is devoted to a full description of what is considered “complete” patient file documentation, as described by National Associations and Third party Payors. It is the intention of this page to inform our profession of the most efficient means of communicating patient information, as well as outlining what is considered adequate documentation.

Jump to: Association Recommendations Articles  
Patient Satisfaction Cost-Effectiveness Safety of Chiropractic

Exercise + Chiropractic Chiropractic Rehab Integrated Care

Headache Adverse Events Disc Herniation

Chronic Neck Pain Low Back Pain Whiplash Section

Conditions That Respond Alternative Medicine Approaches to Disease

Association Recommendations

Getting the Most Out of PROMS
(Patient-reported Outcome Measures)

The King’s Fund + The Office of Health Economics
London, UK (2010)

This 92-page document covers pretty much everything you might want to lnow about Outcomes.

Overview of Implementation of Outcome Assessment
Case Management in the Clinical Practice

Washington State Chiropractic Association (2001) .

Outcome Assessment
Clinical Guidelines for Chiropractic Practice in Canada.

Outcome Assessment
in Adobe Acrobat PDF (103 KB)
as a Word document (173 KB)
ICA's Clinical Protocols and Guidelines for
the Practice of Chiropractic

Reassessment and Outcomes Assessment
Vertebral Subluxation in Chiropractic Practice (2008)
This is an Adobe Acrobat file (1.34 MB).
Outcome Assessment starts on page 154 of 318.

Outcome Assessment
Guidelines for Chiropractic Quality Assurance and Practice Parameters(1993)
~ a.k.a. The Mercy Conference
  Refer to Section X

Chapter 3: Commonly Used Outcome Assessment Measurements
Wisconsin Chiropractic Association (1996)
Pain is the primary complaint for 80% of all office visits to physicians each year in the U.S. [National Center for Health Statistics, 1986]. It is important to use the proper measurement device in order to get meaningful data of a patient’s baseline status. The measurement must then be reapplied to get meaningful data of a patient’s improvement. The testing device must be comprehensive enough to give a reliable clinical picture, simple to understand, easy to score, and able to be administered at a low cost.

The devices listed in bold are used very commonly within the chiropractic profession, and it is recommended that you become familiar with these outcome assessment devices. Unfortunately, copyright restrictions do not allow for the reproduction of these materials within these Wisconsin Chiropractic Association recommendations. Generally, you may access the original articles and use any of these devices in your office for the treatment of your individual patients.


Articles About Outcome Assessment

The Outcome Assessment Section
A Chiro.Org article collection

This section provides copies of the Neck Disability Index (NDI), the Oswestry Low Back Pain Questionnaire, the Headache Disability Index, the Visual Analogue Scale, Roland-Morris, and a questionnaire to Assess Psychosocial Yellow Flags.

Applying Outcomes Management into Clinical Practice
J. Neuromusculoskel. System Summer 1997;  5 (2):   1–14

The paradigm shift in health care from case management to cost contained, outcomes management (OM) has vaulted the study and use of valid and reliable outcomes tools . OM, when used appropriately, can measure progress, or the lack thereof, in three critical areas which include pain management, physical capacity (impairment), and disability.

An Introduction to Outcome Assessment
Dynamic Chiropractic – November 16, 1998

The design of this article is to give the chiropractic profession an introduction into the value and usefulness of clinical outcome assessment procedures. Using outcome assessment methods of case management gives the chiropractic profession an effective way to document the need for care. This results in receiving the compensation for services they rendered.


Return to the Guidelines Section

Since 2–18–2001

Updated 12-25-2023

                  © 1995–2024 ~ The Chiropractic Resource Organization ~ All Rights Reserved