Preventive Treatment Prescribed for Cluster Headache
Measure Purpose: To optimally treat cluster headache
The numerator: Patients who were prescribed short-term and/or long-term preventive treatment, including treatments prescribed by a different clinician once during the measurement period
is divided by
The denominator: Patients > 18 years of age with a diagnosis of cluster headache
Exclusions are removed from the denominator for:
- Guideline recommended treatment is medically contraindicated or ineffective for the patient
- Patient reports no CH attacks within the past 12 months or is not in an active attack period
- Provider determined attack frequency does not warrant preventive treatment
- CH are sufficiently controlled with over the counter medications
- Patient and/or caregiver decline
- Lack of insurance or insurance coverage for treatment prescribed
Key Phrases
Examples of key phrases you could use to meet the measure include:
- Preventive treatment prescribed
- Occipital nerve injection with steroid prescribed
- Verapamil prescribed
Measure Calculation Example
Dr. John had 50 patients over the age of 18 with a diagnosis of cluster headache between January 1 and December 31. This is the denominator. Two patients had a contraindication, two patients had their CH controlled with over the counter medications, and one patient declined therapy. These five (2+2+1) patients are removed from the denominator.
Of the remaining 45 patients, 22 were prescribed a preventive treatment. This is the numerator.
Quality of care =22/(50-5). Dr. John has a score of 48% for this measure.