migraine Preventive Therapy Management
Measure Purpose: To optimally manage migraine
The numerator: Patients whose migraine frequency is > 6 days per month/4 attacks per month who were managed with an evidence-based preventive migraine therapy, including therapies prescribed by another clinician once during the measurement period.
is divided by
The denominator: Patients > 6 years of age diagnosed with migraine.
Exclusions are removed from the denominator for:
- Patient migraine frequency <6 days per month or < 4 attacks per month
- Patient and/or caregiver decline therapies
Key Phrases
Examples of key phrases you could use to meet the measure include:
- Medication prescribed or recommended
- Procedure ordered, performed, or referred
- Counseled on or referred to biobehavioral therapy
Measure Calculation Example
Dr. Lee has 100 patients between January 1 and December 31 of the measurement year. Of those patients, five declined therapies. These 5 patients are removed from the denominator.
Of the remaining 95 patients, 45 received a prescription for a guideline recommended prophylactic migraine treatment. This is the numerator.
Quality of care is 45/(100-5). Dr. Lee has a score of 47% for this measure.