Acute Treatment prescribed for cluster headache
Measure Purpose: To optimally treat cluster headache
The numerator: Patients who were prescribed an acute 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
- CH are sufficiently controlled with over the counter medications
- Patient and/or caregiver decline therapy
- Lack of insurance or insurance coverage for treatment prescribed
Key Phrases
Examples of key phrases you could use to meet the measure include:
- Acute treatment prescribed
- Sumatriptan SC prescribed
Measure Calculation Example
Dr. Taylor had 50 patients over the age of 18 with a diagnosis of cluster headache between January 1 and December 31. This is the denominator. One patient has a contraindication, two patients are not in an active attack period, and one patient declines therapy. These four (1+2+1) patients are removed from the denominator.
Of the remaining 46 patients, 23 were prescribed an acute treatment. This is the numerator.
Quality of care = 23/(50-4). Dr. Taylor has a score of 50% for this measure.