Modifiable Lifestyle and Chronification Factors Counseling for Migraine
Measure Purpose: Comprehensive management of migraine
The numerator: Documentation that the patient was counseled on at least 1 modifiable lifestyle or chronification factor^ once during the measurement period
^Modifiable lifestyle and chronification factors include:
- Irregular or skipping of meals
- Excessive or irregular caffeine consumption
- Exercise
- Smoking
- Stress management
- Restorative sleep
- Adequate hydration
- Other issues identified by the clinician or patient
- Trigger identification and avoidance
- Acute medication overuse
is divided by
The denominator: Patients > 6 years of age diagnosed with migraine
Exclusions are removed from the denominator for:
- Patient and/or caregiver decline counseling
Key Phrases
Examples of key phrases you could use to meet the measure include:
- Counseled on excessive or irregular caffeine consumption
- Counseled on acute medication overuse
- Counseled on adequate hydration
Measure Calculation Example
Dr. Harrison had 100 patients over the age of 6 with a diagnosis of migraine between January 1 and December 31. This is the denominator. Nine patients declined counseling. These nine patients are removed from the denominator.
Of the remaining 91 patients, 33 were counseled on at least 1 modifiable or chronification factor. This is the numerator.
Quality of care = 33/(100-9). Dr. Harrison has a score of 36% for this measure.