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.