With the PDSA cycle mind the following approaches were utilized for optimal migraine diagnosis and care. A curriculum was developed that included a “migraine day” covering pathophysiology, diagnosis, pharmacology, and billing/coding to improve the physician’s didactic education. Next, all residents had the opportunity to attend monthly case conferences where patients were reviewed by a multidisciplinary team. Patient education was maximized through “drug-boxes” containing patient education/counseling points, prescribers’ information, lifestyle modifications, and use of migraine technology. Furthermore, to improve patients’ access to treatments our prior authorization process was streamlined through workflow redesigns and accountability follow-ups. Finally, we created a custom referral mechanism for migraine treatment services while cross training our clinical team members to process prior authorizations. The key metrics reviewed were number of neurology referrals, number of migraine ICD-10 and changes in prescribing habits.