2023 # ECPR39 Avoid Head CT for Patients with Uncomplicated Syncope

Measure Title: Avoid Head CT for Patients with Uncomplicated Syncope

Description: Percentage of Adult Syncope Patients Who Did Not Receive a Head CT Scan Ordered by the Provider

Denominator: 

• Any patient ≥18 years of age evaluated by the Eligible Professional in the Emergency Department or Urgent Care Clinic (E/M Codes 99202-99205, 99212-99215, 99281- 99285, & 99291-99292 AND Place of Service Indicator: 02, 11, 19, 20, 22 or 23) PLUS
•  Diagnosis of Syncope:
  •  ICD-10: R55
• Transferred, eloped or AMA patients are excluded (V0700)

Numerator: Patients who did not have a head CT ordered

Denominator Exclusions: None

Denominator Exceptions: Patients who did have a head CT ordered for medical reason documented by the eligible professional (i.e., Seizure; alcohol/drug intoxication; vomiting; altered mental status; abnormal neurologic exam; concern for intracranial injury/hemorrhage, stroke, or mass lesion).

National Quality Forum (NQF) number, if applicable
N/A

Care setting(s) 
Ambulatory Care: Urgent Care; Emergency Department and Services; Hospital Inpatient

Telehealth, if applicable
Yes

Number of performance rates required for measures
1

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway 
Traditional MIPS