2021 ECPR39: Avoid Head CT for Patients with Uncomplicated Syncope

Measure 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 99201-99205, 99212-99215, 99281- 99285, & 99291-99292 AND Place of Service Indicator: 11, 19, 20, 22 or 23) PLUS
• Diagnosis of Syncope:
  • ICD-10: R55
• Transferred, eloped or AMA patients are excluded (V0700)

Numerator

Syncope Patients Who Did Not Have a Head CT Ordered by the Provider Numerator Options

• Performance Met (VE250): Patients who did not have a head CT ordered
• Medical Performance Exclusion (Denominator Exception) (VE251): 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.)
• Performance Not Met (VE252): Patients who did have a head CT ordered, reason not given

Numerator Exclusions

None

NQF ID Number

N/A

NQS Domain

Efficiency and Cost Reduction

High Priority Measure

Yes

Includes Telehealth?

Yes

Inverse Measure

No

Proportional Measure

Yes

Continuous Variable Measure

No

Ratio Measure

No

Number of performance rates to be calculated and submitted

1

Risk-Adjusted Status?

No