2023 # HCPR23 Avoidance of Echocardiogram and Carotid Ultrasound for Syncope

Measure Title: Avoidance of Echocardiogram and Carotid Ultrasound for Syncope

Measure Description: Percentage of Patients Presenting with Syncope Who Did Not Have an Echocardiogram or Carotid Ultrasound Ordered

Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional PLUS, Admitted or Placed in Observation Status PLUS Diagnosis of Syncope (Transferred, eloped, AMA or expired patients are excluded)

Numerator: Patients That Did NOT Have an Echocardiogram or Carotid Ultrasound Ordered

Denominator Exclusions: None

Denominator Exceptions: Cardiac Etiology of Syncope Suspected or Determined (i.e. abnormal cardiac exam (new murmur, bruit), abnormal EKG, cardiac dysrhythmia, abnormal cardiac biomarkers, chest pain, shortness of breath, known heart disease, known or suspected structural heart disease); Neurologic Etiology of Syncope Suspected or Determined (i.e. abnormal neurologic exam, focal neurologic deficit)

NQF ID Number: N/A

NQS Domain: Effective Clinical Care

High Priority Measure: Yes

Measure Type: Process

Includes Teleheatlh: 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

Care Setting: Hospital; Hospital Inpatient

Submission Pathway: Traditional MIPS