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