Skip to main content

Avoid Hospitalization After Release with a Misdiagnosis—ED Stroke/Dizziness (Avoid H.A.R.M.—ED Stroke/Dizziness)

Endorsement Status
1.1 New or Maintenance
Is Under Review
Next Planned Maintenance Review
Spring 2028
E&M Cycle Comments

Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Spring 2023 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Spring 2023 “Intent to Submit.” Battelle took over the E&M work for the Spring 2023 cycle when developers and/or stewards submitted their full measure information, which for CBE #3746, the most recent measure specifications can be found here:

To close out this E&M cycle, Battelle published the Spring 2023 measures for pre-evaluation public commenting, convened the E&M standing committees for their measure evaluation meetings, launched the Spring 2023 post-comment period, convened the E&M committees for the post-comment meeting, convened the CSAC to render a final endorsement decision, and executed the appeals period.


1.3 Measure Description

This outcome measure tracks the rate of adult patients (aged 18 years and older) treated and released from the Emergency Department (ED) with either a non-specific, presumed benign symptom-only dizziness diagnosis or a specific inner ear/vestibular diagnosis (collectively referred to as “benign dizziness”) who were subsequently admitted to a hospital for a stroke within 30 days of their ED visit.

        • 1.14 Numerator

          The number of ED treat-and-release index visit discharges during the performance period that are followed within 30 days by an inpatient hospital admission to any hospital that ends in a primary discharge diagnosis of stroke.

        • 1.15 Denominator

          Patients treated and released from the ED with a primary discharge diagnosis code of “benign dizziness”.

        • Exclusions

          Not applicable.

        • OLD 1.12 MAT output not attached
        • Most Recent Endorsement Activity
          Patient Safety Spring 2023
          Initial Endorsement
              • Risk adjustment approach
                Risk adjustment approach
                Conceptual model for risk adjustment
                Conceptual model for risk adjustment