Several studies have demonstrated a reduction in pneumonia after institutional implementation of dysphagia screening protocols but without randomized control groups. Several swallow screening methods have been published in the literature, each with benefits and limitations, without sufficient evidence to recommend a single consensus method. Source for Recommendation From the 2015 AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A formal screening procedure for dysphagia should be performed in all patients before the initiation of oral intake to reduce the risk of pneumonia (Class I; Level of Evidence B). Method of Reporting Per patient: documentation of whether the patient received a dysphagia screen within 24 h of admission Per patient population: percentage of patients who received a dysphagia screen within 24 h of admission Challenges to Implementation Documentation of timing of dysphagia screen may be difficult to locate in chart review. Requires that institutional dysphagia screening protocols be developed and that adherence to these protocols can be abstracted from the chart. Analogous Measures Endorsed by Other Organizations This measure is identical to the AHA/ASA Ischemic Stroke Performance Measure 11. Analogous measures endorsed or used by NQF (No. 0243), AHA GWTG Stroke, CDC PCNASP, and AMA PCPI. AHA indicates American Heart Association; AMA, American Medical Association; ASA, American Stroke Association; CDC, Centers for Disease Control and Prevention; GWTG Stroke, Get With The Guidelines Stroke; ICH, intracerebral hemorrhage; NQF, National Quality Forum; PCNASP, Paul Coverdell National Acute Stroke program; and PCPI, Physician Consortium for Performance Improvement. *Dysphagia screening may consist of a structured bedside swallowing screen administered by nursing staff, bedside swallow evaluation by a speech-language pathologist, videofluoroscopic swallow evaluation, fiberoptic endoscopic evaluation of swallowing, or other method approved by local institutional protocol. Hemphill et al Performance Measures for ICH e255 Appendix. Continued 6. 