In addition, it would be most desirable for performance measures to be directly linked to patient-specific outcomes as opposed to processes of care.17 Outcomes can be intermediate- term or acute outcomes (eg, development of pneumonia during the inpatient setting) or long-term outcomes (eg, functional out- come at 6 months after ICH or recurrence of ICH in the years after the initial event). The ability to use outcomes as opposed to processes of care in these performance measures was a sub- stantial part of the discussion by the writing group. Ultimately, consideration of feasibility of measurement and harmonization with existing performance measures from other organizations (especially those measures that are NQF endorsed) weighed substantially in the decisions on which performance measures to put forth and how they should be structured. Literature Review The primary source for review of potential performance mea- of Spontaneous Intracerebral Hemorrhage. 2 AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery were also reviewed.18 In addition, other documents of existing performance measures or quality metrics were reviewed to assess whether there were current performance measures developed for ischemic stroke or ICH that should be considered for inclusion and harmonization. 